en General گزارش مورد case report Introduction: Although cardiac glycosides toxicity is common in patients taking these kinds of drugs, poisoning occurs rarely in healthy individuals. This case report describes a one-month duration of mistaken consumption of digoxin tablets in a patient that referred to the hospital with gastrointestinal poisoning manifestations. Case Presentation: The case was a 75-year-old female with a history of hypertension, hyperthyroidism, and digestive problems with common symptoms of gastrointestinal toxicity, nausea, and vomiting; mild digoxin toxicity was found rather than a simple gastrointestinal poisoning based on further investigations. Conclusions: Careful examination and EKG evaluation are essential to exclude drug toxicity in all patients referring to the hospital with gastrointestinal symptoms. Digoxin,Medication,Drug Use Error 0 0 http://mcj.bums.ac.ir/browse.php?a_code=A-10-1-48&slc_lang=en&sid=1 Toba Kazemi 10031947532846003499 10031947532846003499 No Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, IR Iran Marjan Farzad 10031947532846003500 10031947532846003500 Yes Marjan Farzad, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, IR Iran. Tel: +98-9155624766, Fax: +98-5632430076, E-mail: mfarzad@bums.ac.ir Seyedalireza Javadinia 10031947532846003501 10031947532846003501 No Students Research Committee, Birjand University of Medical Sciences, Birjand, IR Iran