GlobalRPh Renal Dosing Masterv6.6
Evidence addition

Posaconazole delayed-release tablets (adult prophylaxis)

Noxafil delayed-release tablets

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Official source

Posaconazole delayed-release tablets (adult prophylaxis) - selected U.S. labeling

Product / population
Adults receiving fungal prophylaxis with whole oral 100 mg delayed-release posaconazole tablets. The selected generic label is prophylaxis-only; oral suspension, PowderMix and IV formulations are excluded.
Renal measure
eGFR mL/min/1.73 m2 for exposure-monitoring caution, not a reduced-dose algorithm.
Labeled basic dosing

For prophylaxis of invasive Aspergillus/Candida infections in severely immunocompromised adults: 300 mg orally twice on day 1, then 300 mg once daily from day 2. Duration follows recovery from neutropenia or immunosuppression. Swallow tablets whole.

Renal information and dialysis

The label keeps the same dosing in renal impairment. At eGFR below 20 mL/min/1.73 m2, monitor especially closely for breakthrough fungal infection because exposure is variable. Hemodialysis does not remove posaconazole.

Selected warnings and limits

Do not substitute liquid formulations. Review CYP3A4 interactions, tacrolimus/cyclosporine exposure, QT/electrolyte risks and liver tests.

Source revision: Label revision date not separately recorded; retrieval date is not the revision date. | Retrieved: 2026-09-05. Retrieval date is not the revision date.

Source: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5f795eca-7a03-4c91-9a0e-c1235791b665

Scope: Selected dosing/renal sections read; concise local summary, not full prescribing information. GlobalRPh v6.6.

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Source-first renal review

Evidence sources and renal implications

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Official product label

Posaconazole delayed-release tablets (adult prophylaxis) - selected U.S. labeling

Adults receiving fungal prophylaxis with whole oral 100 mg delayed-release posaconazole tablets. The selected generic label is prophylaxis-only; oral suspension, PowderMix and IV formulations are excluded.

Renal method: eGFR mL/min/1.73 m2 for exposure-monitoring caution, not a reduced-dose algorithm.
Retrieved: 2026-09-05

Professional guidance

UCSF posaconazole - oral DR subset

Adults receiving fungal prophylaxis with whole oral 100 mg delayed-release posaconazole tablets. The selected generic label is prophylaxis-only; oral suspension, PowderMix and IV formulations are excluded.

Renal method: Qualitative renal/HD guidance; CVVHD assumption from source
Retrieved: 2026-09-05

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

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Renal dosing and precautions

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Official source

Posaconazole delayed-release tablets (adult prophylaxis) - selected U.S. labeling

Adults receiving fungal prophylaxis with whole oral 100 mg delayed-release posaconazole tablets. The selected generic label is prophylaxis-only; oral suspension, PowderMix and IV formulations are excluded.

Method: eGFR mL/min/1.73 m2 for exposure-monitoring caution, not a reduced-dose algorithm.

Professional source

UCSF posaconazole - oral DR subset

Adults receiving fungal prophylaxis with whole oral 100 mg delayed-release posaconazole tablets. The selected generic label is prophylaxis-only; oral suspension, PowderMix and IV formulations are excluded.

Method: Qualitative renal/HD guidance; CVVHD assumption from source

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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=5f795eca-7a03-4c91-9a0e-c1235791b665

Product and population scope

Adults receiving fungal prophylaxis with whole oral 100 mg delayed-release posaconazole tablets. The selected generic label is prophylaxis-only; oral suspension, PowderMix and IV formulations are excluded.

RDM31-posaconazole-dr-scope · Source section: Editorial scope tied to selected U.S. labelRenal section finder
Separate U.S. product-label layer

FDA / DailyMed dosing and renal information

Official

Posaconazole delayed-release tablets (adult prophylaxis) - selected U.S. labeling

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U.S. product labeling / DailyMed · Adults receiving fungal prophylaxis with whole oral 100 mg delayed-release posaconazole tablets. The selected generic label is prophylaxis-only; oral suspension, PowderMix and IV formulations are excluded.

