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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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Telotristat ethyl tablets (Xermelo) - selected U.S. label sections
Product / population
Adult XERMELO oral tablets for the labeled carcinoid-syndrome diarrhea indication.
U.S. product labeling / DailyMed · Adult XERMELO oral tablets for the labeled carcinoid-syndrome diarrhea indication.
Renal method: Qualitative mild/moderate/severe impairment; ESRD dialysis evidence gap. 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.
Renal and dialysis comments
No adjustment is necessary for mild, moderate or severe impairment in patients not requiring dialysis. There is no information for end-stage renal disease requiring dialysis. The non-dialysis recommendation must not be extended to dialysis by assumption.
RDM32-telotristat-xermelo-1 · Source locator: 8.6
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.
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.