GlobalRPh Renal Dosing Masterv6.6
Evidence addition

Remifentanil IV (ULTIVA)

Local RX List renal extractBase record retrieved 2026-09-07See the evidence for this drug1 sources available - open source summaries, references and comparisons

Ultiva

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Renal guidance at a glance

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Rxlist source

GlobalRPh RX List - Ultiva

Product / population
IV remifentanil administered by appropriately trained anesthesia clinicians.
Renal measure
CrCl in mL/min; ESRD PK study

RX mirror: this is not independent corroboration of its underlying label. Check dated-label and formulation limitations.

Renal dosing, restrictions and evidence limits

The source reports unchanged remifentanil pharmacokinetics in ESRD with creatinine clearance below 10 mL/min. Its carboxylic-acid metabolite lasts longer in anephric patients and is partly removed by hemodialysis. These are pharmacokinetic observations, not a complete renal anesthetic infusion protocol. Titrate within the indication-specific anesthesia regimen with continuous respiratory and hemodynamic supervision. The source has no data for ICU analgesic use longer than 16 hours. Do not infer a post-dialysis bolus or prolonged-ICU schedule from the metabolite findings.

Source revision: Source revision date not established in selected retrieval. | Retrieved: 2026-09-07. Retrieval date is not the revision date.

Source: https://globalrph.com/rx-list/ultiva-drug/

Scope: Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph. GlobalRPh v6.6.

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Source-first renal review

Evidence sources and renal implications

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GlobalRPh RX List

GlobalRPh RX List - Ultiva

Pharmacokinetic observation only. A drug-exposure observation is not itself a dose recommendation.

IV remifentanil administered by appropriately trained anesthesia clinicians.

Renal method: CrCl in mL/min; ESRD PK study
Retrieved: 2026-09-07

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Jump to renal guidanceClinician guide

Only one eligible source version is stored here. No second source is inferred from a reference link. Independent corroboration is still needed.

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Renal-context checklist: population, kidney trend and dialysis

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

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Renal dosing and precautions

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New source summary - independent clinical review pending. Summaries of the identified label sections are included locally. Source import and numeric transcription checks are not independent two-reference validation. Do not treat this card as an approved institutional dosing protocol.

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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.

Original content / product scopeGlobalRPh RX List - Ultiva
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://globalrph.com/rx-list/ultiva-drug/

Exact product and population

IV remifentanil administered by appropriately trained anesthesia clinicians.

RDM36-SCOPE-remifentanil-ultiva · Source section: Selected source product scopeRenal section finder
Locally imported selected renal sections

GlobalRPh RX List renal information

Rxlist

GlobalRPh RX List - Ultiva

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GlobalRPh-hosted RX List · IV remifentanil administered by appropriately trained anesthesia clinicians.

Renal method: CrCl in mL/min; ESRD PK study
Source date: Source revision date not established in selected retrieval.
Retrieved: 2026-09-07

Label mirror, not independent corroboration. This is selected locally stored RX List content. Full monograph import and current official-label review are not implied.
Pharmacokinetic observation only. A drug-exposure observation is not itself a dose recommendation.

Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph.

Renal dosing, restrictions and evidence limits

The source reports unchanged remifentanil pharmacokinetics in ESRD with creatinine clearance below 10 mL/min. Its carboxylic-acid metabolite lasts longer in anephric patients and is partly removed by hemodialysis. These are pharmacokinetic observations, not a complete renal anesthetic infusion protocol. Titrate within the indication-specific anesthesia regimen with continuous respiratory and hemodynamic supervision. The source has no data for ICU analgesic use longer than 16 hours. Do not infer a post-dialysis bolus or prolonged-ICU schedule from the metabolite findings.

RDM36-rxlist-remifentanil-ultiva-fcc7d46f9f-C1 · Source locator: Renal impairment pharmacokinetics; long-term ICU use.

Source identity and provenance
Source family
product_label_mirror
Source
https://globalrph.com/rx-list/ultiva-drug/
Retrieved
2026-09-07
Renal-function method
CrCl in mL/min; ESRD PK study
Source date/version
Source revision date not established in selected retrieval.
Hash meaning
SHA-256 of local authored summary only; not original HTML, PDF or SPL bytes.
Local summary SHA-256
09fc3cccec49d6029d51c41ea4414e0333b1c10b93128e88ecde94ff2b724833

Provenance and preservation

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

Original source
https://globalrph.com/rx-list/ultiva-drug/
Source retrieval
2026-09-07. This is not the source publication or label revision date.
Original source type
rxlist summary
Local text SHA-256
f4ce798153e7949b8315793aa2d35b549b23ec89797a7faaad7c89764b5704bd
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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