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.

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Search all 1,215 records | Source cautions

Dose or interval change

Ribociclib (Kisqali), oral tablets for adult breast cancer

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
For severe renal impairment, start at 200 mg once daily on the prescribed treatment days. Mild or moderate impairment does not require renal adjustment.
Limits and monitoring
Retain the indication-specific treatment cycle, ECG and electrolyte monitoring. Do not interpret a daily dose as continuous 28-day administration.

The inequality in the U.S. renal subsection is awkwardly rendered. Verify the named severity category in the label. eviQ provides a separate indexed-eGFR instruction for its metastatic breast cancer regimen.

DailyMed SPL version 28, effective 2026-07-01; posted Jul 13, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Riociguat (Adempas), oral tablets for pulmonary hypertension

Renal measure
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Renal action or finding
Use is not recommended for patients on dialysis or with CrCl below 15 mL/min.
Limits and monitoring
Safety and efficacy are unestablished in these populations. The label gives no renal starting dose or dialysis supplement.

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

DailyMed SPL version 32, effective 2026-08-13; posted Aug 19, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Risedronate (Actonel), conventional oral tablets

Renal measure
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Renal action or finding
Use the indication-specific dose at CrCl >=30 mL/min. Below 30, the label recommends against use because clinical experience is limited.
Limits and monitoring
Actonel and Atelvia have different tablet administration instructions.

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

DailyMed SPL version 31, effective 2026-02-04; posted May 11, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Risedronate (Atelvia), delayed-release oral tablets

Renal measure
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Renal action or finding
No renal dose change at CrCl >=30 mL/min. Below 30, use is not recommended.
Limits and monitoring
Confirm the delayed-release product and its breakfast instructions before applying the regimen.

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

DailyMed SPL version 29, effective 2026-02-03; posted May 20, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Ropinirole (Requip XL), adult extended-release tablets for Parkinson disease

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
At CrCl 30-50 mL/min there is no renal adjustment. With ESRD on regular HD, start at 2 mg once daily and limit the total to 18 mg/day. A post-HD supplement is unnecessary.
Limits and monitoring
Severe renal impairment without regular dialysis was not studied. Verify XL and Parkinson disease indication.

Verify the current prescribing information for this presentation.

Prescribing information revised 3/2017 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Sitagliptin/metformin (Janumet XR), adult extended-release oral tablets

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
Initiation at eGFR 30-45 is not recommended. If eGFR falls below 45 during use, reassess benefit and risk and limit sitagliptin to 50 mg once daily. Below 30, discontinue; use is contraindicated.
Limits and monitoring
Check component strengths and metformin precautions around iodinated contrast.

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

DailyMed SPL version 44, effective 2026-08-11; posted Aug 28, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Spironolactone (Aldactone), adult oral tablets for heart failure

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
For heart failure, at eGFR 30-50 consider starting at 25 mg every other day because of hyperkalemia risk. At eGFR >50 and potassium <=5 mEq/L, the initial dose is 25 mg daily.
Limits and monitoring
Check potassium within one week of starting or titrating and regularly thereafter. Verify baseline potassium, volume status and interacting drugs.

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

DailyMed SPL version 25, effective 2025-11-28; posted Dec 01, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Tadalafil (Alyq), adult oral tablets for pulmonary arterial hypertension

Renal measure
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Renal action or finding
At CrCl 31-80 mL/min, start at 20 mg once daily and consider 40 mg once daily if tolerated. Avoid use in severe impairment or on hemodialysis.
Limits and monitoring
The renal table lists moderate impairment as 31-50 and severe as below 30. At exactly 30, verify the intended band with the prescribing team.

The cited PAH table does not assign exactly 30 mL/min to either adjacent band. Keep this boundary open and verify with the prescribing team.

DailyMed SPL version 6, effective 2023-04-01; posted Aug 20, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Tadalafil (Cialis), adult oral tablets for as-needed erectile dysfunction

Renal measure
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Renal action or finding
For as-needed ED at CrCl 30-50 mL/min, start with 5 mg up to once daily; 10 mg is limited to once every 48 hours. Below 30 or on HD, do not exceed 5 mg every 72 hours.
Limits and monitoring
Select the intended schedule and indication first. Once-daily ED/BPH and pulmonary hypertension have different instructions.

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

DailyMed SPL version 52, effective 2026-06-03; posted Jun 10, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Telmisartan/hydrochlorothiazide (Micardis HCT), adult oral tablets

Renal measure
Creatinine clearance (CrCl), mL/min; use the product-specific calculation
Renal action or finding
No renal adjustment for the labeled mild or moderate groups, CrCl 30-90 mL/min. In severe impairment, use is not recommended.
Limits and monitoring
Check renal function, volume and electrolytes. Review concomitant renin-angiotensin system inhibitors.

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

DailyMed SPL version 26, effective 2024-12-31; posted Mar 27, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Tirofiban (Aggrastat), adult IV treatment of non-ST-elevation acute coronary syndrome

Renal measure
Cockcroft-Gault CrCl using actual body weight, mL/min
Renal action or finding
At CrCl <=60 mL/min, give 25 mcg/kg IV within 5 minutes, then 0.075 mcg/kg/min for up to 18 hours.
Limits and monitoring
Calculate Cockcroft-Gault with actual body weight. The renal reduction affects the infusion; confirm concentration and monitor bleeding and platelets.

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

DailyMed SPL version 3, effective 2025-01-01; posted Dec 26, 2024 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Tirzepatide (Mounjaro), adult subcutaneous injection for type 2 diabetes

Renal measure
Clinical renal category or population named in the cited section
Renal action or finding
No renal dose adjustment is recommended; studied exposure included patients with ESRD.
Limits and monitoring
During initiation or escalation, check renal function if significant GI adverse effects cause or could cause volume depletion. Confirm the prescribed brand.

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

DailyMed SPL version 40, effective 2026-08-27; posted Sep 02, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

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