GlobalRPh Renal Dosing Masterv7.4
Renal Dosing Master: fast drug lookup
Product-specific reference

Lamivudine/tenofovir disoproxil fumarate (Cimduo), fixed-dose oral tablet

Read renal action and limits

Cimduo

READ THE SOURCE-SPECIFIC ANSWER

Renal guidance at a glance

Cautions / source differences (1)

Use the renal measure and units named by this source. Confirm product, indication, age, stable versus changing kidney function, and exact dialysis modality. The selected summary is not a complete prescribing monograph. Renal method and dosing checklist

Choose a source to read (3)

Display order is not a clinical ranking. Date of retrieval is not the label revision date. Sources are never merged into one regimen. Other sources and conflicts remain below.

1 additional source qualifications - review before use
Cimduo - product and source limitations

Review a complete HIV regimen when individual components need adjustment.

Before applying: Apply only to the stated formulation, indication and renal population.

Also check: Cimduo - product and source limitations

Official source

Cimduo - labeled renal guidance

Renal action and limits

Lamivudine/tenofovir disoproxil fumarate (Cimduo), fixed-dose oral tablet
Creatinine clearance (CrCl), mL/min; use the product-specific calculation

Action or finding
Use of this fixed combination is not recommended at CrCl <50 mL/min or in ESRD requiring hemodialysis.
Limits and monitoring
Review a complete HIV regimen when individual components need adjustment.
Before use
Apply only to the stated formulation, indication and renal population.

DailyMed SPL version 5, effective 2021-02-15; posted Feb 10, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Product / population
Lamivudine/tenofovir disoproxil fumarate (Cimduo), fixed-dose oral tablet
Renal measure
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Source revision
DailyMed SPL version 5, effective 2021-02-15; posted Feb 10, 2025
Retrieved
2026-11-07 (not the revision date)
Restriction or avoidance guidance. Read the specific threshold, age, formulation and dialysis exclusions; do not generalize across products.

Renal guidance: 2.3 and 8.6

Use of this fixed combination is not recommended at CrCl <50 mL/min or in ESRD requiring hemodialysis. Review a complete HIV regimen when individual components need adjustment.

Source revision: DailyMed SPL version 5, effective 2021-02-15; posted Feb 10, 2025 | Retrieved: 2026-11-07. Retrieval date is not the revision date.

Source: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a300f04d-118f-4136-aaf3-ddfd00197f86

Scope: Selected renal passages reviewed; independent clinician adjudication pending. GlobalRPh v7.4.

Full source card / provenance

All sources, comparison tools and evidence navigation
Source-specific interpretation

What the dialysis evidence actually supports

Removal information alone does not define a maintenance dose, supplemental dose or dialysis schedule. A reported regimen still requires its product, indication, renal measure and dialysis assumptions to match the patient.

Cimduo - labeled renal guidance

Source retrieved 2026-11-07 - confirm current applicability

Use is not recommended / excluded in the named dialysis population; not a dialysis dose

Read the source and its limits

These manual classifications apply only to the identified selected sections, not every retained source or the entire prescribing information. They are not dosing clearance.

Source-first renal review

Evidence sources and renal implications

Choose a source to jump directly to its locally stored result. Qualitative precautions and evidence gaps remain visible even when no numerical clearance schedule is supplied.

Read 1 source difference / applicability notes

Official product label

Cimduo - labeled renal guidance

Restriction or avoidance guidance. Read the specific threshold, age, formulation and dialysis exclusions; do not generalize across products.

Dialysis evidence: Use is not recommended / excluded in the named dialysis population; not a dialysis dose

Lamivudine/tenofovir disoproxil fumarate (Cimduo), fixed-dose oral tablet

Renal method: Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Retrieved: 2026-11-07

GlobalRPh RX List

Cimduo - selected RX renal passage

Restriction or avoidance guidance. Read the specific threshold, age, formulation and dialysis exclusions; do not generalize across products.

Lamivudine/tenofovir disoproxil fumarate (Cimduo), fixed-dose oral tablet

Renal method: Use the renal measure explicitly present in the RX passage.
Retrieved: 2026-11-07

Professional guidance

Cimduo - HHS HIV guidelines panel / ClinicalInfo

Restriction or avoidance guidance. Read the specific threshold, age, formulation and dialysis exclusions; do not generalize across products.

Adults or adolescents with HIV taking the lamivudine/TDF fixed-dose tablet.

