Original GlobalRPh source
- Product / population
- Preserved GlobalRPh source, not a freshly verified product label
- Renal measure
- Use the method specified in the original source
Historical source: not automatically current. Review current official labeling and separately attributed additions before use.
Usual Dosing (Adults)
1 to 2 grams every 12 hours; life-threatening infections: 3 grams IV every 12 hours. Maximum 6 g/day.
Source dosing table:
| Site/severity | Total daily dose | Schedule |
|---|---|---|
| Urinary tract | 1 to 4 g | 500 mg every 12 hours IV/IM; or 1 or 2 g every 24 hours IV/IM; or 1 or 2 g every 12 hours IV/IM |
| Mild to moderate skin and skin structure | 2 g | 2 g every 24 hours IV, or 1 g every 12 hours IV/IM |
| Severe skin and skin structure | 4 g | 2 g every 12 hours IV |
| Other sites, mild to moderate | 2 to 4 g | 1 or 2 g every 12 hours IV/IM |
| Other sites, severe | 4 g | 2 g every 12 hours IV |
| Life-threatening infections | 6 g | 3 g every 12 hours IV |
For K. pneumoniae skin infections, the source specifies 1 or 2 g every 12 hours IV/IM. If C. trachomatis is suspected in gynecologic infections, add anti-chlamydial coverage; cefotetan has no activity against it.
Prophylaxis for clean-contaminated or potentially contaminated surgery in adults: 1 or 2 g IV once 30 to 60 minutes before surgery; for cesarean section, give as soon as the cord is clamped.
Renal Dosing
| CrCl (mL/min) | Dose |
|---|---|
| >30 | No change |
| 10 to 30 | 1 to 2 g every 24 hours or 0.5 to 1 g every 12 hours |
| <10 | 1 to 2 g every 48 hours or 250 to 500 mg every 12 hours |
Hemodialysis
250 to 500 mg every 24 hours on non-dialysis days; 500 mg to 1 g every 24 hours on dialysis days.
Peritoneal dialysis: 1 g every 24 hours.