GlobalRPh Renal Dosing Masterv6.6
GlobalRPh source record

Pyrazinamide

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Renal guidance at a glance

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Professional source

Stanford - pyrazinamide renal schedule

Product / population
Adults; combination TB treatment. Guide page 7.
Renal measure
CrCl in mL/min; lean body weight in obesity.

Dosing / renal protocol and limits

Usual oral dose is 25 mg/kg daily, maximum 2000 mg/day. At CrCl <30 mL/min, use 25 mg/kg three times weekly. IHD uses that intermittent schedule after dialysis; no CRRT regimen is supplied. Stanford uses lean body weight for obesity.

Source revision: Revision date not stated in the reviewed page. | Retrieved: 2026-09-05. Retrieval date is not the revision date.

Source: https://med.stanford.edu/content/dam/sm/bugsanddrugs/documents/antimicrobial-dosing-protocols/SHC-ABX-Dosing-Guide.pdf

Scope: Locally included source-specific summary. Regimen differences are not automatically resolved. GlobalRPh v6.6.

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Evidence sources and renal implications

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Preserved GlobalRPh source

Preserved original GlobalRPh source

Preserved historical content; not revalidated as current prescribing guidance.

Renal method: Read the measure and population stated in the original source sections.
Retrieved: 2026-09-05

Professional guidance

UCSF - pyrazinamide

Adults; source-specific institutional guidance. Match route, indication and renal replacement modality.

Renal method: CrCl in mL/min where specified; no equation inferred.
Retrieved: 2026-09-05

Professional guidance

Stanford - pyrazinamide renal schedule

Adults; combination TB treatment. Guide page 7.

Renal method: CrCl in mL/min; lean body weight in obesity.
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-context checklist: population, kidney trend and dialysis

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Renal dosing and precautions

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Historical source content is not a current prescription. Original GlobalRPh recommendations are preserved, not automatically certified as current. Product-label and professional additions below are separately attributed. Confirm indication, population, kidney-function method, monitoring and the full prescribing information before applying a regimen.

Important source distinctions

The original summary, manufacturer discussion and dialysis advice are not mutually equivalent. Current tuberculosis/dialysis professional guidance must be reviewed separately.

Locally stored source content

Original GlobalRPh protocol

Clinical facts and comments transcribed into a structured reading format. This is not a byte-for-byte HTML archive. Original source: https://globalrph.com/renal/pyrazinamide/

Usual Dosing (Adults)

15-30 mg/kg orally every 24 hours, maximum 2 g/day. Alternative intermittent regimen: 50 mg/kg twice weekly based on lean body weight, maximum 4 g on a dosing day.

GRPH-pyrazinamide-01 · Source section: Usual Dosing (Adults)Renal section finder

Renal Dosing

The GlobalRPh summary states: CrCl above 50 mL/min, no change; below 50, avoid or reduce to 12-20 mg/kg/day. A separately quoted manufacturer position states that reduction does not appear required, although choosing the low end of the range may be prudent. Both positions are preserved.

GRPH-pyrazinamide-02 · Source section: Renal DosingRenal section finder

Hemodialysis

The original GlobalRPh dialysis section says to avoid use.

GRPH-pyrazinamide-03 · Source section: HemodialysisRenal section finder
Separate professional-source layer

University and professional protocols

Professional

UCSF - pyrazinamide

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UCSF Infectious Diseases Management Program · Adults; source-specific institutional guidance. Match route, indication and renal replacement modality.

Renal method: CrCl in mL/min where specified; no equation inferred.
Source date: SFDPH TB practice dated May 2025 in source.
Retrieved: 2026-09-05

Locally included source-specific summary. Regimen differences are not automatically resolved.

Dosing / renal protocol and limits

CrCl >30 mL/min: 20 mg/kg orally daily; below 30: 20 mg/kg three times weekly. The displayed bands do not assign exactly 30. Intermittent HD: 20 mg/kg initially and after HD. Continuous HD: 20 mg/kg daily.

Use adjusted body weight for BMI >30 kg/m2 and actual weight otherwise. Patients over 80 kg need ID pharmacy advice. The local approach follows SF public-health TB practice as of May 2025; other programs may use different weight-based schedules. This is one component of combination TB treatment.

RDM30-046-pyrazinamide-1 · Source locator: UCSF - pyrazinamide; renal/dosing sections and stated qualifiers

Source identity and provenance
Source
https://idmp.ucsf.edu/content/pyrazinamide
Retrieved
2026-09-05
Renal-function method
CrCl in mL/min where specified; no equation inferred.
Source date/version
SFDPH TB practice dated May 2025 in source.
Hash meaning
Locally authored summary text; not original SPL, HTML or PDF bytes
Local summary SHA-256
1e522dcace50f8ef40be739b9cb98b37d45e7f8704c7ecef6494859e260276fd
Professional

Stanford - pyrazinamide renal schedule

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Stanford Health Care Antimicrobial Safety and Sustainability · Adults; combination TB treatment. Guide page 7.

Renal method: CrCl in mL/min; lean body weight in obesity.
Source date: Revision date not stated in the reviewed page.
Retrieved: 2026-09-05

Locally included source-specific summary. Regimen differences are not automatically resolved.

Dosing / renal protocol and limits

Usual oral dose is 25 mg/kg daily, maximum 2000 mg/day. At CrCl <30 mL/min, use 25 mg/kg three times weekly. IHD uses that intermittent schedule after dialysis; no CRRT regimen is supplied. Stanford uses lean body weight for obesity.

RDM30-061-pyrazinamide-1 · Source locator: Stanford - pyrazinamide renal schedule; renal/dosing sections and stated qualifiers

Source identity and provenance
Source
https://med.stanford.edu/content/dam/sm/bugsanddrugs/documents/antimicrobial-dosing-protocols/SHC-ABX-Dosing-Guide.pdf
Retrieved
2026-09-05
Renal-function method
CrCl in mL/min; lean body weight in obesity.
Source date/version
Revision date not stated in the reviewed page.
Hash meaning
Locally authored summary text; not original SPL, HTML or PDF bytes
Local summary SHA-256
1dff54f4b691a1498db9e7fe2ac07d14810be88d29e8068c0dfda60e0a997bfd

Provenance and preservation

Additional summaries stored on this page: 0 official-label, 0 RX List, 2 professional, 0 handbook. Empty additional-source groups are not shown. A missing layer is not a no-adjustment recommendation.

Original source
https://globalrph.com/renal/pyrazinamide/
Source retrieval
2026-09-05. This is not the source publication or label revision date.
Original source type
globalrph individual
Local text SHA-256
31515e21fb7a9239d7bb8f46d07030902c002f801e24fb89c58901623a8ae3d4
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.

The original individual GlobalRPh pages commonly cite NIH/NLM DailyMed and instruct readers to review the applicable package insert for updates. That historical reference is preserved as context; it is not counted as an independently retrieved current label.

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