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

FETROJA - adult renal and CRRT dosing

Product / population
Adults; exact named U.S. product. Selected dose/renal summary, not the full prescribing information.
Renal method
Cockcroft-Gault CrCl; CRRT effluent flow in L/hour.
Source revision
DailyMed updated 2026-02-24.
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.

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

FETROJA - adult renal and CRRT dosing

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: Cockcroft-Gault CrCl; CRRT effluent flow in L/hour.
Source date: DailyMed updated 2026-02-24.
Retrieved: 2026-09-05

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

Dosing / renal protocol and limits

Infuse every dose IV over 3 hours for labeled adult cUTI/pyelonephritis or HABP/VABP.

Cockcroft-Gault CrCl (mL/min)DoseInterval
>=1202 gEvery 6 hours
60-1192 gEvery 8 hours
30-591.5 gEvery 8 hours
15-291 gEvery 8 hours
<15, with or without IHD750 mgEvery 12 hours

Start IHD-day dosing immediately after dialysis. CRRT initial doses depend on effluent: <=2 L/hour, 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. Clarify values between the printed decimal ranges. Reassess residual kidney function and clinical response. The label warns of increased mortality observed in a carbapenem-resistant infection trial.

RDM30-071-cefiderocol-1 · Source locator: FETROJA - adult renal and CRRT dosing; renal/dosing sections and stated qualifiers

Source identity and provenance
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=75c0c785-38e0-4049-a6fb-b77581f5b35c
Retrieved
2026-09-05
DailyMed Set ID
75c0c785-38e0-4049-a6fb-b77581f5b35c
Renal-function method
Cockcroft-Gault CrCl; CRRT effluent flow in L/hour.
Source date/version
DailyMed updated 2026-02-24.
Hash meaning
Locally authored summary text; not original SPL, HTML or PDF bytes
Local summary SHA-256
e634ca268ab4b91d7c6ade94ec4821b7ccb7584950cd540f728661a0528a9fd4

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=RDM30-071-cefiderocol&h1=6ca7ad768286976df62c8c1fc3d0473a000aab12d4794bc18a5473084420dd9a