EXBLIFEP: selected primary-label renal guidance and limits
What matters first
Product: Adult IV EXBLIFEP for labeled complicated UTI, including pyelonephritis. Not cefepime alone.
- Renal action / finding
- Use renal band AND infusion duration in the table.
- Evidence or dialysis limit
- HD timing is explicit; this is not a CRRT regimen. The source is the 2024 FDA label.
- Monitoring / application
- Changing renal function: check creatinine/eGFR at least daily.
- Product / population
- Adult IV EXBLIFEP for labeled complicated UTI, including pyelonephritis. Not cefepime alone.
- Renal measure
- MDRD eGFR; source table prints mL/min. Indexing is not clarified; do not silently substitute Cockcroft-Gault.
- Source revision
- 02/2024 FDA approval label; not established as latest label
- Retrieved
- 2026-11-07 (not the revision date)
HD timing is explicit; this is not a CRRT regimen. The source is the 2024 FDA label.
Selected renal section, not a complete prescribing monograph. A label and its mirror are not independent evidence.
Section 2.2/Table 1, PDF pages 3-4
Read the complete source-specific limitations above and below this table. No patient dose is calculated.
| eGFR, source mL/min | Total dose | Interval | Infusion |
|---|---|---|---|
| >=130 | 2.5 g | Every 8 hours | 4 hours |
| 60-129 | 2.5 g | Every 8 hours | 2 hours |
| 30-59 | 1.25 g | Every 8 hours | 2 hours |
| 15-29 | 1.25 g | Every 12 hours | 2 hours |
| <15 or intermittent HD | Day 1: 1.25 g; then 0.625 g | Every 24 hours | 2 hours |
Read the retained text before reformatting
Table doses are total cefepime/enmetazobactam in a 4:1 ratio. For eGFR <15 or intermittent HD, give 1.25 g on day one, then 0.625 g every 24 hours. Finish HD before dosing. With changing renal function, monitor creatinine/eGFR at least daily. The archived 2024 FDA label was checked; later label currency is not established by this retrieval.
Source: https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/216165s000lbl.pdf
