GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Capecitabine

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

Selecting here opens the current stored cards. The pinned link below records their fingerprints. Do not enter patient information in links or searches.

Share or print this source review

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.

Copy is optional; the link can be selected and copied manually. No patient data or dose decision is collected.

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 original renal band is printed as >51-80 and the reduced dose as 950 mg/m2. These values are preserved as source text, not recalculated or silently corrected.

Check source scope before reading a dose

GlobalRPh RX List - XELODA

Product / population
Adult oral capecitabine; renal modification of the selected oncology regimen, not a complete chemotherapy protocol.
Renal method
Cockcroft-Gault CrCl, mL/min.
Source revision
December 2022 on retrieved RX page.
Retrieved
2026-09-07
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.

eviQ protocols disagree at the same indexed eGFR band

At eGFR 45-59 mL/min/1.73 m2, metastatic colorectal protocol 94 considers a 25% reduction or an alternative, whereas post-neoadjuvant breast protocol 3503 permits full dose with increased adverse-event risk. Protocol 94 explicitly identifies a committee-endorsed departure from ADDIKD.

What to reconcile: Choose by the exact cancer setting and protocol, not whichever dose is larger or smaller. These are two protocols from one organization, not independent confirmation. Record the indication, protocol number, renal metric and oncology rationale.

Source-specific interpretation; independent clinician adjudication pending.

Open this note and its source references

A label CrCl band is not an eGFR band

The newly imported RX label specifies Cockcroft-Gault CrCl; the eviQ tables use indexed eGFR. Similar numbers do not establish equivalent renal categories. The newer RX text says a dose below CrCl 30 is not established, unlike the older preserved source restriction.

What to reconcile: Read the original and newer source in full. Do not convert a missing established dose into permission to use a regimen or substitute eGFR for CrCl without reconciling the method. A retrieval date alone does not establish a label version.

Source-specific interpretation; independent clinician adjudication pending.

Open this note and its source references

Current label renal wording and DPYD testing need a dated reading

The retrieved 2026 official labels state that a dosage below Cockcroft-Gault CrCl 30 is not established, whereas the older generic RX mirror calls this range contraindicated. Current labels also include pretreatment DPYD testing precautions.

What to reconcile: Use the exact current product label and oncology protocol; do not interpret absence of an established dose as permission. Older eviQ comparisons were not rechecked in this pass.

Source-specific interpretation; independent clinician adjudication pending.

Open this note and its source references
Rxlist

GlobalRPh RX List - XELODA

Open original reference

GlobalRPh-hosted RX List · Adult oral capecitabine; renal modification of the selected oncology regimen, not a complete chemotherapy protocol.

Renal method: Cockcroft-Gault CrCl, mL/min.
Source date: December 2022 on retrieved RX page.
Retrieved: 2026-09-07

Label mirror, not independent corroboration. This is selected locally stored RX List content. Full monograph import and current official-label review are not implied.
Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.

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

Renal dosing, restrictions and evidence limits

The December 2022 source directs a 25% dose reduction at Cockcroft-Gault CrCl 30-50 mL/min. A dose is not established below 30. Its specific-populations section allows exceptional individualized consideration below 30 only when no treatment alternative exists, with a reduced starting dose and close clinical/biochemical monitoring; it supplies no validated numeric regimen for that exception. Determine the indication-specific starting regimen before applying a renal reduction. The label rounds the recommended dose to the nearest 150 mg to use whole tablets. This is not a universal 950-mg/m2 prescription or a dialysis protocol.

RDM35-rxlist-capecitabine-aabc81170d-C1 · Source locator: Dosage modification for renal impairment; administration; renal impairment.

Source identity and provenance
Source family
product_label_mirror
Source
https://globalrph.com/rx-list/xeloda-drug/
Retrieved
2026-09-07
Renal-function method
Cockcroft-Gault CrCl, mL/min.
Source date/version
December 2022 on retrieved RX page.
Hash meaning
SHA-256 of local authored summary only; not original HTML, PDF or SPL bytes.
Local summary SHA-256
ba0c3d3eff6f1365eb1b229403534ba55724e8bd55f598b718d4c32711e1f204

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=capecitabine&s1=RDM35-rxlist-capecitabine-aabc81170d&h1=bf37b5ba24fecd4ab871d2a80a2133a9cb42b2388fa6fa9fa299cdd18d6e62eb