GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Flucytosine

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.

Check source scope before reading a dose

NIH OI: Flucytosine

Product / population
Adults with HIV.
Renal method
NIH table: CrCl or eGFR; not interchangeable. Not CRRT.
Source revision
Updated April 23, 2025; reviewed March 16, 2026
Retrieved
2026-09-05
Local review status
Source-read local summary; source-specific recommendations are not automatically interchangeable.

Documented differences and cautions on this drug

All record notes are retained here, including notes about sources not selected in this review.

Qualitative label versus institutional intervals; exactly 20 overlaps

ANCOBON emphasizes concentration-guided adjustment without a renal interval table. UCSF supplies intervals, but its printed 20-40 and 10-20 bands both include 20.

What to reconcile: Clarify the boundary and dosing weight with ID/pharmacy; retain serum-level and toxicity monitoring.

Source-specific interpretation; independent clinician adjudication pending.

Open this note and its source references
Professional

NIH OI: Flucytosine

Open original reference

NIH ClinicalInfo · Adults with HIV.

Renal method: NIH table: CrCl or eGFR; not interchangeable. Not CRRT.
Source date: Updated April 23, 2025; reviewed March 16, 2026
Retrieved: 2026-09-05

Source-read local summary; source-specific recommendations are not automatically interchangeable.

Dose and kidney adjustment

Usual: 25 mg/kg orally every 6 hours. Renal estimate 21-40 / 10-20 / <10 mL/min: 25 mg/kg every 12 / 24 / 48 hours. Intermittent HD: 25-50 mg/kg every 48-72 hours after HD. Target two-hour peak: 25-100 mcg/mL; without drug-level monitoring, check CBC twice weekly.

flucytosine:nih-oi-flucytosine-1 · Source locator: Table 6: Flucytosine row

Source identity and provenance
Source
https://clinicalinfo.hiv.gov/en/guidelines/hiv-clinical-guidelines-adult-and-adolescent-opportunistic-infections/dosing-recommendations-drugs-used
Retrieved
2026-09-05
Renal-function method
NIH table: CrCl or eGFR; not interchangeable. Not CRRT.
Source date/version
Updated April 23, 2025; reviewed March 16, 2026
Hash meaning
Locally authored source summary, not original SPL/XML/PDF bytes
Local summary SHA-256
c57b48419d0a83f2de3db7d42e99d31992e901c91dc37acefd31863eab6dbff1

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=flucytosine&s1=nih-oi-flucytosine&h1=fa21adc5adbffadff384a28e946f15ab765cdd1b1f37e1600134fb5d5897fcb2