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

Edoxaban tosylate (Savaysa), oral tablet

Renal measure
Cockcroft-Gault CrCl, mL/min
Renal action or finding
For adult nonvalvular AF, do not use edoxaban above CrCl 95 mL/min. Give 60 mg once daily at CrCl above 50 through 95, or 30 mg once daily at 15-50 mL/min. Use below 15 is not recommended.
Limits and monitoring
The upper clearance restriction applies to AF. DVT/PE has separate eligibility, initial parenteral therapy, weight and interacting-drug criteria.

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

DailyMed SPL version 28, posted Jul 14, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Efavirenz, lamivudine and tenofovir disoproxil fumarate (SYMFI), oral tablet

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
The fixed-dose tablet is not recommended at CrCl below 50 mL/min because its components cannot be adjusted independently.
Limits and monitoring
Use individually selected components if renal adjustment is necessary. Verify all active ingredients.

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

DailyMed SPL version 6, posted Feb 12, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Elvitegravir, cobicistat, emtricitabine, and tenofovir disoproxil fumarate (Stribild), oral tablet

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
Do not initiate Stribild if estimated CrCl is below 70 mL/min. Discontinue it if estimated CrCl falls below 50 mL/min during treatment.
Limits and monitoring
The fixed tablet contains tenofovir disoproxil fumarate. Confirm the product and monitor renal function.

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

DailyMed SPL version 22, posted Feb 14, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Empagliflozin, linagliptin, metformin hydrochloride (Trijardy XR), oral extended-release tablet

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
Do not start this metformin-containing ER combination below eGFR 45 mL/min/1.73 m2. It is contraindicated below 30.
Limits and monitoring
Starting, continuing, and interruption for iodinated contrast have separate label instructions.

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

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

Restriction or avoidance

Ertugliflozin and metformin hydrochloride (Segluromet), oral tablet

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
At eGFR 45 or higher, renal impairment alone requires no dosage change. Use is not recommended from 30 to below 45. Below 30, in ESRD, or during dialysis the combination is contraindicated.
Limits and monitoring
All eGFR thresholds are in mL/min/1.73 m2. Verify both components of the prescribed tablet.

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

DailyMed SPL version 20, posted Aug 28, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Ertugliflozin and sitagliptin (Steglujan), oral tablet

Renal measure
Indexed GFR/eGFR, mL/min/1.73 m2
Renal action or finding
At eGFR 45 or higher, renal impairment alone requires no dosage change. Use is not recommended from 30 to below 45. Below 30, in ESRD, or during dialysis the combination is contraindicated.
Limits and monitoring
All eGFR thresholds are in mL/min/1.73 m2. Verify both components of the prescribed tablet.

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

DailyMed SPL version 24, posted Jun 23, 2026 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Irbesartan and hydrochlorothiazide (Avalide), oral tablet

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
The usual combination regimen can be used at CrCl above 30 mL/min. The renal section favors a loop diuretic in more severe impairment and discourages the fixed thiazide combination there.
Limits and monitoring
Evaluate volume status and renal function. Do not use single-ingredient irbesartan clearance data to dismiss the diuretic limitation.

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

DailyMed SPL version 24, posted Nov 17, 2025 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Ketorolac tromethamine (Sprix), nasal spray

Renal measure
Renal impairment categories as defined by the cited product label
Renal action or finding
Advanced renal impairment contraindicates intranasal ketorolac.
Limits and monitoring
Check volume status, total duration of ketorolac therapy and other NSAID exposure.

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

DailyMed SPL version 14, posted Dec 09, 2024 | Selected sections checked 2026-11-07. Independent clinical review pending.

Restriction or avoidance

Maraviroc (Selzentry), oral tablet

Renal measure
Creatinine clearance (CrCl), mL/min
Renal action or finding
At CrCl below 30 mL/min or in ESRD, potent CYP3A inhibitors or inducers contraindicate maraviroc. In adults without such interacting drugs, postural hypotension on 300 mg twice daily warrants reduction to 150 mg twice daily.
Limits and monitoring
Consider use in this renal population only if alternatives are unavailable. Check concomitant drugs, age and orthostatic symptoms.

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

DailyMed SPL version 26, posted Jun 24, 2026 | 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.

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.

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