GlobalRPh Renal Dosing Masterv6.6
Evidence addition

Alogliptin tablets (single agent)

Nesina

READ THE SOURCE-SPECIFIC ANSWER

Renal guidance at a glance

Cautions / source differences (1)

Confirm the product, indication and renal measure. The selected summary is not a complete prescribing monograph.

Choose a source to read (3)

Display order is not a clinical ranking. Date of retrieval is not the label revision date. Sources are never merged into one regimen. Other sources and conflicts remain below.

1 additional source qualifications - review before use
NESINA: single-agent renal dosing is not combination eligibility

Alogliptin renal doses and HD timing do not determine eligibility for an alogliptin/metformin fixed combination. Peritoneal dialysis remains unstudied.

Before applying: Check every component and the dialysis modality before applying the single-agent schedule.

Also check: NESINA: single-agent renal dosing is not combination eligibility

Official source

Alogliptin tablets (single agent) - selected U.S. labeling

Product / population
Adults with type 2 diabetes; oral alogliptin single-agent tablets, not alogliptin/metformin or alogliptin/pioglitazone combinations.
Renal measure
Creatinine clearance (CrCl) in mL/min, as specified in the selected U.S. labeling.
Labeled basic dosing
Renal function (CrCl, mL/min)Oral dose
60 or higher25 mg once daily
30 to less than 6012.5 mg once daily
Below 30, including ESRD/hemodialysis6.25 mg once daily

Renal information and dialysis

Check kidney function before initiation and periodically. Hemodialysis timing does not require changing administration time. Peritoneal dialysis was not studied in the label.

Selected warnings and limits

Review pancreatitis, heart-failure risk, serious hypersensitivity and hepatic injury; hypoglycemia risk rises with insulin or sulfonylureas.

Source revision: Label revision date not separately recorded; retrieval date is not the revision date. | Retrieved: 2026-09-05. Retrieval date is not the revision date.

Source: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a3768c7e-aa4c-44d3-bc53-43bb7346c0b0

Scope: Selected dosing/renal sections read; concise local summary, not full prescribing information. GlobalRPh v6.6.

Full source card / provenance

All sources, comparison tools and evidence navigation
Source-first renal review

Evidence sources and renal implications

Choose a source to jump directly to its locally stored result. Qualitative precautions and evidence gaps remain visible even when no numerical clearance schedule is supplied.

Read 1 source difference / applicability notes

Official product label

Alogliptin tablets (single agent) - selected U.S. labeling

Adults with type 2 diabetes; oral alogliptin single-agent tablets, not alogliptin/metformin or alogliptin/pioglitazone combinations.

Renal method: Creatinine clearance (CrCl) in mL/min, as specified in the selected U.S. labeling.
Retrieved: 2026-09-05

GlobalRPh RX List

GlobalRPh RX List - NESINA

Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.

Alogliptin - NESINA tablets; selected source sections, not a full prescribing monograph.

Renal method: Creatinine clearance (CrCl), mL/min; equation not established in the selected dosing passage.
Retrieved: 2026-09-08

Handbook

Renal Drug Handbook, fifth edition - Alogliptin tablets (single agent)

Historical renal/RRT cross-check for the named ingredient; not a current U.S. prescribing instruction.

Renal method: Book table headings say GFR (mL/min); the preface states adjustment information is based on Cockcroft-Gault CrCl, not indexed eGFR. Do not substitute methods.
Retrieved: 2026-09-05

Source presence is not independent validation. A label mirror is not a second independent source; review the original reference and exact formulation.

Product / population check

Confirm the exact formulation before using a renal source

These links compare product identities, not interchangeable doses. A selected summary is not a complete prescribing monograph.

Source-specific review points

Read the attributed comparison notes and source cards below. No conflict has been silently adjudicated.

Source-quality holds
Find text within this drug
Find a term without leaving this drug

Search the stored clinical text

Locate a word or phrase within this drug's source summaries. Choose all sources or one source to focus the search. The selection never hides warnings or source text, changes a dose, or proves that a renal finding is absent.

Find:

Enter at least two characters. Searches stay on this page and are not saved or sent.

All source summaries, original wording and provenance
Before applying a renal protocol

Check the setting. Compare whole sources.

No patient-specific dose is calculated. Context choices only display reminders; they do not validate, hide or change any regimen.

Share a reproducible source review

Choose sources below, then open a print-ready comparison with product scope, renal method, dates and cautions. Links can pin the exact local cards; they never contain patient values or choose a dose.

Open / share selected sources

Select two distinct source versions. The complete stored summaries will appear below.

Build a source-review outline for documentation

This creates a blank decision outline with the source identities you select, not a dose recommendation or completed clinical assessment. No patient fields are collected, saved or sent. Complete the clinical decisions in your approved documentation system.

