GlobalRPh Renal Dosing Masterv6.6
Read before comparing

Renal measures and
dialysis assumptions

A similar number in two tables does not prove the tables describe the same patient or treatment setting.

Context, not an automatic dose engine. These selected source summaries explain how to interpret the drug protocols. They do not select a regimen or convert one institution's dialysis protocol to a different modality.
UCSF Infectious Diseases Management Program

UCSF dialysis reference - applicability of its dialysis columns

Method: Modality and flow dependent
Source date: Revision date not stated in the reviewed page.
Retrieved: 2026-09-05

The UCSF intermittent-HD recommendations assume high-flux treatment. The CRRT framework assumes CVVHD at 2 L/hour ultrafiltration with residual native GFR below 10 mL/min. These assumptions do not establish dosing for every CRRT prescription, peritoneal dialysis or prolonged intermittent modality. Individual drug entries can have further qualifications. Confirm the actual modality, flow, residual function, indication and dosing weight before applying a UCSF row.

Source verification

https://idmp.ucsf.edu/antimicrobial-dosing-intermittent-continuous-hemodialysis

Local summary SHA-256: 0a34b8f58b05e3e2f6650291cea14bbfa8178763eab806c1455c3fefbdfa63b4

NIH / NIDDK

NIDDK - selecting the kidney-function measure for drug dosing

Method: CrCl versus indexed/absolute eGFR; source-specific
Source date: Revision date not stated in the reviewed page.
Retrieved: 2026-09-05

NIDDK notes that FDA does not endorse one estimating equation for every medicine. Drug labels were developed with differing measures, including serum creatinine, measured clearance and estimated kidney function. Preserve the metric actually used by each product or protocol.

When a result is close to a dosing cutoff, consider the combined 2021 CKD-EPI creatinine-cystatin C estimate. Creatinine-only estimates can be inaccurate with unusual body size, muscle mass or diet; measured clearance or filtration-marker assessment may help for narrow-therapeutic-index drugs.

For body size substantially different from 1.73 m2, an indexed estimate can be converted: absolute eGFR (mL/min) = reported eGFR (mL/min/1.73 m2) x BSA / 1.73. This arithmetic does not convert eGFR into Cockcroft-Gault CrCl.

Source verification

https://www.niddk.nih.gov/research-funding/research-programs/kidney-clinical-research-epidemiology/laboratory/ckd-drug-dosing-providers

Local summary SHA-256: 48b84327648f3f9f4c2dd3272a0ada4b83b2d1cbfd8d82b872be36489a9fe1bd

University of Nebraska Medical Center

Nebraska - caution with changing kidney function and beta-lactam dosing

Method: Dynamic AKI and augmented renal clearance
Source date: Published 2022-03-09
Retrieved: 2026-09-05

This university educational review emphasizes that AKI can resolve rapidly and creatinine-based estimates lag behind dynamic clearance. Early automatic reductions can risk antibiotic underexposure, whereas persistent impairment can lead to accumulation. It calls for prospective outcome evidence and reassessment rather than a universal delay in renal adjustment. It supplies context, not a new numeric drug protocol or permission to ignore toxicity.

Source verification

https://blog.unmc.edu/infectious-disease/2022/03/09/pharmtoexamtable-are-we-correctly-dosing-%CE%B2-lactam-antibiotics/

Local summary SHA-256: b17915da152920de12556a6ab0a689faa63dc58fe82e427baec6a224e5c835f3

Return to drug directory