GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Trofinetide - DAYBUE / DAYBUE STIX

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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DailyMed / DAYBUE and DAYBUE STIX exact label

Product / population
Trofinetide DAYBUE 200 mg/mL oral solution and DAYBUE STIX oral powder for Rett syndrome in patients aged 2 years and older. The selected dosing table begins at 9 kg.
Renal method
Adult eGFR, mL/min; pediatric eGFR, mL/min/1.73 m2
Source revision
3/2026
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.

Adult and pediatric eGFR units differ within this label

The same printed numeric bands use absolute units in adults and indexed units in children. Packet restrictions also matter for reduced amounts.

What to reconcile: Do not substitute one unit convention or use partial powder packets.

Source-specific interpretation; independent clinician adjudication pending.

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Official

DailyMed / DAYBUE and DAYBUE STIX exact label

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DailyMed / Acadia Pharmaceuticals Inc. · Trofinetide DAYBUE 200 mg/mL oral solution and DAYBUE STIX oral powder for Rett syndrome in patients aged 2 years and older. The selected dosing table begins at 9 kg.

Renal method: Adult eGFR, mL/min; pediatric eGFR, mL/min/1.73 m2
Source date: 3/2026
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

Mild impairment (eGFR 60-89): no adjustment. Moderate impairment (30-59) uses these twice-daily amounts: 9 to <12 kg, 2500 mg; 12 to <20 kg, 3000 mg; 20 to <35 kg, 4000 mg; 35 to <50 kg, 5000 mg; 50 kg or more, 6000 mg. Severe impairment below 30: use is not recommended.

The table uses eGFR in mL/min for adults and mL/min/1.73 m2 for pediatric patients. For doses below 5000 mg, the label recommends DAYBUE solution; do not use partial STIX packets. Severe diarrhea, dehydration, weight loss or persistent vomiting may require interruption, reduction or discontinuation. These are selected renal instructions, not the complete weight-based prescribing information.

RDM54-official-trofinetide-daybue-b33fe11626-C1 · Source locator: Sections 2.3-2.6, renal Table 4; 5.1-5.3; 8.6

Source-specific limits

Selected sections only. Source mirror and underlying label are not independent confirmations.

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=67e6f2d9-21f6-466f-9def-826c6a4b8257
Retrieved
2026-09-09
Exact label title
DAYBUE - trofinetide solution; DAYBUE STIX - trofinetide for solution
DailyMed Set ID
67e6f2d9-21f6-466f-9def-826c6a4b8257
Labeler
Acadia Pharmaceuticals Inc.
DailyMed page updated
2026-08-18
Label revision
3/2026
Renal-function method
Adult eGFR, mL/min; pediatric eGFR, mL/min/1.73 m2
Source date/version
3/2026
Hash meaning
SHA-256 of local authored summary only; not original HTML, PDF or SPL bytes.
Local summary SHA-256
ded56c793cc6ba76c576331ba27db665925493c524793550cb18069463e46d6b

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=trofinetide-daybue&s1=RDM54-official-trofinetide-daybue-b33fe11626&h1=2f21940fb6cedb0d97c1235d8e5d05131d4f1e5c2ce8dfae567ac719326b941e