Table 6. Dose adjustment for coadministered ribavirina based on cardiac or hemoglobin status1.
Laboratory values | Consider ribavirin dose reduction to 600 mg/day | Consider discontinuationb | |||
Hemoglobin in patients without cardiac disease | < 10 g/dL | < 8.5 g/dL | |||
Hemoglobin in patients with a history of stable cardiac disease | Decreased hemoglobin ≥ 2 g/dL in any 4-wk treatment period | < 12 g/dL despite 4 wk of dose reduction |
For complete information, refer to the ribavirin prescribing information.
After ribavirin is stopped due to laboratory or clinical reasons, an attempt can be made to restart it at 600 mg titrated to 800 mg; ribavirin should not be restarted at the higher recommended starting doses (1,000 or 1,200 mg).