GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Cefiderocol (Fetroja)

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

Selecting here opens the current stored cards. The pinned link below records their fingerprints. Do not enter patient information in links or searches.

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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.

Copy is optional; the link can be selected and copied manually. No patient data or dose decision is collected.

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.

Check source scope before reading a dose

FETROJA - cefiderocol intravenous injection

Product / population
FETROJA intravenous cefiderocol in adults; renal function, intermittent HD and CRRT effluent are separate dosing contexts.
Renal method
Cockcroft-Gault CrCl in mL/min; CRRT effluent in L/hour
Source revision
3/2026 (printed highlights); DailyMed updated 2026-02-24
Retrieved
2026-09-10
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.

CRRT effluent guidance is not an intermittent-HD dose table

The selected official and mirror tables agree. Their CRRT guidance is explicitly initial and depends on effluent rather than a CrCl band.

What to reconcile: Confirm modality and L/hour effluent, then reassess residual function and clinical status; do not interpolate a new algorithm.

Source-specific interpretation; independent clinician adjudication pending.

Open this note and its source references

The recovered institutional page has different printed boundaries

The official label uses CrCl >=120; UCSF prints >120 beside 60-119. The upper effluent band is >=4.1 L/hour in the label versus >4 in UCSF.

What to reconcile: For exactly CrCl 120 the official label is explicit. Preserve the institutional discrepancy and seek clarification for effluent values between printed bands; do not interpolate. This is a wording/boundary comparison, not evidence of different clinical outcomes.

Source-specific interpretation; independent clinician adjudication pending.

Open this note and its source references
Official

FETROJA - cefiderocol intravenous injection

Open original reference

DailyMed / Shionogi Inc. · FETROJA intravenous cefiderocol in adults; renal function, intermittent HD and CRRT effluent are separate dosing contexts.

Renal method: Cockcroft-Gault CrCl in mL/min; CRRT effluent in L/hour
Source date: 3/2026 (printed highlights); DailyMed updated 2026-02-24
Retrieved: 2026-09-10

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

Dialysis evidence: CRRT effluent-based initial regimen

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

Renal dosing, restrictions and evidence limits

Using Cockcroft-Gault CrCl (mL/min), the adult regimen is 2 g every 8 hours at 60-119; 1.5 g every 8 hours at 30-59; 1 g every 8 hours at 15-29; and 0.75 g every 12 hours below 15 with or without intermittent HD. At >=120 use 2 g every 6 hours. Infuse over 3 hours and administer immediately after intermittent HD.

Initial CRRT doses by effluent L/hour: <=2, 1.5 g every 12 hours; 2.1-3, 2 g every 12 hours; 3.1-4, 1.5 g every 8 hours; >=4.1, 2 g every 8 hours. Tailor for residual renal function and clinical status. These printed intervals are retained, not interpolated into an automated algorithm.

RDM58-official-cefiderocol-4cceb3a62f-C1 · Source locator: Sections 2.1-2.2 Tables 1-2, 8.6; printed date fields

Source-specific limits

Selected sections only; not a complete prescribing monograph or independent clinician approval.

Exact DailyMed HTML identity and named sections read. Raw SPL XML, original document hash and complete revision history were not obtained. Availability is not established by label retrieval.

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=75c0c785-38e0-4049-a6fb-b77581f5b35c
Retrieved
2026-09-10
Exact label title
FETROJA - cefiderocol intravenous injection
DailyMed Set ID
75c0c785-38e0-4049-a6fb-b77581f5b35c
Labeler
Shionogi Inc.
DailyMed page updated
2026-02-24
Label revision
3/2026 (printed highlights); DailyMed updated 2026-02-24
Renal-function method
Cockcroft-Gault CrCl in mL/min; CRRT effluent in L/hour
Source date/version
3/2026 (printed highlights); DailyMed updated 2026-02-24
Hash meaning
SHA-256 of local authored summary only; not original HTML, PDF or SPL bytes.
Local summary SHA-256
b12c17a9aa03ed5a226020c30231f4d4876071fa3257619be37a2d96d1ad3191

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=cefiderocol&s1=RDM58-official-cefiderocol-4cceb3a62f&h1=12be5c40d62a500340b04562350c68a02999cb983bc84285745e75bdd23cf79f