GlobalRPh Renal Dosing Masterv7.4
Renal Dosing Master: fast drug lookup
Updated November 7, 2026 | v7.3

Renal updates by clinical finding

Search 90 products by drug, renal measure or dialysis term. Each result identifies the formulation, the label used and the limits of its renal guidance.

Reset

Search all 1,215 records | Source cautions

Restriction or avoidance

Bendamustine (Belrapzo), IV solution for dilution

Renal measure
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Renal action or finding
Do not use Belrapzo at CrCl below 30 mL/min.
Limits and monitoring
Confirm this formulation before applying preparation and infusion instructions.

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

DailyMed SPL version 11, effective 2024-09-23; posted Oct 03, 2024 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Bendamustine (Treanda), adult IV products

Renal measure
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Renal action or finding
Do not use Treanda at CrCl below 30 mL/min.
Limits and monitoring
Confirm the vial presentation before preparation. Bendamustine presentations differ in concentration and preparation requirements.

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

DailyMed SPL version 27, effective 2022-10-31; posted Sep 24, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Bicalutamide (Casodex), adult oral tablets

Renal measure
Clinical renal category or population named in the cited section
Renal action or finding
Renal impairment does not require a dose change.
Limits and monitoring
Check that the prescribed indication and accompanying androgen-deprivation regimen match the label.

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

DailyMed SPL version 6, effective 2026-02-27; posted Mar 05, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Binimetinib (Mektovi), adult oral tablets

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
In severe renal impairment (eGFR <=29 mL/min/1.73 m2), systemic exposure did not change to a clinically important degree in the cited study.
Limits and monitoring
Separately, renal impairment with elevated CPK can require withholding treatment. Check the adverse-reaction table before continuing therapy.

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

DailyMed SPL version 12, effective 2025-03-20; posted Mar 24, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Bivalirudin (Angiomax RTU), ready-to-use IV infusion for adult PCI

This summary uses the identified dated label. Verify the current label for this presentation before applying the regimen.

Renal measure
Cockcroft-Gault creatinine clearance, mL/min
Renal action or finding
For PCI, the 0.75 mg/kg IV bolus is unchanged in renal impairment. Below CrCl 30 mL/min, lower the procedural infusion to 1 mg/kg/hour. In hemodialysis, use 0.25 mg/kg/hour.
Limits and monitoring
Check activated clotting time 5 minutes after the bolus and monitor anticoagulant status. Keep the indication and infusion concentration with the order.

Verify the current prescribing information for this presentation.

Prescribing information revised 07/2019 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Brigatinib (Alunbrig), adult oral tablets

Renal measure
Cockcroft-Gault creatinine clearance, mL/min
Renal action or finding
At CrCl 15-29 mL/min, use the label's specified lower step: 180 mg becomes 90 mg daily, and 90 mg becomes 60 mg daily. At 30-89, no renal reduction is recommended.
Limits and monitoring
The supplied dose steps take precedence over a calculated percentage. Below 15 and dialysis are outside these bands.

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

DailyMed SPL version 17, effective 2026-01-12; posted Jan 19, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Canagliflozin (Invokana), adult single-ingredient oral tablets

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
For adults with eGFR 30 to <60, the usual renal maximum is 100 mg once daily. Below 30, initiation is not recommended. Adults already taking it who have albuminuria >300 mg/day may continue 100 mg daily for the labeled cardiorenal indication.
Limits and monitoring
Use the prescribing information's separate UGT-inducer instructions when applicable. This continuation exception does not transfer to canagliflozin/metformin.

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

DailyMed SPL version 9, effective 2026-09-21; posted Sep 23, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Canagliflozin/metformin (Invokamet), adult immediate-release oral tablets

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
Below eGFR 45, initiation is not recommended. At 45 to <60, the renal table caps canagliflozin at 100 mg/day. At 30 to <45, reassess continuation and use the same cap. Below 30, discontinue; use is contraindicated.
Limits and monitoring
These rules apply to a metformin-containing combination. Confirm the immediate-release formulation, interactions and contrast instructions.

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

DailyMed SPL version 32, effective 2026-08-24; posted Aug 25, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Candesartan (Atacand), adult oral tablets for hypertension

Renal measure
Clinical renal category or population named in the cited section
Renal action or finding
Renal insufficiency alone does not require a lower initial adult dose. Check for volume depletion when selecting the starting dose.
Limits and monitoring
Monitor renal function and potassium. Hemodialysis does not remove candesartan.

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

DailyMed SPL version 5, effective 2025-12-22; posted Dec 23, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Ceftazidime/avibactam (Avycaz), adult IV combination

Renal measure
Cockcroft-Gault creatinine clearance, mL/min
Renal action or finding
Adult renal doses are total combination grams infused over 2 hours. CrCl 31-50: 1.25 g every 8 hours. At 16-30: 0.94 g every 12 hours. At 6-15: 0.94 g every 24 hours. At <=5: 0.94 g every 48 hours.
Limits and monitoring
Give after hemodialysis on HD days. Reassess CrCl at least daily when it is changing. Pediatric eGFR bands have a separate table.

The FDA label uses a 2-hour infusion. UCSF reports 3 hours and a separate institutional dialysis schedule. Select a complete source before using a dose.

DailyMed SPL version 25, effective 2025-04-30; posted Aug 11, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Dalfampridine (Ampyra), oral extended-release tablets for adult MS

Renal measure
Cockcroft-Gault creatinine clearance, mL/min
Renal action or finding
At CrCl <=50 mL/min, Ampyra is contraindicated. At 51-80, weigh walking benefit against the risk of seizures from increased exposure.
Limits and monitoring
Determine CrCl before treatment and at least annually. Swallow tablets whole. A lower-strength renal regimen is unavailable.

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

DailyMed SPL version 22, effective 2026-01-16; posted Jan 23, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Daptomycin (Cubicin), adult IV treatment of cSSSI or S. aureus bacteremia

This summary uses the identified dated label. Verify the current label for this presentation before applying the regimen.

Renal measure
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Renal action or finding
For adult CrCl <30 mL/min, use 4 mg/kg IV every 48 hours for complicated skin/skin-structure infection or 6 mg/kg every 48 hours for S. aureus bloodstream infection. The interval is every 24 hours at CrCl >=30.
Limits and monitoring
The 48-hour schedule includes HD and CAPD. On HD days, dose after dialysis when possible. Check renal function and CPK more often than weekly in renal impairment.

The labeled adult doses for cSSSI and S. aureus bacteremia differ from UCSF institutional high-dose regimens. Check infection, weight convention and dialysis modality.

Prescribing information revised 5/2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

RX coverage and remaining workload | Previous 30-product roundup
Top