Digoxin plays an important role in management of pediatric heart failure. Digoxin toxicity can occur even at thereupatic doses. We are reporting a case of 47 day old male baby who presented with vomiting, letharginess and first degree heart block on electrocardiogram. Toxicity was confirmed with serum level of 4.82 ng/mL. Baby was managed conservatively, by stopping digoxin and monitoring of heart rate. Baby improved on its own by day 6 of admission.

Keywords: Digoxin Toxicity; Heart Block.