Which of the following is the antidote for Digoxin toxicity?

Digoxin immune Fab, commonly referred to as Digibind, is the specific antidote for digoxin toxicity. This antidote consists of antibody fragments that bind to digoxin in the bloodstream, effectively neutralizing its effects. When digoxin levels are elevated, it can lead to serious cardiac arrhythmias and other significant health issues.

By administering Digibind, digoxin is removed from circulation, restoring normal physiological functions and helping to stabilize the patient. This intervention is particularly critical in cases of severe toxicity where immediate action is needed to prevent life-threatening complications.

The other options do have their uses in different contexts. For instance, activated charcoal is more relevant for certain types of poisoning if administered shortly after ingestion, but it does not specifically counteract the effects of digoxin. N-acetylcysteine is primarily used in cases of acetaminophen overdose, and sodium bicarbonate can be effective in treating metabolic acidosis but does not address digoxin toxicity directly. Thus, Digibind stands out as the appropriate choice for reversing the consequences of digoxin overdose.