This renal dose adjustment tool covers 51 commonly used medications across multiple categories, helping clinicians adjust doses based on creatinine clearance.
Drug Categories Included
- Antibiotics: Vancomycin, Meropenem, Piperacillin/Tazobactam, Cefepime, Ceftazidime, Ciprofloxacin, Levofloxacin, Aminoglycosides (Gentamicin, Tobramycin, Amikacin), and more
- Antivirals: Acyclovir, Valacyclovir, Ganciclovir, Valganciclovir, Oseltamivir
- Antifungals: Fluconazole
- Anticoagulants: Enoxaparin, Dabigatran, Rivaroxaban
- Chemotherapy: Carboplatin, Cisplatin, Cyclophosphamide, Methotrexate, Etoposide, Ifosfamide, Melphalan, Oxaliplatin, Pemetrexed, Topotecan
- Other: Digoxin, Metformin, Lithium, Gabapentin, Pregabalin, and more
CrCl Stratification
- Normal: CrCl >50 mL/min
- Mild impairment: CrCl 30–50 mL/min
- Moderate impairment: CrCl 10–30 mL/min
- Severe impairment: CrCl <10 mL/min
Important: These recommendations are for educational reference. Always verify with current drug references (Lexicomp, Micromedex, UpToDate) and your institution's protocols. For drugs requiring therapeutic drug monitoring (vancomycin, aminoglycosides), pharmacist consultation is recommended.