Digoxin toxicity is associated with all of the following except
a. Extracardiac adverse effects of digitalis: anorexia, nausea, vomiting and abdominal pain are usually reported first. These are due to gastric irritation, mesenteric vasoconstriction and CTZ stimulation.
b. Fatigue, no desire to walk or lift an arm, malaise, headache, mental confusion, restlessness, hyperpnoea, disorientation, psychosis and visual disturbances are the other complaints. Diarrhea occurs occasionally. Skin rashes and gynecomastia are rare
c. Symptoms of digoxin toxicity include vomiting, confusion, delirium, and occasionally hallucinations, blurred vision, photophobia, scotomata, and disturbed color perception. While bradyarrhythmias and hypokalemia are common with chronic intoxication, tachyarrhythmias and hyperkalemia are generally seen with acute poisoning.
d. So anorexia though does occur but then this is NOT followed by cachexia. Point to be remembered is: hypokalemia in normal dose and hyperkalemia in acute overdose.