Renal method: Adult CrCl in mL/min; panel has a separate hemodialysis entry.
Retrieved: 2026-11-07

Source presence is not independent validation. A label mirror is not a second independent source; review the original reference and exact formulation.

Product / population check

Confirm the exact formulation before using a renal source

These links compare product identities, not interchangeable doses. A selected summary is not a complete prescribing monograph.

Source-specific review points

Read the attributed comparison notes and source cards below. No conflict has been silently adjudicated.

Source-quality holds
Find text within this drug
Find a term without leaving this drug

Search the stored clinical text

Locate a word or phrase within this drug's source summaries. Choose all sources or one source to focus the search. The selection never hides warnings or source text, changes a dose, or proves that a renal finding is absent.

Find:

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All source summaries, original wording and provenance
Before applying a renal protocol

Check the setting. Compare whole sources.

No patient-specific dose is calculated. Context choices only display reminders; they do not validate, hide or change any regimen.

Share a reproducible source review

Choose sources below, then open a print-ready comparison with product scope, renal method, dates and cautions. Links can pin the exact local cards; they never contain patient values or choose a dose.

Open / share selected sources

Select two distinct source versions. The complete stored summaries will appear below.

Build a source-review outline for documentation

This creates a blank decision outline with the source identities you select, not a dose recommendation or completed clinical assessment. No patient fields are collected, saved or sent. Complete the clinical decisions in your approved documentation system.

Choose one or two sources above or use the source checkboxes below.

Renal-context checklist: population, kidney trend and dialysis

These prompts are a reading aid, not a prescription checklist or proof that all requirements have been met. No selections are stored or sent to a server.

Read the exact source scope, renal metric and date before selecting a row. No applicability assessment has been performed.

See source-specific renal methods and the clinical interpretation guide for the supporting context.

Read before choosing a regimen

Source differences and product cautions

Search differences across all drugs

These are specific issues found during source review, not an automated judgment that one source is universally correct. A label mirror and its original label are not independent evidence.

Go directly to the relevant source section

Renal dosing and precautions

Choose a source, then jump to its renal or dialysis section. These links locate stored text; they do not merge regimens or certify that sources agree.

Independent clinical review is pending. These selected summaries are not an approved institutional dosing protocol. Confirm the exact product, the complete current source and local policy before use.
Professional source

Cimduo - HHS HIV guidelines panel / ClinicalInfo

Adults or adolescents with HIV taking the lamivudine/TDF fixed-dose tablet.

Method: Adult CrCl in mL/min; panel has a separate hemodialysis entry.

No dialysis or renal heading shown? Read the complete source summary. Absence of a heading is not evidence that dose adjustment is unnecessary.

Compare or copy source versions

All content below is stored locally. Read a whole source version; do not combine its dose with another source's interval, renal metric or dialysis assumptions.

Choose two source checkboxes below.
Exact product and population matter. This added page contains locally stored, source-specific clinical summaries. Historical handbook information, when present, is identified separately and may conflict with U.S. labeling. Confirm indication, population, kidney-function method, monitoring and the full prescribing information before applying a regimen.
Locally stored source content

Exact product and population

Product identity selected for the separately displayed source protocols below. Reference: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a300f04d-118f-4136-aaf3-ddfd00197f86

Product identity and scope

Lamivudine/tenofovir disoproxil fumarate (Cimduo), fixed-dose oral tablet

RDM73-cimduo-identity-1 · Source section: Product identity and scopeRenal section finder
Separate U.S. product-label layer

FDA / DailyMed dosing and renal information

Official

Cimduo - labeled renal guidance

Open original reference

Open / share this exact local source

DailyMed / product prescribing information · Lamivudine/tenofovir disoproxil fumarate (Cimduo), fixed-dose oral tablet

Renal method: Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Source date: DailyMed SPL version 5, effective 2021-02-15; posted Feb 10, 2025
Retrieved: 2026-11-07

Restriction or avoidance guidance. Read the specific threshold, age, formulation and dialysis exclusions; do not generalize across products.

Dialysis evidence: Use is not recommended / excluded in the named dialysis population; not a dialysis dose

Selected renal passages reviewed; independent clinician adjudication pending.

Renal guidance: 2.3 and 8.6

Use of this fixed combination is not recommended at CrCl <50 mL/min or in ESRD requiring hemodialysis. Review a complete HIV regimen when individual components need adjustment.

