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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.
The source phrase most recent refers to November 2012. This historical source has not been relabeled as current FDA or Stanford guidance.
Current-source disagreement: the selected U.S. label suggests dose reduction below an indexed CrCl of 20; the older handbook table reduces below 5. Both are attributed below; this is not a single reconciled threshold.
Check source scope before reading a dose
Renal Drug Handbook, fifth edition
Product / population
Historical 2019 reference; renal bands retain the book's own method labels.
Renal method
Not specified
Source revision
Not established
Retrieved
2026-09-05
Local review status
Historical handbook facts locally summarized; not a current U.S. label or a modern CRRT protocol.
Handbook
Renal Drug Handbook, fifth edition
UK Renal Pharmacy Group / Ashley and Dunleavy / CRC Press · Historical 2019 reference; renal bands retain the book's own method labels.
Renal method: Not specified in this summary. Source date: Not established Retrieved: 2026-09-05
Historical handbook facts locally summarized; not a current U.S. label or a modern CRRT protocol.
Historical renal protocol and conflict
The handbook retains the selected usual dose in its 20-50 and 5-20 mL/min bands and halves the dose, without changing frequency, only below 5. This differs materially from the selected U.S. label's below-20 threshold. Do not merge the two cutoffs.
cefotaxime:rdh5-180-1 · Source locator: Dose in renal impairment
Historical replacement therapy
APD/CAPD is described as not dialysing cefotaxime; HD and high-flux treatment do, with the book referring to the <5 band. Its older continuous-therapy rows list 1-2 g every 12 hours for CAV/VVHD and 2 g every 12 hours for CVVHD/HDF. These lack a contemporary effluent-rate-specific validation.
The book's separate fluid-flux discussion has not been implemented as a clearance calculator. The U.S. label and handbook disagreement is unresolved, not counted as corroboration.
Source identity and provenance
Retrieved
2026-09-05
Handbook page
Printed page 180; PDF page 199
Hash meaning
Locally authored source summary, not original SPL/XML/PDF bytes
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.