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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Search all 1,215 records | Source cautions

No adjustment within stated limits

Prasugrel hydrochloride (Effient), oral tablet

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
The prasugrel label specifies no renal dose reduction. ESRD experience is limited and bleeding risk in that population is increased.
Limits and monitoring
Review bleeding risk, prior stroke or TIA, age and body weight independently of renal function.

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

DailyMed SPL version 2, posted Sep 09, 2022 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Rabeprazole sodium (Aciphex), oral delayed-release tablet

Renal measure
CrCl normalized to 1.73 m2, mL/min/1.73 m2
Renal action or finding
A single oral 20 mg dose of rabeprazole produced similar pharmacokinetic findings in stable ESRD on maintenance HD and in controls.
Limits and monitoring
Single-dose data do not establish a supplemental dose or HD timing.

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

DailyMed SPL version 3, posted Jan 30, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

Raloxifene hydrochloride (Evista), oral tablet

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Use caution with raloxifene in moderate or severe renal impairment because safety and efficacy have not been established in these groups.
Limits and monitoring
The cited evidence supplies no validated dose reduction.

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

DailyMed SPL version 32, posted Sep 02, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Raltegravir (Isentress), oral tablet

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
The label does not require a renal dose change for raltegravir.
Limits and monitoring
The presentations have different dosing and substitution instructions. Verify product and strength.

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

DailyMed SPL version 71, posted Oct 15, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Ramelteon (Rozerem), oral tablet

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Ramelteon requires no renal reduction, including in severe impairment and chronic hemodialysis.
Limits and monitoring
This is the oral insomnia product. Review hepatic function and interacting medicines separately.

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

DailyMed SPL version 20, posted Apr 27, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Ramucirumab (Cyramza), IV solution

Renal measure
Cockcroft-Gault CrCl, mL/min
Renal action or finding
In the population analysis, Cockcroft-Gault CrCl 15-89 mL/min had no clinically meaningful effect on the antibody's pharmacokinetics.
Limits and monitoring
The analysis does not establish a dialysis dose. Review the product-specific toxicity precautions.

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

DailyMed SPL version 48, posted Jun 10, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Rasagiline mesylate (Azilect), oral tablet

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Mild or moderate renal impairment does not require a rasagiline dose change. Severe impairment has not been studied.
Limits and monitoring
Check interacting medications and the labeled hepatic restrictions.

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

DailyMed SPL version 26, posted Sep 02, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Rivaroxaban (Xarelto), adult oral DVT/PE treatment

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
For adult DVT/PE treatment, avoid rivaroxaban if CrCl is below 15 mL/min. At 15 to below 30, evidence is limited and bleeding warrants close evaluation.
Limits and monitoring
Use the table for the specific indication. The AF, CAD/PAD and pediatric instructions have different eligibility and dosing assumptions.

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

DailyMed SPL version 65, posted Sep 11, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Roflumilast (Daliresp), oral tablet

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Oral roflumilast requires no renal adjustment, including in the severe-impairment population studied.
Limits and monitoring
Review the product's hepatic restrictions and tolerability separately.

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

DailyMed SPL version 15, posted Dec 19, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Rosiglitazone maleate (Avandia), 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
Single-agent rosiglitazone requires no renal dose change.
Limits and monitoring
Combination tablets containing metformin have separate renal restrictions. Review fluid retention and heart failure.

Verify the current prescribing information for this presentation.

DailyMed SPL version 1, posted Feb 25, 2010 | Selected sections checked 2026-11-07. Independent clinical review pending.

Insufficient evidence

Sacituzumab govitecan (Trodelvy), IV powder

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
There are no pharmacokinetic data for sacituzumab govitecan at CrCl 15-29 mL/min or below 15 mL/min.
Limits and monitoring
Use the product's toxicity instructions. The evidence gap supplies no dialysis regimen.

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

DailyMed SPL version 20, posted Jun 29, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Selpercatinib (Retevmo), oral capsule

Renal measure
MDRD eGFR, mL/min as printed in this label
Renal action or finding
The source specifies usual selpercatinib dosing for MDRD eGFR 15-89 mL/min. An ESRD dose has not been established.
Limits and monitoring
Use the renal method and units printed in this label. Confirm the prescribed tablet or capsule.

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

DailyMed SPL version 25, posted Sep 14, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

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