GlobalRPh Renal Dosing Masterv6.8
Clinical interpretation | Version 6.8

Find the difference.
Keep the context.

Search documented disagreements and product cautions across the local library. Compare complete source versions on the drug page before choosing a regimen.

A difference is not always a contradiction

Compare indication, formulation, route, population, renal method, dialysis conditions and source date. A safety update or source-quality failure is not an alternative dose. These notes are not independent clinical approval, and sources are not ranked or averaged.

451 matching notes. Showing 129-144; page 9 of 29.

formulation scope

Empagliflozin / metformin - SYNJARDY

SYNJARDY: metformin limits the combination product

The combination has metformin-related initiation and severe-renal restrictions. Empagliflozin monotherapy eligibility does not override them.

What to reconcile

Match both active ingredients, formulation and indication; check contrast-procedure interruption separately.

1 source identities and dates
GlobalRPh RX List - SYNJARDY

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
Empagliflozin/metformin immediate-release tablets. The metformin component creates restrictions not transferable from empagliflozin alone.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.5.

formulation scope

Empagliflozin / metformin - SYNJARDY XR

SYNJARDY: metformin limits the combination product

The combination has metformin-related initiation and severe-renal restrictions. Empagliflozin monotherapy eligibility does not override them.

What to reconcile

Match both active ingredients, formulation and indication; check contrast-procedure interruption separately.

1 source identities and dates
GlobalRPh RX List - SYNJARDY XR

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
Empagliflozin/metformin extended-release tablets. The metformin component creates restrictions not transferable from empagliflozin alone.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.5.

guideline difference

Emtricitabine (Emtriva)

EMTRIVA versus NIH: explicit renal schedule deviation

The standalone capsule/solution label reduces dosing at selected bands where NIH uses no adjustment. NIH footnote b explains its incorporation of some fixed-dose-product guidance.

What to reconcile

Choose and document one applicable institutional/specialist approach. Do not average schedules or silently relabel the NIH approach as the standalone product label.

2 source identities and dates
GlobalRPh RX List - EMTRIVA

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
Adult standalone EMTRIVA: capsules and 10 mg/mL oral solution have distinct renal schedules. Not automatic guidance for FTC-containing combination tablets.

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Emtricitabine - NIH adult HIV guidance

NIH / HHS Adult and Adolescent Antiretroviral Guidelines Panel | Source revision: Source revision date not established in selected retrieval.
NIH adult/adolescent ART table; professional guidance differs from standalone EMTRIVA labeling.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.5.

source scope

Emtricitabine / rilpivirine / TAF - ODEFSEY

ODEFSEY: a restricted-use paragraph is not a full dialysis schedule

The selected RX renal warning describes excluded renal groups and monitoring but does not provide a complete dialysis administration instruction. Removal figures from overdose sections cannot supply that schedule.

What to reconcile

Use a complete applicable product or HIV-guideline dialysis protocol; retain the RX monitoring guidance without inventing timing.

1 source identities and dates
GlobalRPh RX List - ODEFSEY

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
ODEFSEY fixed-dose HIV-treatment product; selected restrictions and renal monitoring, not a complete dialysis schedule.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.5.

formulation scope

Emtricitabine / rilpivirine / TDF - COMPLERA

COMPLERA: do not transfer a component or two-drug interval

A three-drug fixed-dose TDF product cannot be adjusted by borrowing the two-drug TRUVADA interval. TAF and TDF combinations also have different renal scopes.

What to reconcile

Confirm all components and use the fixed-dose product restriction; consider individually adjustable components only through an applicable full regimen.

1 source identities and dates
GlobalRPh RX List - COMPLERA

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
COMPLERA fixed-dose HIV-treatment tablet, containing TDF rather than TAF.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.5.

population scope

Emtricitabine / tenofovir alafenamide - DESCOVY

DESCOVY: selected adult treatment guidance is not all-population eligibility

The selected adult chronic-hemodialysis pathway does not establish a full pediatric, PrEP or boosted-protease-inhibitor regimen.

What to reconcile

Check indication, age/weight, concomitant regimen and dialysis status in the complete current product guidance.

1 source identities and dates
GlobalRPh RX List - DESCOVY

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
Selected adult HIV-treatment renal eligibility for DESCOVY. This card does not reproduce a complete PrEP, pediatric or boosted-protease-inhibitor protocol.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.5.

indication scope

Emtricitabine/tenofovir disoproxil fumarate (Truvada)

TRUVADA: treatment interval reduction is not a PrEP strategy

The selected product source has different renal restrictions for treatment and prevention. Its treatment table also identifies ideal (lean) body weight.

What to reconcile

Confirm indication and source-defined clearance method before selecting an interval; do not transfer the treatment-only reduced-frequency regimen to PrEP.

1 source identities and dates
GlobalRPh RX List - TRUVADA

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
Adult TRUVADA fixed-dose tablet; HIV treatment and HIV prevention have different renal restrictions.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.5.

indication scope

Entecavir (Baraclude)

BARACLUDE: the usual regimen selects the renal-table column

The 0.5 mg and 1 mg columns represent different clinical contexts. The source favors daily schedules and uses solution for small doses.

What to reconcile

Establish treatment history/liver status, then select the corresponding complete renal schedule and formulation. Do not mix the two columns.

1 source identities and dates
GlobalRPh RX List - BARACLUDE

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
Adult entecavir: retain the usual 0.5 mg column versus the 1 mg column for lamivudine-refractory infection or decompensated liver disease.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.5.

dialysis context

Eptifibatide

A renal infusion reduction is not a dialysis allowance

The infusion adjustment concerns low clearance in eligible adults. Dialysis dependency appears separately in the contraindications.

What to reconcile

Check dialysis status and bleeding contraindications before applying the infusion reduction. Retain bolus, duration and co-antithrombotic rules from the same protocol.

