GlobalRPh RX List - XIGDUO XR
- Product / population
- XIGDUO XR oral fixed combination; renal instructions from the selected label, not a full diabetes/heart-failure protocol.
- Renal measure
- Indexed eGFR, mL/min/1.73 m2.
RX mirror: this is not independent corroboration of its underlying label. Check dated-label and formulation limitations.
Renal dosing, restrictions and evidence limits
eGFR >=45 mL/min/1.73 m2: same recommended regimen as normal renal function. Initiation is not recommended between 30 and 45; reassess continuation if eGFR falls persistently below 45. Below 30 or ESRD: contraindicated because of metformin. The same source explicitly permits usual dosing at exactly 45; do not automatically round a borderline estimate. For iodinated contrast, hold at or before the procedure when eGFR <60, relevant liver disease/alcoholism/heart failure, or intra-arterial administration applies; reassess eGFR after 48 hours and restart only if stable. Withhold at least three days before surgery/prolonged fasting when possible; restart when clinically stable and oral intake resumes. These fixed-combination restrictions cannot be replaced by dapagliflozin-alone CKD thresholds.