<s>[INST] My mother is currently on  dobutamine and levophed for congestive heart failure. We want to be able to at least get her off of the levophed. The doctors are trying midodrine which has allowed us to lower the dosage of the levophed some, but not entirely. What other options are there? [/INST] Hello,Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem.Levophed is actually one of the last resorts a doctor has in case of heart failure, when heart gets too weak to pump enough one needs it, there are not many options which can be as efficient as levophed but you can discuss with your doctors about digoxin, but usually patients on levophed are hard to switch to digoxin as digoxin is less potent and has more side effects.The only way your mother can get of levophed is only if she gets out of failure chronically by use of diuretics beta blockers ACE inhibitors etc, if here ejection fraction is too low and she is in ongoing failure than ionotropes are only choice.I hope this answered your question, If you have more queries I am happy to answer you.Regards.Dr.Muhammad Ahmad </s>