GlobalRPh Renal Dosing Masterv7.4
Renal Dosing Master: fast drug lookup
Source review / handoff

Pemetrexed (Pemfexy), IV solution for dilution, adults

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.

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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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Pemfexy - labeled renal guidance

Product / population
Pemetrexed (Pemfexy), IV solution for dilution, adults
Renal method
Cockcroft-Gault creatinine clearance, mL/min
Source revision
DailyMed SPL version 2, effective 2026-06-18; posted Jun 23, 2026
Retrieved
2026-11-07
Local review status
Selected renal passages reviewed; independent clinician adjudication pending.

Documented differences and cautions on this drug

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

Pemfexy - product and source limitations

Check CrCl before every cycle. If ibuprofen is necessary, monitor hematologic, renal and GI toxicity more frequently.

What to reconcile: Apply only to the stated formulation, indication and renal population.

Selected renal passages reviewed; independent clinician adjudication pending.

Open this note and its source references
Official

Pemfexy - labeled renal guidance

Open original reference

DailyMed / product prescribing information · Pemetrexed (Pemfexy), IV solution for dilution, adults

Renal method: Cockcroft-Gault creatinine clearance, mL/min
Source date: DailyMed SPL version 2, effective 2026-06-18; posted Jun 23, 2026
Retrieved: 2026-11-07

Restriction or avoidance guidance. Read the specific threshold, age, formulation and dialysis exclusions; do not generalize across products.

Selected renal passages reviewed; independent clinician adjudication pending.

Renal guidance: 2.3, 2.5 and 5.2

Withhold at CrCl below 45 mL/min. At 45-79, withhold ibuprofen for the two days preceding the dose, the treatment day and the following two days. Check CrCl before every cycle. If ibuprofen is necessary, monitor hematologic, renal and GI toxicity more frequently.

RDM73-pemfexy-official-1 · Source locator: Renal guidance: 2.3, 2.5 and 5.2

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=caef07ce-066b-4c48-98dc-974b05ebbbe0
Retrieved
2026-11-07
Renal-function method
Cockcroft-Gault creatinine clearance, mL/min
Source date/version
DailyMed SPL version 2, effective 2026-06-18; posted Jun 23, 2026
Hash meaning
SHA-256 of the local selected-source summary
Local summary SHA-256
da937b8db47a26b11ceb030fff073f68a857091c08c46d2cbf4316b7aa028d89

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 Renal Dosing Master v7.4. Review the retrieval and revision dates attached to each source. Selecting a reference does not imply clinical verification.

Pinned reference: https://globalrph.com/blogCalcs/renal-dosing-master/compare.php?id=pemetrexed-pemfexy&s1=RDM73-pemfexy-official&h1=4096767354f732acffb2538a95ebe08a4247b68c9a259af970a76b8194c92445

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