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

Restriction or avoidance

Olanzapine and samidorphan l-malate (Lybalvi), oral tablet

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
No renal reduction is specified at eGFR 15-89 mL/min/1.73 m2. Use is not recommended below 15.
Limits and monitoring
This applies to the olanzapine/samidorphan combination. Review opioid-related contraindications separately.

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

DailyMed SPL version 16, posted Feb 16, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Olmesartan medoxomil-hydrochlorothiazide (Benicar HCT), oral tablet

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
The combination's renal section retains usual doses in mild and moderate impairment. Its moderate band starts at CrCl 30, while its severe evidence-gap statement includes 30.
Limits and monitoring
At exactly 30 mL/min, verify the intended regimen before use. Assess volume status and electrolytes.

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

DailyMed SPL version 1, posted Apr 02, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Omeprazole magnesium (Prilosec), oral delayed-release granules

Renal measure
CrCl normalized to 1.73 m2, mL/min/1.73 m2
Renal action or finding
Omeprazole disposition in chronic impairment with CrCl 10-62 mL/min/1.73 m2 was similar to controls, with slightly higher bioavailability.
Limits and monitoring
Confirm the prescribed delayed-release formulation. No dialysis regimen follows from this study.

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

DailyMed SPL version 8, posted Mar 19, 2024 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Osimertinib (Tagrisso), oral tablet

Renal measure
Cockcroft-Gault CrCl, mL/min
Renal action or finding
Use the usual osimertinib dose at Cockcroft-Gault CrCl 15-89 mL/min. Below 15 mL/min no dose has been established.
Limits and monitoring
Confirm the renal estimate and consult the product label for the regimen and toxicity changes.

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

DailyMed SPL version 37, posted Sep 25, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Oxcarbazepine (Trileptal), oral tablet

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
For adult CrCl below 30 mL/min, start immediate-release oxcarbazepine at 300 mg per day in two divided doses. Titrate slowly to response.
Limits and monitoring
This is half the usual adult starting dose. Confirm the preparation and monitor tolerability and serum sodium when indicated.

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

DailyMed SPL version 40, posted Oct 30, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Oxycodone hydrochloride (Oxycontin), oral extended-release tablet

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
At CrCl below 60 mL/min, oxycodone plasma concentrations were about 50% higher than in patients with normal function.
Limits and monitoring
Use conservative initiation and titration with monitoring for sedation and respiratory depression. Verify the extended-release tablet.

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

DailyMed SPL version 44, posted Jun 26, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Panitumumab (Vectibix), IV solution

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
The product's pharmacokinetic analysis found no clinically significant effect at CrCl 30-89 mL/min.
Limits and monitoring
The result does not establish a dose or timing for dialysis.

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

DailyMed SPL version 161, posted Jun 26, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Pantoprazole sodium (Protonix), oral delayed-release tablets

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
Severe renal impairment had little effect on measured pantoprazole pharmacokinetics compared with controls.
Limits and monitoring
The cited label concerns the oral product. Verify route and indication.

Verify the current prescribing information for this presentation.

DailyMed SPL version 1, posted Jun 22, 2011 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

PEG 3350 and electrolytes (Suflave), oral bowel preparation

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Bowel preparation in renal impairment warrants caution. Maintain adequate hydration and consider checking electrolytes, creatinine and BUN before and after the preparation.
Limits and monitoring
Review diuretics, renin-angiotensin system inhibitors and NSAIDs as potential contributors to renal risk.

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

DailyMed SPL version 2, posted Oct 12, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Pertuzumab (Perjeta), IV injection

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
Use the usual pertuzumab dose at CrCl 30-90 mL/min. Data are inadequate to recommend a regimen below 30 mL/min.
Limits and monitoring
Verify that the order is for the intravenous pertuzumab product.

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

DailyMed SPL version 27, posted May 04, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Polatuzumab vedotin (Polivy), IV injection

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
The product's pharmacokinetic analysis found no clinically significant effect at CrCl 30-89 mL/min.
Limits and monitoring
The result does not establish a dose or timing for dialysis.

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

DailyMed SPL version 15, posted Aug 28, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Posaconazole (Noxafil), IV injection only

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
Avoid IV posaconazole when eGFR is below 50 mL/min/1.73 m2 unless the anticipated benefit outweighs the risk of vehicle accumulation. Follow serum creatinine closely.
Limits and monitoring
Oral products have different formulation-specific instructions. If creatinine rises, assess switching to an appropriate oral formulation.

Vehicle accumulation is specific to the IV formulation. Do not apply this threshold to oral products.

DailyMed SPL version 56, posted Mar 06, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

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