Valacyclovir

Dosing: Adult Antimicrobial Dosing, Non-dialysis

Indication CrCl ≥ 50 mL/min 30 - 49 mL/min 10 - 29 mL/min < 10 mL/min
Orolabial/genital HSV infection (initial episode) OR recurrent episode treatment in people with HIV 1000 mg PO q12h 1000 mg PO q12h 1000 mg PO q24h 500 mg PO q24h
Orolabial/genital HSV suppression OR recurrent episode treatment 500 mg PO q12h 500 mg PO q12h 500 mg PO q24h 500 mg PO q24h
Primary Varicella/Herpes Zoster Infection 1000 mg PO q8h 1000 mg PO q12h 1000 mg PO q24h 500 mg PO q24h
Immunocompromised Prophylaxis 500 mg PO q12h 500 mg PO q12h 500 mg PO q24h 500 mg PO q24h

Dosing: Antimicrobial Dosing in Intermittent & Continuous Hemodialysis

Indication

Intermittent Hemodialysis

Continuous Hemodialysis
HSV Infection

 

500 mg PO qPM

 

Insufficient data; contact ID pharmacy for more information

VZV Infection
Immunocompromised Prophylaxis

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.

References: