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.

Reset

Search all 1,215 records | Source cautions

Monitoring or toxicity

Mesalamine (Pentasa), oral extended-release capsules

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Mesalamine products have been associated with interstitial nephritis and renal failure. Assess renal function before treatment and periodically thereafter.
Limits and monitoring
Reassess treatment if renal function worsens. Verify the exact oral or rectal delivery system.

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

DailyMed SPL version 43, posted Oct 28, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

Mesalamine (Rowasa), rectal suspension

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Mesalamine products have been associated with interstitial nephritis and renal failure. Assess renal function before treatment and periodically thereafter.
Limits and monitoring
Reassess treatment if renal function worsens. Verify the exact oral or rectal delivery system.

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

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

Dose or interval change

Methotrexate (Otrexup), subcutaneous injection

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Renal dysfunction reduces methotrexate elimination. Monitor closely for toxicity and reduce the dose or discontinue when indicated.
Limits and monitoring
Verify the once-weekly subcutaneous autoinjector, prescribed strength and indication.

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

DailyMed SPL version 15, posted Feb 03, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Methotrexate (Rasuvo), subcutaneous injection

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Renal dysfunction reduces methotrexate elimination. Monitor closely for toxicity and reduce the dose or discontinue when indicated.
Limits and monitoring
Verify the once-weekly subcutaneous autoinjector, prescribed strength and indication.

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

DailyMed SPL version 10, posted Dec 18, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

Metolazone (Zaroxolyn), oral tablet

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

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Use metolazone cautiously in severe kidney disease. Discontinue if azotemia and oliguria worsen during treatment.
Limits and monitoring
Monitor fluid balance, potassium and other electrolytes as diuresis proceeds.

Verify the current prescribing information for this presentation.

DailyMed SPL version 3, posted Aug 08, 2016 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Mitotane (Lysodren), oral tablet

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Avoid routine mitotane use in severe renal impairment. In mild or moderate impairment, monitor mitotane concentrations more frequently.
Limits and monitoring
Titrate against measured concentrations and clinical toxicity.

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

DailyMed SPL version 18, posted Aug 06, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Modafinil (Provigil), oral tablet

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
At CrCl 20 mL/min or lower, a single-dose study found little change in parent modafinil disposition but about ninefold higher exposure to inactive modafinil acid.
Limits and monitoring
This study did not establish a dialysis schedule or a numeric dose reduction.

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

DailyMed SPL version 2, posted Dec 10, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Montelukast sodium (Singulair), oral products; select by age and indication

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
The montelukast label specifies no renal dose change.
Limits and monitoring
Choose the age- and indication-specific formulation and review the neuropsychiatric boxed warning.

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

DailyMed SPL version 5, posted Jun 25, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Mycophenolate mofetil (CellCept), oral or IV, chronic kidney graft impairment

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
In kidney transplant recipients with severe chronic graft impairment and GFR below 25 mL/min/1.73 m2, avoid doses above 1 g twice daily.
Limits and monitoring
This instruction concerns chronic graft impairment after kidney transplantation. Verify the recipient population and formulation.

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

DailyMed SPL version 51, posted Aug 10, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Netupitant/palonosetron or fosnetupitant/palonosetron (Akynzeo), oral or IV; verify formulation

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
Avoid the product in severe renal impairment with CrCl below 30 mL/min or in ESRD. Mild or moderate impairment requires no dose change.
Limits and monitoring
Verify formulation. Oral netupitant and IV fosnetupitant are different presentations.

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

DailyMed SPL version 19, posted Jun 25, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Nivolumab (Opdivo), IV injection

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
At eGFR of at least 15 mL/min/1.73 m2, kidney function had no clinically important effect on nivolumab clearance.
Limits and monitoring
This baseline pharmacokinetic finding is separate from evaluation of immune-mediated nephritis.

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

DailyMed SPL version 68, posted Aug 28, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Nivolumab and relatlimab-rmbw (Opdualag), IV injection

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
At eGFR 30-89 mL/min/1.73 m2, mild or moderate impairment had no clinically important influence on clearance of nivolumab and relatlimab.
Limits and monitoring
Review immune-mediated renal toxicity separately. The analysis gives no dialysis schedule.

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

DailyMed SPL version 3, posted Jun 22, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

RX coverage and remaining workload | Previous 90-product roundup
Top