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. 2014 May 12;49(5):466–478. doi: 10.1310/hpj4905-466

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
a

For complete information, refer to the ribavirin prescribing information.

b

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).