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. 2008 Feb 12;87(5):345–352. doi: 10.1007/s00277-008-0449-0

Table 2.

Recommended dose adjustments for patients with impaired renal functiona

Renal impairment Dose
Mild 10 mg (full dose) every 24 h
 (80 > CLcr ≥ 50 ml/min)
Moderate 5 mg every 24 h
 (30 ≤ CLcr < 50 ml/min)
Severe 5 mg every 48 h
 (CLcr < 30 ml/min, not requiring dialysis)
End-stage renal disease 5 mg three times a week after each dialysis
 (CLcr < 30 ml/min, requiring dialysis)

aRecommendations based on a pharmacokinetic study by Chen et al. [11]

CLcr creatinine clearance

Table adapted from [11] © 2007 SAGE Publications. Adapted by permission of SAGE Publications, Inc.