Desmopressin - DDAVP injection
- Product / population
- DDAVP 4 mcg/mL injection, IV or SC according to its indication; selected labeled DI/hemophilia A/type I vWD context, not a uremic-bleeding protocol.
- Renal measure
- Cockcroft-Gault CrCl in mL/min; 8.6
The label restriction is not bypassed by lowering the dose; off-label nephrology use is not adjudicated here.
Selected named sections only; not a complete monograph or independent clinical approval.
Selected exact-product labeling sections read. Original-source bytes and complete revision histories were not retained or reconciled; retrieval does not establish current product availability.
Renal dosing, restrictions and evidence limits
DDAVP injection is contraindicated below Cockcroft-Gault CrCl 50 mL/min. Ensure normal sodium before initiation or resumption. For treatment monitoring, reassess sodium within 1 week, at about 1 month and periodically; increase frequency for older patients and other high-risk groups. Minimize fluid intake from 1 hour before until 8 hours after administration. Loop diuretics, systemic/inhaled glucocorticoids, hyponatremia/history, SIADH, polydipsia, relevant acute illness, heart failure and uncontrolled hypertension carry contraindications. Monitor blood pressure during administration. The PK study is not a renal-dose ladder or a dialysis regimen.
Source: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=651f6fee-a2c7-431b-8d5d-58b156c72244