RDM73-cimduo-official-1 · Source locator: Renal guidance: 2.3 and 8.6

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a300f04d-118f-4136-aaf3-ddfd00197f86
Retrieved
2026-11-07
Renal-function method
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Source date/version
DailyMed SPL version 5, effective 2021-02-15; posted Feb 10, 2025
Hash meaning
SHA-256 of the local selected-source summary
Local summary SHA-256
f71296d90a23f79e9da4eb603a8928d9c106c11bb84353ea620f73fccc2cbad9
Locally imported selected renal sections

GlobalRPh RX List renal information

Rxlist

Cimduo - selected RX renal passage

Open original reference

Open / share this exact local source

GlobalRPh RX List / product-label mirror · Lamivudine/tenofovir disoproxil fumarate (Cimduo), fixed-dose oral tablet

Renal method: Use the renal measure explicitly present in the RX passage.
Source date: Mirror revision not established in the reviewed passage.
Retrieved: 2026-11-07

Label mirror, not independent corroboration. This is selected locally stored RX List content. Full monograph import and current official-label review are not implied.
Restriction or avoidance guidance. Read the specific threshold, age, formulation and dialysis exclusions; do not generalize across products.

Selected renal passages reviewed; independent clinician adjudication pending.

RX List: selected renal passage

The mirror flags both CrCl below 50 and dialysis-dependent ESRD for this fixed-dose formulation.

RDM73-cimduo-rxlist-1 · Source locator: RX List: selected renal passage

Source-specific limits

This mirror and the underlying product label share a source family.

Source identity and provenance
Source family
product_label_mirror
Source
https://globalrph.com/rx-list/cimduo-drug/
Retrieved
2026-11-07
Renal-function method
Use the renal measure explicitly present in the RX passage.
Source date/version
Mirror revision not established in the reviewed passage.
Hash meaning
SHA-256 of the local selected-source summary
Local summary SHA-256
7d2e861b5a61e1c672ff27b28dc6f4fec23fa32055805ed54027b6bec71f8d99
Separate professional-source layer

University and professional protocols

Professional

Cimduo - HHS HIV guidelines panel / ClinicalInfo

Open original reference

Open / share this exact local source

HHS HIV guidelines panel / ClinicalInfo · Adults or adolescents with HIV taking the lamivudine/TDF fixed-dose tablet.

Renal method: Adult CrCl in mL/min; panel has a separate hemodialysis entry.
Source date: Online guidance checked 2026-11-07; section revision not established.
Retrieved: 2026-11-07

Restriction or avoidance guidance. Read the specific threshold, age, formulation and dialysis exclusions; do not generalize across products.

Selected renal passages reviewed; independent clinician adjudication pending.

Appendix B, lamivudine/TDF row

The panel advises avoiding TDF when possible below CrCl 60 mL/min. This lamivudine/TDF fixed combination is not recommended below 50 mL/min or on HD. The ingredient-level TDF interval must not be applied to the fixed tablet.

RDM73-cimduo-professional-1 · Source locator: Appendix B, lamivudine/TDF row

Source identity and provenance
Source family
professional_guideline
Source
https://clinicalinfo.hiv.gov/en/guidelines/hiv-clinical-guidelines-adult-and-adolescent-arv/drug-characteristics-tables-renal-hepatic-insufficiency-full
Retrieved
2026-11-07
Renal-function method
Adult CrCl in mL/min; panel has a separate hemodialysis entry.
Source date/version
Online guidance checked 2026-11-07; section revision not established.
Hash meaning
SHA-256 of the local selected-source summary
Local summary SHA-256
97859ee611ff26bad3a83184de93555b43c7138c182291314f6747453999ad9e

Provenance and preservation

Additional summaries stored on this page: 1 official-label, 1 RX List, 1 professional, 0 handbook. Empty additional-source groups are not shown. A missing layer is not a no-adjustment recommendation.

Original source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a300f04d-118f-4136-aaf3-ddfd00197f86
Source retrieval
2026-11-07. This is not the source publication or label revision date.
Original source type
multisource addition
Local text SHA-256
1737781d997937431d5a4322e7c7234b37340f9fc4b3e786923591475b335073
Import versus clinical validation
Source-section locators identify where retained content came from. A source-section identifier does not assert that every numeric statement has been independently corroborated. The local text hash is not a hash of original HTML, an FDA PDF or SPL XML.

This page is an additional exact-product entry, not a recovered GlobalRPh monograph. Its primary scope text and separately attributed clinical summaries are locally included.

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