Table 2.
Drug | Creatinine clearance | ||||
---|---|---|---|---|---|
>60 mL/min | 40–60 mL/min | 25–40 mL/min | 10–25 mL/min | <10 mL/min dialysis | |
Intravenous ganciclovir | 5 mg/kg/day | 2.5 mg/kg/day | 1.25 mg/kg/day | 1.5−1.25 mg/kg/day three times per week | 1.5−1.25 mg/kg/day after dialysis |
Oral valacyclovir* | 2 g four times per day | 2 g three times per day | 1.5 g three times per day | 1.5 g twice per day | 1.5 g/day |
Oral valganciclovir** | 900 mg/day*** | 450 mg/day | 450 mg 48/48 h | 450 mg 2 times per week | not recommended**** |
1 tablet = 500 mg
1 tablet = 450 mg
certain authors recommend 450 mg/day 2
intravenous ganciclovir is recommended
Note: valacyclovir and valganciclovir should be given with meals