Skip to main content
. 2015 Jul;70(7):515–523. doi: 10.6061/clinics/2015(07)09

Table 2.

Antiviral drug doses recommended for prophylaxis according to the glomerular filtration rate, which is estimated based on creatinine clearance.

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