Revision of Ribavirin from Dec 8, 2023

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

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

References: