Ribavirin

Dosing: Adult Antimicrobial Dosing, Non-dialysis

Indication CrCl ≥50 mL/min 30-49 mL/min 10-29 mL/min <10 mL/min

Respiratory Syncytial Virus (RSV)

Use total body weight for dosing

40-49 kg = 400 mg PO q12h

50-59 kg = 400 mg PO qAM PLUS 600 mg PO qPM

60-69 kg = 600 mg PO q12h

70-79 kg = 600 mg PO qAM PLUS 800 mg PO qPM

80-89 kg = 800 mg PO q12h

90 kg or greater = 600 mg PO q8h

40-59 kg = 200 mg PO q12h

60 kg or greater = 200 mg PO q8h

200 mg PO daily 200 mg PO daily (consider contacting ID/ASP pharmacist)
Hepatitis C Dosing is highly individualized. Refer to www.hcvguidelines.org for detailed information on appropriate indications for ribavirin in the treatment of hepatitis C infection.

Dosing: Antimicrobial Dosing in Intermittent & Continuous Hemodialysis

Indication

Intermittent Hemodialysis

Continuous Hemodialysis

Respiratory Syncytial Virus (RSV)

Use total body weight for dosing

200 mg PO daily (give daily - on days of hemodialysis, give dose afterwards)

40-59 kg = 200 mg PO q12h

60 kg or greater = 200 mg PO q8h

Hepatitis C

Dosing is highly individualized. Refer to www.hcvguidelines.org for detailed information on appropriate indications for ribavirin in the treatment of hepatitis C infection.

Dialysis Notes

Intermittent HD assumes high-flux hemodialysis. CRRT assumes CVVHD with ultrafiltration rate 2L/h and residual native GFR < 10 mL/min.  For detailed view of dialysis dosing and evidence, see Dosing in Hemodialysis document.

For treatment of respiratory syncytial virus (RSV) in adult patients at UCSF, refer to the RSV Treatment Guideline.

References: