GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Fluconazole

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.

Opening and detailed source regimens are retained separately where wording differs. Historical infection regimens are not labeled current guideline therapy.

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UCSF - fluconazole

Product / population
Adults; systemic oral/IV fluconazole; indication-specific targets, IHD and CVVHD.
Renal method
CrCl in mL/min where specified; no equation inferred.
Source revision
Revision date not stated in the reviewed page.
Retrieved
2026-09-05
Local review status
Locally included source-specific summary. Regimen differences are not automatically resolved.

Documented differences and cautions on this drug

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

Nondialysis percentage differs below CrCl 10

The RX table retains 50% of the indication dose at CrCl <=50 without dialysis. UCSF separates CrCl <10 and uses 25%. Its continuous-dialysis guidance is specifically qualified by CVVHD evidence.

What to reconcile: Select one applicable complete regimen. Do not combine a label percentage with a different institutional dialysis interval.

Source-specific interpretation; independent clinician adjudication pending.

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Professional

UCSF - fluconazole

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UCSF Infectious Diseases Management Program · Adults; systemic oral/IV fluconazole; indication-specific targets, IHD and CVVHD.

Renal method: CrCl in mL/min where specified; no equation inferred.
Source date: Revision date not stated in the reviewed page.
Retrieved: 2026-09-05

Locally included source-specific summary. Regimen differences are not automatically resolved.

Dosing / renal protocol and limits

Daily IV/oral targets above CrCl 50 mL/min: oropharyngeal disease 100 mg; esophageal disease 200 mg; systemic/severe infection 400 mg at weight <=80 kg, 600 mg at 81-100 kg, or 800 mg above 100 kg. At CrCl 10-50 use half the indication-specific daily target; below 10 use one quarter.

IHD: give 100 mg for oropharyngeal disease, 200 mg for esophageal disease, or 400 mg for severe disease initially and then after HD.

CVVHD: respectively 200 mg daily, 400 mg daily, or 800-1200 mg/day in doses every 12-24 hours. Heme/BMT prophylaxis uses 400 mg daily with normal renal function, 400 mg initially and after IHD, or 800 mg daily during CVVHD.

The higher continuous-treatment doses are CVVHD-specific and were not evaluated for other continuous modalities such as CVVH.

RDM30-016-fluconazole-1 · Source locator: UCSF - fluconazole; renal/dosing sections and stated qualifiers

Source identity and provenance
Source
https://idmp.ucsf.edu/content/fluconazole
Retrieved
2026-09-05
Renal-function method
CrCl in mL/min where specified; no equation inferred.
Source date/version
Revision date not stated in the reviewed page.
Hash meaning
Locally authored summary text; not original SPL, HTML or PDF bytes
Local summary SHA-256
7c21174d2b756752ea64f1270c3b56e527baf9a0426e67094986876f64f8a7e0

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=fluconazole&s1=RDM30-016-fluconazole&h1=2d7b7babf113aa98acdd0a0f2f25860c319d2ba0573fdd13de5f68e7752b6eb6