JAMP Pharma Corporation is recalling JAMP Digoxin 0.0625 and 0.125 mg tablets as some bottles may contain tablets that weigh more or less than they should, while looking like normal-sized tablets. Patients taking an overweight or underweight tablet could unexpectedly receive a higher or lower dose than intended. Digoxin is a drug where small differences in dose or blood concentration can lead to very serious side effects; therefore, it is essential that patients taking an affected JAMP product return it to the pharmacy as soon as possible for replacement. JAMP Digoxin is a prescription drug used in children and adults to treat mild to moderate congestive heart failure. It can also be used to treat a fast or irregular heartbeat (e.g., atrial fibrillation). Signs and symptoms of a digoxin overdose may include nausea, vomiting, decreased appetite, diarrhea, confusion, seizures, hallucinations, vision effects (seeing light "halos" around objects, or green or yellow vision), fatigue, irregular heartbeats, and abnormally fast or slow heartbeat. In cases of severe overdose, heart-related effects could be life threatening. Children, people over the age of 65, and people who have an electrolyte or thyroid disorder may be at a higher risk of adverse effects. Taking a lower dose of digoxin could reduce its effectiveness and lead to a worsening of the patient’s condition, which may include palpitations, dizziness, fatigue, chest pain, difficulty breathing and reduced exercise tolerance. Health Canada is monitoring the company's recall and its implementation of corrective and preventative actions to prevent this issue from reoccurring. The Department will inform the public if any new health risks are identified.