GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Fluoxetine daily capsules (adults)

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

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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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Fluoxetine daily capsules (adults) - selected U.S. labeling

Product / population
Adult major depressive disorder; daily oral immediate-release fluoxetine capsules. Excludes weekly delayed-release products and olanzapine combinations.
Renal method
Qualitative renal guidance, supported by a small dialysis pharmacokinetic study; no CrCl dose table.
Source revision
Label revision date not separately recorded; retrieval date is not the revision date.
Retrieved
2026-09-05
Local review status
Selected dosing/renal sections read; concise local summary, not full prescribing information.
Official

Fluoxetine daily capsules (adults) - selected U.S. labeling

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U.S. product labeling / DailyMed · Adult major depressive disorder; daily oral immediate-release fluoxetine capsules. Excludes weekly delayed-release products and olanzapine combinations.

Renal method: Qualitative renal guidance, supported by a small dialysis pharmacokinetic study; no CrCl dose table.
Source date: Label revision date not separately recorded; retrieval date is not the revision date.
Retrieved: 2026-09-05

Selected dosing/renal sections read; concise local summary, not full prescribing information.

Labeled basic dosing

Start 20 mg orally each morning. Consider escalation after several weeks when response is insufficient. Doses above 20 mg/day may be once daily or divided morning/noon; maximum 80 mg/day.

RDM31-fluoxetine-ir-label-dose · Source locator: 2.1 Major Depressive Disorder

Renal information and dialysis

The label does not routinely require a lower dose or longer interval for renal impairment. In 12 dialysis patients, 20 mg/day produced parent/metabolite concentrations comparable to normal renal function; possible accumulation of other renally eliminated metabolites is acknowledged.

RDM31-fluoxetine-ir-label-renal · Source locator: 12.3 Renal Disease

Selected warnings and limits

Review suicidality, serotonin syndrome and interacting medicines. Delayed steady state and the prolonged elimination of fluoxetine/norfluoxetine matter when adjusting or switching treatment.

RDM31-fluoxetine-ir-label-limits · Source locator: Boxed warning; 5; 12.3 Accumulation and slow elimination

Source identity and provenance
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=8609ed02-0b30-4c82-bab1-4d51d92ec224
Retrieved
2026-09-05
DailyMed Set ID
8609ed02-0b30-4c82-bab1-4d51d92ec224
Renal-function method
Qualitative renal guidance, supported by a small dialysis pharmacokinetic study; no CrCl dose table.
Source date/version
Label revision date not separately recorded; retrieval date is not the revision date.
Hash meaning
SHA-256 identifies this local summary, not original SPL XML or label PDF.
Local summary SHA-256
bca97575c4f0863431aa70237754e8dbc89699e8fdd9db484990d2d6a2852f5b

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=fluoxetine-ir&s1=RDM31-label-fluoxetine-ir&h1=2190c36fc19d5c1de47b401ad302372323afc076e117a082888e31b7d7b4b23e