GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Ceftobiprole medocaril sodium (Zevtera, adult IV)

One or two intact local summaries. No averaged regimen, patient-specific dose or automatic source preference.

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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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Ceftobiprole medocaril sodium (Zevtera, adult IV) - selected U.S. label sections

Product / population
U.S. ZEVTERA IV prodrug doses: 667 mg ceftobiprole medocaril sodium is equivalent to 500 mg ceftobiprole; 333 mg is equivalent to 250 mg. Not an international 500 mg vial instruction.
Renal method
Creatinine clearance in mL/min; adult U.S. product table
Source revision
Revision not captured; retrieval date is not the revision date.
Retrieved
2026-09-05
Local review status
Local label summary; independent clinical review pending. Not a two-source validated protocol.
Official

Ceftobiprole medocaril sodium (Zevtera, adult IV) - selected U.S. label sections

Open original reference

U.S. product labeling / DailyMed · U.S. ZEVTERA IV prodrug doses: 667 mg ceftobiprole medocaril sodium is equivalent to 500 mg ceftobiprole; 333 mg is equivalent to 250 mg. Not an international 500 mg vial instruction.

Renal method: Creatinine clearance in mL/min; adult U.S. product table
Source date: Revision not captured; retrieval date is not the revision date.
Retrieved: 2026-09-05

Local label summary; independent clinical review pending. Not a two-source validated protocol.

Adult renal table - U.S. prodrug dose units

CrClS. aureus bacteremiaABSSSI or community-acquired bacterial pneumonia
30 to below 50667 mg every 8 hours on days 1-8, then every 12 hours667 mg every 12 hours
15 to below 30333 mg every 8 hours on days 1-8, then every 12 hours333 mg every 12 hours
Below 15, including hemodialysis333 mg every 24 hours333 mg every 24 hours

Administer each dose by a 2-hour IV infusion. On hemodialysis days, administer after dialysis.

RDM32-ceftobiprole-zevtera-1 · Source locator: 2.3, Table 3; 8.6

Augmented renal clearance

For adult CrCl above 150 mL/min, the label specifies 667 mg every 6 hours. This is not a pediatric schedule.

RDM32-ceftobiprole-zevtera-2 · Source locator: 2.3

Source-specific limits

Selected renal sections only, not a complete monograph. Exact product, indication, patient population, renal method and all other contraindications/interactions remain controlling.

Second independent renal reference and clinician adjudication remain pending; no all-indication, dialysis or pediatric dose may be inferred from an omitted field.

Source identity and provenance
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=2bd685df-7dc6-78a6-e063-6294a90a580b
Retrieved
2026-09-05
DailyMed Set ID
2bd685df-7dc6-78a6-e063-6294a90a580b
Renal-function method
Creatinine clearance in mL/min; adult U.S. product table
Source date/version
Revision not captured; retrieval date is not the revision date.
Hash meaning
SHA-256 identifies this local summary, not original SPL XML or a label PDF.
Local summary SHA-256
7dcf7afff9a5e2f1f2d6275f70deaa03a33b2b9754f138b2dc943b4f3380b883

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=ceftobiprole-zevtera&s1=RDM32-label-ceftobiprole-zevtera&h1=a9f316802838abe2e4490ce8c0350121bc9a1189d941caf0d14674a5208a9366