Choose one or two sources above or use the source checkboxes below.

Renal-context checklist: population, kidney trend and dialysis

These prompts are a reading aid, not a prescription checklist or proof that all requirements have been met. No selections are stored or sent to a server.

Read the exact source scope, renal metric and date before selecting a row. No applicability assessment has been performed.

See source-specific renal methods and the clinical interpretation guide for the supporting context.

Read before choosing a regimen

Source differences and product cautions

Search differences across all drugs

These are specific issues found during source review, not an automated judgment that one source is universally correct. A label mirror and its original label are not independent evidence.

formulation scope

NESINA: single-agent renal dosing is not combination eligibility

Alogliptin renal doses and HD timing do not determine eligibility for an alogliptin/metformin fixed combination. Peritoneal dialysis remains unstudied.

How to use this: Check every component and the dialysis modality before applying the single-agent schedule.

Source-specific interpretation; independent clinician adjudication pending.

Go directly to the relevant source section

Renal dosing and precautions

Choose a source, then jump to its renal or dialysis section. These links locate stored text; they do not merge regimens or certify that sources agree.

New source summary - independent clinical review pending. Summaries of the identified label sections are included locally. Source import and numeric transcription checks are not independent two-reference validation. Do not treat this card as an approved institutional dosing protocol.
Official source

Alogliptin tablets (single agent) - selected U.S. labeling

Adults with type 2 diabetes; oral alogliptin single-agent tablets, not alogliptin/metformin or alogliptin/pioglitazone combinations.

Method: Creatinine clearance (CrCl) in mL/min, as specified in the selected U.S. labeling.

Handbook source

Renal Drug Handbook, fifth edition - Alogliptin tablets (single agent)

Historical renal/RRT cross-check for the named ingredient; not a current U.S. prescribing instruction.

Method: Book table headings say GFR (mL/min); the preface states adjustment information is based on Cockcroft-Gault CrCl, not indexed eGFR. Do not substitute methods.

No dialysis or renal heading shown? Read the complete source summary. Absence of a heading is not evidence that dose adjustment is unnecessary.

Compare or copy source versions

All content below is stored locally. Read a whole source version; do not combine its dose with another source's interval, renal metric or dialysis assumptions.

Choose two source checkboxes below.
Exact product and population matter. This added page contains locally stored, source-specific clinical summaries. Historical handbook information, when present, is identified separately and may conflict with U.S. labeling. Confirm indication, population, kidney-function method, monitoring and the full prescribing information before applying a regimen.
Locally stored source content

Exact product and population

Product identity selected for the separately displayed source protocols below. Reference: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a3768c7e-aa4c-44d3-bc53-43bb7346c0b0

Product and population scope

Adults with type 2 diabetes; oral alogliptin single-agent tablets, not alogliptin/metformin or alogliptin/pioglitazone combinations.

RDM31-alogliptin-scope · Source section: Editorial scope tied to selected U.S. labelRenal section finder
Separate U.S. product-label layer

FDA / DailyMed dosing and renal information

Official

Alogliptin tablets (single agent) - selected U.S. labeling

Open original reference

Open / share this exact local source

U.S. product labeling / DailyMed · Adults with type 2 diabetes; oral alogliptin single-agent tablets, not alogliptin/metformin or alogliptin/pioglitazone combinations.

Renal method: Creatinine clearance (CrCl) in mL/min, as specified in the selected U.S. labeling.
Source date: Label revision date not separately recorded; retrieval date is not the revision date.
Retrieved: 2026-09-05

Selected dosing/renal sections read; concise local summary, not full prescribing information.

Labeled basic dosing

Renal function (CrCl, mL/min)Oral dose
60 or higher25 mg once daily
30 to less than 6012.5 mg once daily
Below 30, including ESRD/hemodialysis6.25 mg once daily

RDM31-alogliptin-label-dose · Source locator: 2.1, 2.2

Renal information and dialysis

Check kidney function before initiation and periodically. Hemodialysis timing does not require changing administration time. Peritoneal dialysis was not studied in the label.

RDM31-alogliptin-label-renal · Source locator: 2.2, 8.6

Selected warnings and limits

Review pancreatitis, heart-failure risk, serious hypersensitivity and hepatic injury; hypoglycemia risk rises with insulin or sulfonylureas.

