GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Resmetirom tablets (Rezdiffra)

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.

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REZDIFFRA - official renal evidence recheck

Product / population
REZDIFFRA - official renal evidence recheck; selected renal passages, not a complete prescribing monograph.
Renal method
eGFR, mL/min/1.73 m2; preserve body-surface-area indexing. MDRD for mild/moderate analysis; CKD-EPI for the severe-impairment study.
Source revision
Prescribing information revised July 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.

REZDIFFRA: March 2024 mirror versus July 2026 official renal evidence

The older mirror leaves severe impairment unstudied. The newer official section addresses severe impairment explicitly. This is a dated evidence difference, not two interchangeable current instructions.

What to reconcile: Use the current official renal section in its full product context. Preserve each study method and do not extend a nondialysis finding to an unsupported dialysis regimen.

Source-specific interpretation; independent clinician adjudication pending.

Open this note and its source references
Official

REZDIFFRA - official renal evidence recheck

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DailyMed / Madrigal Pharmaceuticals, Inc. · REZDIFFRA - official renal evidence recheck; selected renal passages, not a complete prescribing monograph.

Renal method: eGFR, mL/min/1.73 m2; preserve body-surface-area indexing. MDRD for mild/moderate analysis; CKD-EPI for the severe-impairment study.
Source date: Prescribing information revised July 2026.
Retrieved: 2026-09-09

No adjustment within stated limits. This does not establish dosing outside the studied renal range or population.

Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph.

Renal dosing, restrictions and evidence limits

Section 8.6 recommends the same dosage for mild, moderate and severe renal impairment. Section 12.3 now includes a severe-impairment study using CKD-EPI eGFR <30 mL/min/1.73 m2; its mild/moderate analysis uses MDRD. Preserve those method differences. The renal statement does not remove actual-body-weight dosing, CYP2C8 interaction modifications, statin limits or hepatic restrictions. The selected sections establish no separate dialysis regimen. This dated recheck supplements the existing local record; it is not a claim that the earlier local dose was wrong.

RDM52-official-resmetirom-rezdiffra-be45eea5d9-C1 · Source locator: Sections 8.6 and 12.3; sections 2.1-2.2 for body weight and interactions; PI revision and label header.

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e67ea09f-a840-439c-86c8-f98585f978b2
Retrieved
2026-09-09
Exact label title
REZDIFFRA - resmetirom tablet, coated
DailyMed Set ID
e67ea09f-a840-439c-86c8-f98585f978b2
Labeler
Madrigal Pharmaceuticals, Inc.
DailyMed page updated
2026-07-29
Label revision
Prescribing information revised July 2026.
FDA application
NDA217785
Renal-function method
eGFR, mL/min/1.73 m2; preserve body-surface-area indexing. MDRD for mild/moderate analysis; CKD-EPI for the severe-impairment study.
Source date/version
Prescribing information revised July 2026.
Hash meaning
SHA-256 of local authored summary only; not original HTML, PDF or SPL bytes.
Local summary SHA-256
0f48e9297713d55ad16547dbe0e5828482325dc2db63a4cecf7bf8f47dfd93c8

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=resmetirom-rezdiffra&s1=RDM52-official-resmetirom-rezdiffra-be45eea5d9&h1=60e0465c408da47cc8487a263ef5bdadd6eb6b878faf361204b94e0c85d70047