1 source identities and dates
GlobalRPh RX List - INTEGRILIN

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
Adult intravenous eptifibatide for ACS/PCI; infusion adjustment, not a complete antithrombotic order set.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.3.

guideline difference

Epzicom (abacavir/lamivudine)

EPZICOM: label restriction versus limited-evidence panel practice

The selected label does not recommend the fixed-dose combination below CrCl 30. NIH describes some panel members retaining full-dose lamivudine there but explicitly states that evidence is insufficient.

What to reconcile

Preserve the evidence qualification and obtain HIV-specialist or institutional adjudication. Do not present that exception as a new label-approved dose.

2 source identities and dates
GlobalRPh RX List - EPZICOM

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
EPZICOM fixed-dose HIV-treatment tablet; not individually adjustable lamivudine.

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Abacavir / lamivudine - NIH adult HIV guidance

NIH / HHS Adult and Adolescent Antiretroviral Guidelines Panel | Source revision: Source revision date not established in selected retrieval.
NIH adult/adolescent HIV treatment; explicitly qualified fixed-dose-combination exception.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.5.

label vs institutional guidance

Eribulin mesylate injection (HALAVEN)

CrCl label bands and eviQ indexed-eGFR recommendations differ

The RX label mirror covers CrCl 15-49 with a fixed renal dose. The eviQ breast protocol uses indexed eGFR 30-50 and a percentage reduction, and describes the lower range as unstudied.

What to reconcile

Keep units, indication and the complete oncology protocol together. Do not equate indexed eGFR with CrCl, silently round a percentage-derived dose, or call these recommendations identical.

2 source identities and dates
GlobalRPh RX List - HALAVEN

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
Adults; IV eribulin mesylate for labeled oncology indications

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eviQ breast metastatic eribulin protocol

eviQ / Cancer Institute NSW | Source revision: Version 5; 5 June 2024 as-required review; kidney table as retrieved
Adult metastatic breast cancer; Australian eviQ protocol 1597

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Source-specific interpretation; independent clinician adjudication pending. Added: v3.8.

professional protocol difference

Ertapenem (Invanz)

Daily label regimen versus case-by-case post-HD institutional dosing

The label mirror uses a daily renal regimen with a timing-dependent post-HD supplement. UCSF also offers a selected post-HD-only strategy, with toxicity, age and low-weight qualifications. The source renal units and exactly-30 boundary do not align automatically.

What to reconcile

Use one complete protocol with the dialysis prescription and ID/pharmacy review. Do not add the label supplement to an institutional post-HD dose or silently equate indexed and unindexed clearance.

2 source identities and dates
GlobalRPh RX List - INVANZ

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
Adult parenteral ertapenem; selected label renal/HD instructions. Pediatric renal doses are not established here.

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UCSF adult ertapenem renal and dialysis guidance

University of California San Francisco | Source revision: Source revision date not established in selected retrieval.
UCSF adult institutional ertapenem: non-dialysis, intermittent HD and continuous HD. Not universal CRRT guidance.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.3.

threshold ambiguity

Ertapenem (Invanz)

Exactly six hours before HD: overlapping source wording

The label mirror says a supplement is needed within six hours but not needed when the dose is at least six hours before dialysis. The boundary is overlapping as printed.

What to reconcile

Clarify the timing endpoint with the controlling product label and dialysis pharmacist. Do not round an administration time to decide which instruction applies.

1 source identities and dates
GlobalRPh RX List - INVANZ

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
Adult parenteral ertapenem; selected label renal/HD instructions. Pediatric renal doses are not established here.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.3.

source scope and renal guidance

Ertugliflozin - STEGLATRO oral tablets

Before use: Ertugliflozin - STEGLATRO oral tablets

Do not transfer another SGLT2 product's renal eligibility or withholding interval.

What to reconcile

Confirm the exact product, indication, renal measure and full source before prescribing.

1 source identities and dates
GlobalRPh RX List - STEGLATRO oral tablets

GlobalRPh-hosted RX List | Source revision: Revision not established in selected retrieval
Adults with type 2 diabetes; not a class-wide CKD or heart-failure regimen.

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Source-specific interpretation; independent clinician adjudication pending. Added: v6.3.

source scope and renal guidance

Eslicarbazepine acetate - APTIOM tablets

Before use: Eslicarbazepine acetate - APTIOM tablets

The 50% reduction applies to initiation, titration and maintenance, not just the final daily dose.

What to reconcile

Confirm the exact product, indication, renal measure and full source before prescribing.

1 source identities and dates
GlobalRPh RX List - APTIOM tablets

GlobalRPh-hosted RX List | Source revision: 3/2019
Partial-onset seizures in patients at least 4 years old; pediatric base regimen remains weight-dependent.

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Source-specific interpretation; independent clinician adjudication pending. Added: v6.3.

dialysis scope

Etelcalcetide - PARSABIV

PARSABIV: missed dialysis is not a catch-up-dose instruction

This product is given only after hemodialysis and uses corrected calcium/PTH monitoring. Restart instructions differ after a prolonged interruption.

What to reconcile

Confirm the dialysis schedule, calcium eligibility and interruption duration; use the complete hypocalcemia/titration protocol before treatment.

1 source identities and dates
GlobalRPh RX List - PARSABIV

GlobalRPh-hosted RX List | Source revision: Source revision date not established in selected retrieval.
Adults with secondary hyperparathyroidism and CKD on hemodialysis; not nondialysis CKD.

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Source-specific interpretation; independent clinician adjudication pending. Added: v4.5.

What is not established by this directory

Only documented issues are searchable here. Absence of a note is not agreement. A label mirror and the original label are not independent corroboration, and a source's retrieval date is not its revision date.

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