RDM31-alogliptin-label-limits · Source locator: 5.1-5.5

Source identity and provenance
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a3768c7e-aa4c-44d3-bc53-43bb7346c0b0
Retrieved
2026-09-05
DailyMed Set ID
a3768c7e-aa4c-44d3-bc53-43bb7346c0b0
Renal-function method
Creatinine clearance (CrCl) in mL/min, as specified in the selected U.S. labeling.
Source date/version
Label revision date not separately recorded; retrieval date is not the revision date.
Hash meaning
SHA-256 identifies this local summary, not original SPL XML or label PDF.
Local summary SHA-256
34dcc204e17f0d81590ace70ee19be8476edae0436b1d64190eef48eec73eb02
Locally imported selected renal sections

GlobalRPh RX List renal information

Rxlist

GlobalRPh RX List - NESINA

Open original reference

Open / share this exact local source

GlobalRPh-hosted RX List · Alogliptin - NESINA tablets; selected source sections, not a full prescribing monograph.

Renal method: Creatinine clearance (CrCl), mL/min; equation not established in the selected dosing passage.
Source date: Source revision date not established in selected retrieval.
Retrieved: 2026-09-08

Label mirror, not independent corroboration. This is selected locally stored RX List content. Full monograph import and current official-label review are not implied.
Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.

Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph.

Renal dosing, restrictions and evidence limits

Assess renal function before treatment and periodically. At CrCl >=60 mL/min, no adjustment is needed. At CrCl >=30 to <60, use 12.5 mg once daily. At CrCl >=15 to <30 or ESRD (<15 or hemodialysis), use 6.25 mg once daily. Dosing need not be timed to hemodialysis. Peritoneal dialysis has not been studied. This single-agent guidance is not the renal eligibility rule for an alogliptin/metformin fixed combination.

RDM48-rxlist-alogliptin-f56b657a12-C1 · Source locator: Dosage: patients with renal impairment, lines 41-45.

Source identity and provenance
Source family
product_label_mirror
Source
https://globalrph.com/rx-list/nesina-drug/
Retrieved
2026-09-08
Renal-function method
Creatinine clearance (CrCl), mL/min; equation not established in the selected dosing passage.
Source date/version
Source revision date not established in selected retrieval.
Hash meaning
SHA-256 of local authored summary only; not original HTML, PDF or SPL bytes.
Local summary SHA-256
43d05daec494a275a194e6bb8f738c4bb9ed539dc7e066deef4bcc23366553d3
Separate handbook layer

Renal Drug Handbook cross-check

Handbook

Renal Drug Handbook, fifth edition - Alogliptin tablets (single agent)

Open / share this exact local source

UK Renal Pharmacy Group / CRC Press · Historical renal/RRT cross-check for the named ingredient; not a current U.S. prescribing instruction.

Renal method: Book table headings say GFR (mL/min); the preface states adjustment information is based on Cockcroft-Gault CrCl, not indexed eGFR. Do not substitute methods.
Source date: Fifth edition, 2019
Retrieved: 2026-09-05

Historical source, separately displayed. Renal tables were read with page-image inspection.

Historical renal and dialysis observations

The book gives 12.5 mg/day at 30-50 mL/min and 6.25 mg/day in its 10-30 and below-10 bands. It notes approximately 7% removal during a 3-hour hemodialysis session despite broadly describing limited dialysis removal.

RDM31-alogliptin-book · Source locator: Dose in renal impairment; renal replacement therapies; Other information

Source-specific limits

The historical bands overlap at 30 and do not cover the label's full 30-to-less-than-60 band. Use the selected source's complete boundaries, not a hybrid table.

Source identity and provenance
Retrieved
2026-09-05
Handbook page
Printed page(s) 44; PDF page(s) 63
Renal-function method
Book table headings say GFR (mL/min); the preface states adjustment information is based on Cockcroft-Gault CrCl, not indexed eGFR. Do not substitute methods.
Source date/version
Fifth edition, 2019
U.S. product identity basis
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a3768c7e-aa4c-44d3-bc53-43bb7346c0b0
Hash meaning
SHA-256 identifies the local paraphrase; the source PDF is not redistributed.
Local summary SHA-256
12ed3d9f12bb5462842dd13f9651262d4bcd82dfb10886db931b9f743d76aefb

Provenance and preservation

Additional summaries stored on this page: 1 official-label, 1 RX List, 0 professional, 1 handbook. Empty additional-source groups are not shown. A missing layer is not a no-adjustment recommendation.

Original source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a3768c7e-aa4c-44d3-bc53-43bb7346c0b0
Source retrieval
2026-09-05. This is not the source publication or label revision date.
Original source type
multisource addition
Local text SHA-256
9e83c027b327509f0f3c289e15eb7c5b51dad59b57bb40b6a84cfaee9d591810
Import versus clinical validation
Source-section locators identify where retained content came from. A source-section identifier does not assert that every numeric statement has been independently corroborated. The local text hash is not a hash of original HTML, an FDA PDF or SPL XML.

This page is an additional exact-product entry, not a recovered GlobalRPh monograph. Its primary scope text and separately attributed clinical summaries are locally included.

Read the full coverage report