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. 2020 Jul 17;63(9):345–354. doi: 10.3345/cep.2020.00913

Table 2.

Recommended dose of remdesivir based on the U.S. Food and Drug Administration formulation [45]

Weight (kg) Require invasive mechanical ventilation and/or ECMO Dosage Formulation Duration
Day Infusion bag volumeb) Infusion time (min) Rate infusion (mL/min)
3.5–40 No 5 mg/kg IV (single dose) Remdesivir for injection, 100 mg, lyophilized powder only (Reconstitute with 19 mL of Sterile Water for Injection and dilute in 0.9% saline prior to administration) Day 1 100 mL 30 3.33
60 1.67
2.5 mg/kg IV (single dose) Days 2–5a) 120 0.83
50 mL 30 1.67
3.5–40 Yes 5 mg/kg IV (single dose) Day 1 60 0.83
120 0.42
2.5 mg/kg IV (single dose) Days 2–10 25 mL 30 0.83
60 0.42
120 0.21
≥40 No 200 mg IV (single dose) Remdesivir injection (Dilute remdesivir injection concentrated solution in 0.9% saline prior to administration) or remdesivir for injection Day 1 250 mL 30 8.33
60 4.17
100 mg IV (single dose) Days 2–5a) 120 2.08
≥40 Yes 200 mg IV (single dose) Day 1 100 mL 30 3.33
60 1.67
100 mg IV (single dose) Days 2–10 120 0.83

ECMO, extracorporeal membrane oxygenation; IV, intravenous.

a)

May be extended up to 5 extra days if no clinical improvement is seen.

b)

The total volume in several options of infusion bag packages.