GlobalRPh RX List - HEPSERA
- Product / population
- Adult oral adefovir for chronic hepatitis B; not a preferred-therapy recommendation
- Renal measure
- Cockcroft-Gault CrCl using lean or ideal body weight; mL/min
RX mirror: this is not independent corroboration of its underlying label. Check dated-label and formulation limitations.
Renal dosing, restrictions and evidence limits
Adult baseline renal impairment: 10 mg orally every 24 hours at CrCl >=50 mL/min, every 48 hours at 30-49, and every 72 hours at 10-29. Hemodialysis: 10 mg every seven days after dialysis. The table specifies Cockcroft-Gault with lean or ideal body weight.
No regimen is available below 10 mL/min without hemodialysis or for adolescents with renal insufficiency. These interval adjustments were not clinically validated for safety/effectiveness and were derived from pre-existing renal impairment; they may not apply when renal injury develops during treatment. Follow renal function and antiviral response closely. Peritoneal-dialysis removal was not evaluated.