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.

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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.

Check source scope before reading a dose

Cefiderocol - FETROJA adult intravenous therapy

Product / population
Adult cefiderocol IV; distinguish non-dialysis CrCl from intermittent HD and CRRT effluent. Institutional protocols remain separately attributed.
Renal method
Cockcroft-Gault CrCl mL/min; CRRT effluent L/hour
Source revision
3/2026 (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

Cefiderocol - FETROJA adult intravenous therapy

Open original reference

DailyMed / Shionogi Inc. · Adult cefiderocol IV; distinguish non-dialysis CrCl from intermittent HD and CRRT effluent. Institutional protocols remain separately attributed.

Renal method: Cockcroft-Gault CrCl mL/min; CRRT effluent L/hour
Source date: 3/2026 (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.
Before using this finding

At exactly CrCl 120, use the explicit label boundary rather than filling a gap by assumption.

Retain published CRRT precision and seek specialist clarification for values between bands.

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

For Cockcroft-Gault CrCl >=120 mL/min, the label specifies 2 g every 6 hours over 3 hours; 60-119 uses 2 g every 8 hours. Below 60: 30-59 uses 1.5 g every 8 hours, 15-29 uses 1 g every 8 hours, and <15 (with or without intermittent HD) uses 0.75 g every 12 hours; all infuse over 3 hours. On HD days administer immediately after dialysis.

CRRT initial doses by effluent L/hour are: <=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. Reassess residual renal function and clinical status. These printed intervals are not interpolated.

The official CrCl threshold includes exactly 120; the retrieved UCSF heading does not.

RDM59-official-cefiderocol-4cceb3a62f-C1 · Source locator: Sections 2.1 and 2.2, Tables 1 and 2

Source-specific limits

Selected named sections only; not a complete monograph or independent clinical approval.

Exact DailyMed HTML identity and selected sections read. Raw SPL XML, original-source hashes and complete revision history were not retrieved. Label retrieval does not establish current availability.

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
Cefiderocol - FETROJA adult intravenous therapy
DailyMed Set ID
75c0c785-38e0-4049-a6fb-b77581f5b35c
Labeler
Shionogi Inc.
DailyMed page updated
2026-02-24
Label revision
3/2026 (highlights); DailyMed updated 2026-02-24
Renal-function method
Cockcroft-Gault CrCl mL/min; CRRT effluent L/hour
Source date/version
3/2026 (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
40aa6c76f01ea47a1a8c3f3088269100adf285770dc74a709767190ca9557971

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=RDM59-official-cefiderocol-4cceb3a62f&h1=4970ad78951f6082061c6ec2ed2ac192e8dbaf942742a082f60ad5e6390c2bd0