KINERET - official renal dosing and indication distinction
- Product / population
- Subcutaneous anakinra: RA versus NOMID/DIRA doses remain distinct.
- Renal measure
- CrCl <30 mL/min, including ESRD.
Separate DailyMed retrieval; the KINERET RX click remains failed.
Renal dosing, restrictions and evidence limits
For severe impairment or ESRD (CrCl <30), consider the prescribed dose every other day. For adult RA this is 100 mg every other day. NOMID/DIRA use the individually prescribed weight-based dose, not an automatic adult 100 mg substitution. Hemodialysis/CAPD removed <2.5% in the PK study; no inferred post-dialysis supplement is added. Assess neutrophils before treatment, monthly for three months, then quarterly through one year. Full infection and immunization precautions remain necessary.
Source: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d9d74915-6606-4570-9c52-c4001d3177de