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

Restriction or avoidance

Cycloserine (Seromycin), oral capsule

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Severe renal insufficiency is a labeled contraindication to cycloserine. Reduced clearance can lead to accumulation and CNS toxicity.
Limits and monitoring
When appropriate for treatment, use serum levels, kidney function and toxicity monitoring to guide dosing. Verify with the TB treatment team.

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

DailyMed SPL version 5, posted Feb 08, 2023 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

Cyclosporine (Sandimmune), nonmodified oral or IV; verify route

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Monitor kidney function closely for cyclosporine nephrotoxicity and reduce the dose when indicated.
Limits and monitoring
Confirm nonmodified Sandimmune. Modified cyclosporine has different absorption characteristics.

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

DailyMed SPL version 37, posted Jul 13, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Dabrafenib (Tafinlar), oral capsule

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
Dabrafenib pharmacokinetics showed no clinically important difference at eGFR 15-89 mL/min/1.73 m2.
Limits and monitoring
The analysis supplies no dialysis schedule. Check the regimen and combination partner.

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

DailyMed SPL version 37, posted May 21, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Insufficient evidence

Dacomitinib (Vizimpro), oral tablet

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
No dacomitinib regimen has been established for severe impairment with CrCl below 30 mL/min.
Limits and monitoring
Review the patient's function and source before selecting therapy.

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

DailyMed SPL version 9, posted Jun 25, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

Dalteparin sodium (Fragmin), subcutaneous injection

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
For extended treatment of symptomatic VTE in adults with cancer and CrCl below 30 mL/min, use anti-Xa monitoring to determine dose. Target 0.5-1.5 units/mL at 4-6 hours after dosing after 3-4 doses.
Limits and monitoring
This target is specific to the stated population and indication. Verify bleeding risk and neuraxial procedure timing separately.

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

DailyMed SPL version 27, posted Oct 02, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Dose or interval change

Daptomycin (Dapzura RT), IV injection

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
For adults at CrCl below 30 mL/min, including HD or CAPD, give the indication-specific dose every 48 hours: 4 mg/kg for complicated skin infection or 6 mg/kg for S. aureus bacteremia. Dose after HD when feasible.
Limits and monitoring
At CrCl at least 30 the usual interval is 24 hours. Monitor renal function and CPK more frequently in renal impairment.

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

DailyMed SPL version 7, posted May 21, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Daratumumab (Darzalex), IV infusion

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Renal impairment had no clinically important effect on daratumumab disposition in the cited population analysis.
Limits and monitoring
Verify the presentation. Intravenous daratumumab and the subcutaneous daratumumab/hyaluronidase combination have different administration instructions.

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

DailyMed SPL version 46, posted Sep 24, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Daratumumab/hyaluronidase-fihj (Darzalex Faspro), subcutaneous injection

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Renal impairment had no clinically important effect on daratumumab disposition in the cited population analysis.
Limits and monitoring
Verify the presentation. Intravenous daratumumab and the subcutaneous daratumumab/hyaluronidase combination have different administration instructions.

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

DailyMed SPL version 34, posted Oct 14, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

No adjustment within stated limits

Darifenacin (Enablex), oral extended-release tablet

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
Renal action or finding
The product label specifies no renal dose reduction. Studied CrCl values ranged from 10 to 136 mL/min.
Limits and monitoring
The study evaluated darifenacin clearance. It does not establish dialytic removal or replacement dosing.

Verify the current prescribing information for this presentation.

DailyMed SPL version 1, posted Aug 09, 2010 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Darunavir ethanolate and cobicistat (Prezcobix), oral tablet

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
Coadministration with tenofovir disoproxil fumarate is not recommended below estimated CrCl 70 mL/min.
Limits and monitoring
The threshold applies to the combination with tenofovir DF. Confirm the tenofovir product and monitor kidney function.

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

DailyMed SPL version 29, posted Aug 17, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Pharmacokinetics only

Dasatinib (Sprycel), oral tablet

Renal measure
Cockcroft-Gault CrCl, mL/min
Renal action or finding
In the population analysis, Cockcroft-Gault CrCl between 21.6 and 342.3 mL/min had no clinically important effect on dasatinib disposition.
Limits and monitoring
The studied range does not establish dialysis timing or supplementation.

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

DailyMed SPL version 50, posted Nov 02, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Monitoring or toxicity

Denosumab (Xgeva), subcutaneous oncology product

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
Severe renal dysfunction and dialysis increase the risk of denosumab-associated hypocalcemia. Monitor calcium and assess calcium and vitamin D intake, especially at CrCl below 30 mL/min or during dialysis.
Limits and monitoring
Verify the oncology Xgeva product and indication. Comparable exposure does not eliminate the risk of hypocalcemia.

The mirror describes exposure. The product label also identifies a clinically important hypocalcemia risk.

DailyMed SPL version 177, posted Jul 10, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

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