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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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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.
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.
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.
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.