Fosfomycin disodium (USA)

Usage and Dosing

Không cần chỉnh liều

Renal Adjustment

Half-life bình thường 2.8
Half-life ESRD Prolonged
Liều bình thường 6 gm IV q8h
Chỉnh liều suy thận CrCl >50: No dosage adjustment
CrCl 41–50: 6 gm, then 4 gm q8h
CrCl 31–40: 6 gm, then 3 gm q8h
CrCl 21–30: 6 gm, then 5 gm q24h
CrCl 11–20: 6 gm, then 3 gm q24h
Hemodialysis Dose AD
(60–80% removed by HD)
CAPD No data
CRRT No data
SLED No data

Hepatic Adjustment

Không cần chỉnh liều

ECMO Dosing Adjustment

Effect of ECMO CS unlikely; no published PK data
Dose recommendation Standard dosing suggested
Comments, reference Ref: Crit Care 2024;28:326.

Intraperitoneal Dosing Adjustment, CAPD

Không cần chỉnh liều

Obesity Dosing Adjustment

Recommendation Insufficient data
Comments Limited data suggest ↓exposure in obesity. If MIC ≤16 µg/mL, 8 gm IV q8h appears sufficient if CrCl ≤130 mL/min, regardless of obesity status or PK/PD index employed (AAC 2022;66:e0230221; JAC 2019;74:2335).

Adverse Effects

Không cần chỉnh liều

Dược lý

Không cần chỉnh liều

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