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

Renal updates by clinical finding

Search 237 product updates 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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No adjustment within stated limits

Granisetron (Sancuso), transdermal patch

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Renal impairment does not require a dose change for the granisetron patch.
Limits and monitoring
Use the transdermal application and timing instructions.

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

DailyMed SPL version 4, posted Nov 05, 2024 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Hydromorphone hydrochloride (Dilaudid), IV, IM or subcutaneous injection

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Start injectable hydromorphone at 25-50% of the usual initial dose, depending on renal impairment severity.
Limits and monitoring
Titrate cautiously and monitor sedation and respiratory status. This summary concerns the injection.

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

DailyMed SPL version 6, posted Aug 31, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Hydroxyurea (Hydrea), oral capsule

Renal measure
Measured creatinine clearance, mL/min
Renal action or finding
At measured CrCl below 60 mL/min or in ESRD, reduce the initial once-daily dose from 15 to 7.5 mg/kg. Give after hemodialysis on dialysis days.
Limits and monitoring
Monitor blood counts closely. Confirm Hydrea and its labeled indication before applying the regimen.

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

DailyMed SPL version 21, posted Jan 28, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Hydroxyurea (Siklos), oral tablets for sickle cell disease

Renal measure
Measured creatinine clearance, mL/min
Renal action or finding
Halve the usual Siklos dose when CrCl is below 60 mL/min or ESRD is present. Give the dose after hemodialysis on treatment days.
Limits and monitoring
Verify the age-specific initial dose, tablet strength and hematologic monitoring.

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

DailyMed SPL version 13, posted Jan 08, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Insufficient evidence

Icosapent ethyl (Vascepa), oral capsule

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Renal impairment has not been specifically studied for icosapent ethyl.
Limits and monitoring
The absence of renal studies provides no quantitative adjustment or dialysis schedule.

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

DailyMed SPL version 7, posted Apr 09, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Imipenem and cilastatin sodium (Primaxin I.V.), IV injection

Renal measure
Cockcroft-Gault CrCl, mL/min
Renal action or finding
Adult CrCl below 90 mL/min requires a lower imipenem/cilastatin IV regimen. Use the label's renal table and the row for the intended regimen and organism susceptibility.
Limits and monitoring
Use stable serum creatinine. The label restricts use below CrCl 15 unless hemodialysis is instituted within 48 hours. Confirm seizure risk and HD timing.

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

DailyMed SPL version 35, posted Oct 23, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Insufficient evidence

Inotuzumab ozogamicin (Besponsa), IV injection

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
The safety and efficacy of inotuzumab ozogamicin in ESRD remain unknown, whether or not the patient receives hemodialysis.
Limits and monitoring
Verify the patient's modality and oncology regimen before applying any renal recommendation.

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

DailyMed SPL version 8, posted Feb 09, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

Insulin aspart (Fiasp), injection; verify presentation and route

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Reduced kidney function can change insulin requirements. Monitor glucose more often and titrate to the measured response.
Limits and monitoring
Confirm insulin identity, concentration and delivery device. The cited renal guidance gives no fixed percentage reduction.

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

DailyMed SPL version 18, posted Jul 25, 2023 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

Insulin aspart (NovoLog), injection; verify presentation and route

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Reduced kidney function can change insulin requirements. Monitor glucose more often and titrate to the measured response.
Limits and monitoring
Confirm insulin identity, concentration and delivery device. The cited renal guidance gives no fixed percentage reduction.

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

DailyMed SPL version 34, posted Jan 22, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

Insulin detemir (Levemir), subcutaneous injection

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Reduced kidney function can change insulin requirements. Monitor glucose more often and titrate to the measured response.
Limits and monitoring
Confirm insulin identity, concentration and delivery device. The cited renal guidance gives no fixed percentage reduction.

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

DailyMed SPL version 24, posted Oct 10, 2024 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

Insulin glargine (Lantus), 100 units/mL subcutaneous injection

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Reduced kidney function can change insulin requirements. Monitor glucose more often and titrate to the measured response.
Limits and monitoring
Confirm insulin identity, concentration and delivery device. The cited renal guidance gives no fixed percentage reduction.

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

DailyMed SPL version 35, posted Jul 02, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

Insulin glargine (Toujeo), 300 units/mL subcutaneous injection

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Reduced kidney function can change insulin requirements. Monitor glucose more often and titrate to the measured response.
Limits and monitoring
Confirm insulin identity, concentration and delivery device. The cited renal guidance gives no fixed percentage reduction.

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

DailyMed SPL version 25, posted Jun 12, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

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