GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Meropenem / vaborbactam (Vabomere)

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.

Both the U.S. label and UCSF use indexed eGFR for this combination. Their printed renal-band boundaries differ: the UCSF bands overlap at 30 and place 50 in a different printed band. Retain the selected source boundary explicitly; do not treat an overlap as an instruction to combine regimens.

Check source scope before reading a dose

VABOMERE - adult U.S. label

Product / population
Adults; exact named U.S. product. Selected dose/renal summary, not the full prescribing information.
Renal method
MDRD eGFR indexed to 1.73 m2.
Source revision
DailyMed updated 2026-02-27.
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.

Renal-band endpoints differ between the label mirror and UCSF

Both tables use indexed eGFR, but the label assigns exactly 50 to its full-dose band, whereas UCSF prints >50 and 30-50. UCSF also prints overlapping bands at exactly 30. The dialysis and indication scopes are separately stated.

What to reconcile: Do not silently round an estimate, substitute unindexed CrCl, average doses, or combine one source's band with another interval. Clarify boundary cases with the applicable label and institutional antimicrobial team.

Source-specific interpretation; independent clinician adjudication pending.

Open this note and its source references
Official

VABOMERE - adult U.S. label

Open original reference

NIH/NLM DailyMed - U.S. product labeling · Adults; exact named U.S. product. Selected dose/renal summary, not the full prescribing information.

Renal method: MDRD eGFR indexed to 1.73 m2.
Source date: DailyMed updated 2026-02-27.
Retrieved: 2026-09-05

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

Dosing / renal protocol and limits

For adult complicated UTI including pyelonephritis, infuse each dose over 3 hours; label treatment duration is up to 14 days.

MDRD eGFR (mL/min/1.73 m2)Total combination doseInterval
>=504 g (2 g meropenem + 2 g vaborbactam)Every 8 hours
30-492 g (1 g + 1 g)Every 8 hours
15-292 g (1 g + 1 g)Every 12 hours
<151 g (0.5 g + 0.5 g)Every 12 hours

Give renal-adjusted doses after HD. The label uses indexed MDRD eGFR, not unindexed Cockcroft-Gault CrCl. Do not apply a meropenem-alone regimen to this combination.

RDM30-069-meropenem-vaborbactam-1 · Source locator: VABOMERE - adult U.S. label; renal/dosing sections and stated qualifiers

Source identity and provenance
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e237fd0f-3050-42a3-b43e-b6fb4824e93d
Retrieved
2026-09-05
DailyMed Set ID
e237fd0f-3050-42a3-b43e-b6fb4824e93d
Renal-function method
MDRD eGFR indexed to 1.73 m2.
Source date/version
DailyMed updated 2026-02-27.
Hash meaning
Locally authored summary text; not original SPL, HTML or PDF bytes
Local summary SHA-256
e84ba89a936c00cf8575e5b1f878a7c77c3e663e2799b458852d7510ed05056a

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=meropenem-vaborbactam&s1=RDM30-069-meropenem-vaborbactam&h1=58d4f015e0ff7a542a06f75639756767326a557d4e7b4fff95b33957f04b775d