Fosfomycin disodium IV (CONTEPO)
- Product / population
- CONTEPO IV for adults >=18 with susceptible-organism cUTI including acute pyelonephritis; not oral fosfomycin.
- Renal measure
- Cockcroft-Gault CrCl mL/min; integer renal bands reproduced without interpolation.
Renal dosing, restrictions and evidence limits
CrCl >50: 6 g IV every 8 hours. Renal table: give a 6 g loading dose, then 4 g every 8 hours at 41-50; 3 g every 8 hours at 31-40; 5 g every 24 hours at 21-30; 3 g every 24 hours at 11-20. Infuse each dose over one hour; treatment is up to 14 days according to clinical status. Reassess CrCl during treatment.
Give after hemodialysis on dialysis days. This table supplies no maintenance regimen at CrCl <=10 or for CRRT; do not invent one from dialysis removal percentages. Each vial contains 1980 mg sodium: monitor electrolytes, fluid status and edema.