Renal method: eGFR mL/min/1.73 m2 for exposure-monitoring caution, not a reduced-dose algorithm.
Source date: Label revision date not separately recorded; retrieval date is not the revision date.
Retrieved: 2026-09-05

Selected dosing/renal sections read; concise local summary, not full prescribing information.

Labeled basic dosing

For prophylaxis of invasive Aspergillus/Candida infections in severely immunocompromised adults: 300 mg orally twice on day 1, then 300 mg once daily from day 2. Duration follows recovery from neutropenia or immunosuppression. Swallow tablets whole.

RDM31-posaconazole-dr-label-dose · Source locator: 2.1, 2.2, 2.7, 2.9

Renal information and dialysis

The label keeps the same dosing in renal impairment. At eGFR below 20 mL/min/1.73 m2, monitor especially closely for breakthrough fungal infection because exposure is variable. Hemodialysis does not remove posaconazole.

RDM31-posaconazole-dr-label-renal · Source locator: 2.11; 8.6; 10

Selected warnings and limits

Do not substitute liquid formulations. Review CYP3A4 interactions, tacrolimus/cyclosporine exposure, QT/electrolyte risks and liver tests.

RDM31-posaconazole-dr-label-limits · Source locator: 4; 5; 7

Source identity and provenance
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5f795eca-7a03-4c91-9a0e-c1235791b665
Retrieved
2026-09-05
DailyMed Set ID
5f795eca-7a03-4c91-9a0e-c1235791b665
Renal-function method
eGFR mL/min/1.73 m2 for exposure-monitoring caution, not a reduced-dose algorithm.
Source date/version
Label revision date not separately recorded; retrieval date is not the revision date.
Hash meaning
SHA-256 identifies this local summary, not original SPL XML or label PDF.
Local summary SHA-256
de0cab71a35ce142136a6e1254e79afe328db282cbc8a10c5d9442e8968394f7
Separate professional-source layer

University and professional protocols

Professional

UCSF posaconazole - oral DR subset

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University of California San Francisco (UCSF) · Adults receiving fungal prophylaxis with whole oral 100 mg delayed-release posaconazole tablets. The selected generic label is prophylaxis-only; oral suspension, PowderMix and IV formulations are excluded.

Renal method: Qualitative renal/HD guidance; CVVHD assumption from source
Source date: Revision date not stated on the reviewed page.
Retrieved: 2026-09-05

Separate professional-source protocol; not automatically equivalent to product labeling.

Source-specific renal protocol

For the delayed-release oral tablet portion of its protocol, UCSF uses 300 mg every 12 hours for two doses, then 300 mg every 24 hours without renal or HD dose reduction. It refers to therapeutic drug monitoring and warns that oral solution cannot be substituted. Intermittent HD assumes high-flux treatment; continuous guidance assumes CVVHD at 2 L/hour with residual native GFR.

RDM31-posaconazole-dr-prof-1 · Source locator: Adult/dialysis tables and Dialysis Notes; oral whole-DR-tablet subset

Source-specific limits

This local extraction excludes the page's IV and crushed-tablet regimens. The institution uses a broader indication scope than the selected generic prophylaxis-only label.

Source identity and provenance
Source
https://idmp.ucsf.edu/content/posaconazole
Retrieved
2026-09-05
Renal-function method
Qualitative renal/HD guidance; CVVHD assumption from source
Source date/version
Revision date not stated on the reviewed page.
Hash meaning
SHA-256 identifies the local paraphrase, not original source bytes.
Local summary SHA-256
b8eff91f6e869efe49e5470b62d296086a197941c184de0aae0ef332d21ea4e4

Provenance and preservation

Additional summaries stored on this page: 1 official-label, 0 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=5f795eca-7a03-4c91-9a0e-c1235791b665
Source retrieval
2026-09-05. This is not the source publication or label revision date.
Original source type
multisource addition
Local text SHA-256
2ff0501e0ed27b2268719795dbcfc384cb59b13972e505eda5839bfd4e4ffaf0
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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