GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Terlipressin - TERLIVAZ IV injection

One or two intact local summaries. No averaged regimen, patient-specific dose or automatic source preference.

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1 local source card selected. Local card fingerprints checked where supplied. This is not an original-document hash, source-currency guarantee or clinical approval. Record-level cautions below are the current library's cautions, not a frozen prior version.

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Clinical context remains essential

Independent clinical review is pending. Confirm indication, exact formulation/route, population, renal measure and units, kidney-function stability, dialysis prescription, interacting drugs, monitoring and source revision. An RX mirror and its original label are not independent corroboration. Missing disagreement notes do not certify agreement.

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DailyMed / TERLIVAZ exact label

Product / population
TERLIVAZ terlipressin IV injection in adults with hepatorenal syndrome and rapid kidney-function reduction. This is a response-guided HRS regimen, not a stable-CKD CrCl table.
Renal method
SCr, mg/dL and percent response; oxygenation
Source revision
6/2026
Retrieved
2026-09-09
Local review status
Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph.

Documented differences and cautions on this drug

All record notes are retained here, including notes about sources not selected in this review.

A response-guided HRS pathway needs eligibility and respiratory review

The official source supplies a complete response pathway absent from the selected RX text rendering. This is not a stable-CKD adjustment table.

What to reconcile: Review oxygenation, volume status, ACLF grade and stopping rules before applying the pathway.

Source-specific interpretation; independent clinician adjudication pending.

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Official

DailyMed / TERLIVAZ exact label

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DailyMed / Mallinckrodt Hospital Products Inc. · TERLIVAZ terlipressin IV injection in adults with hepatorenal syndrome and rapid kidney-function reduction. This is a response-guided HRS regimen, not a stable-CKD CrCl table.

Renal method: SCr, mg/dL and percent response; oxygenation
Source date: 6/2026
Retrieved: 2026-09-09

Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.

Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph.

Renal dosing, restrictions and evidence limits

Days 1-3: 0.85 mg IV every 6 hours over 2 minutes. On day 4, stop if SCr is at or above baseline; if SCr has fallen by at least 30%, continue 0.85 mg every 6 hours; if it has fallen by less than 30%, the highlights allow increase to 1.7 mg every 6 hours. Continue until 24 hours after two consecutive SCr values <=1.5 mg/dL at least 2 hours apart, or at most 14 days.

Benefit is unlikely above SCr 5 mg/dL. Do not start during hypoxia; monitor continuously and stop if SpO2 falls below 90%. Assess volume status and ACLF grade. This selected pathway does not replace full eligibility, ischemia and respiratory-risk review.

RDM54-official-terlipressin-terlivaz-f9eae349c9-C1 · Source locator: Highlights; Boxed Warning; sections 1, 2.1-2.2 and Figure 1 (visually inspected)

Source-specific limits

Official Figure 1 visually inspected (turn906730view3); the highlights say the increased dose may be used. Independent clinical adjudication remains pending.

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3a35b86c-f451-4fac-8499-43019e4da354
Retrieved
2026-09-09
Exact label title
TERLIVAZ - terlipressin injection, powder, lyophilized, for solution
DailyMed Set ID
3a35b86c-f451-4fac-8499-43019e4da354
Labeler
Mallinckrodt Hospital Products Inc.
DailyMed page updated
2026-06-19
Label revision
6/2026
Renal-function method
SCr, mg/dL and percent response; oxygenation
Source date/version
6/2026
Hash meaning
SHA-256 of local authored summary only; not original HTML, PDF or SPL bytes.
Local summary SHA-256
bbe51deb7bf8c76f33fe4a17d6f2970ef682d68914119f4e29ac4b06f0cf2c64

Document the clinical decision separately

This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.

GlobalRPh v6.6 | RDM66-DIRECT-PHP-20260911 | Local library date 2026-09-11. Selected-card identity does not imply clinical verification.

Pinned reference: https://globalrph.com/blogCalcs/renal-dosing-master/compare.php?id=terlipressin-terlivaz&s1=RDM54-official-terlipressin-terlivaz-f9eae349c9&h1=04f4ba50ef221bcf75af4404b2cd50eee180f4e8eb76662c9e8166adf583d82f