iarjmcrIARJMCRIARJMCR2709-322010.47310/iarjmcr.2022.v03i02.018The Role of Hemodialysis as Renal Support for Patients with Digoxin Intoxication and Renal InsufficiencyNyomanMarthaChrismayanaYennyKandariniDigoxin intoxication is a life-threatening condition that may result in a refractory atrioventricular block and ventricular arrhythmias. Digoxin-specific antibody fragments are safe and effective in managing severe toxicity. Although digoxin poisoning is very rare, the likelihood of a severe digoxin overdose occurrence in a setting where the expensive Fab fragments are not available is very high. We report a case of chronic oral digoxin intoxication resulting in symptomatic bradycardia. Due to the severity of the intoxication and no digoxin-specific antibody fragments in this patient setting, we performed intermittent hemodialysis. After intermittent serial hemodialysis, symptomatic bradycardia was improved and there was a reduction in digoxin serum concentration.