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. 2020 Dec 11;43(2):254–262. doi: 10.1590/2175-8239-JBN-2020-0105

Table 2. Dose recommendations and possible adjust of the drugs used to treat covid-19.

Drugs Recommended doses12 , 13 , 14 , 15 , 16 , 17 , 40 Dose adjustment (GFR mL/min)15 , 16 , 18 Dialysis15 , 16 , 18
50-31 30-10 < 10 APD/CAPD HD HDF/AF CAV/VVHD
Chloroquine Day 1: 450 mg bid PO
Days 2 to 5: 450 mg once per day PO
Usual dose Usual dose 50% of the dose ND ND NR ND
Hydroxychloroquine Day 1: 400 mg bid PO
Days 2 to 5: 400 mg once per day PO
Usual dose 50% of the dose 50% of the dose ND ND NR NR
Azithromycin 500 mg once per day PO for 5 days No adjustment ND NR NR NR
Nitazoxanide 600 mg bid PO for 5 days No adjustment NR NR NR NR
Ivermectin 200 mcg/kg single dose, can be repeated on day 7 No adjustment NR NR NR NR
Dexamethasone 6 mg once per day PO or IV for 10 days No adjustment ND ND NR I
Methylprednisolone 1-2 mg/kg once per day IV for 5-7 days No adjustment D
(dose usual)
D
(dose usual)
D
(dose usual)
D
(dose usual)
Tocilizumab 8 mg/kg (maximum of 800 mg) IV single dose, can be repeated 1-2 times if there is no clinical improvement within 24 hours No adjustment NR NR NR NR
Unfractionated heparin 10.000-15.000 U once per day No adjustment ND ND ND ND
Enoxaparin P: 40 mg once per day* SQ
T: 0,5-1 mg/kg bid SQ
Usual dose P: 20-30 mg/day
T: 0,5-1mg/kg/day
P: 20-30 mg/day
T: 0,5-1mg/kg/day
ND ND D
(dose GFR < 30)
ND
Lopinavir/
Ritonavir
400 mg/100 mg once per day PO for 10-14 days No adjustment L: I
R: ND
L: I
R: ND
L: I
R: ND
L: NR
R: I
Oseltamivir 75 mg bid PO for 5 days 30 mg bid 30 mg/day 30 mg single dose D
(30 mg)
D
(30 mg)
D** D (30 mg)
Favipiravir Day 1: 1600 mg bid PO
Days 2 to 7 to 14: 600 mg bid PO
No adjustment NR NR NR NR
Remdesivir Day 1: 200 mg once per day IV
Days 2 to 5 or 10: 100 mg once per day IV
Usual dose Not recommended Not recommended NR NR NR NR

Legends: APD/CAPD (automated peritoneal dialysis/continuous ambulatory peritoneal dialysis); bid (twice a day); CAV/VVHD (continuous arteriovenous hemofiltration/veno-venous hemofiltration); D (dialyzed); GFR (glomerular filtration rate); HD (intermittent hemodialysis); HDF/AF (intermittent hemodialysis/high flow); PO (oral administration); I (improbable); IV (intravenous administration); L (lopinavir); ND (not dialyzed); NR (not reported); P (prophylaxis); R (ritonavir); SQ (subcutaneous administration); T (treatment).

*

Body Mass Index (BMI) ≥ 40 kg/m2: increase the dose in about 30%; or 0.5 mg/kg/day using current weight for the calculation.

**

Flow Rate 1-1.8 L/hr: 30 mg/day, flow rate 1.9-3.6 L/hr: 30 mg bid, flow rate > 3.6 L/hr: 75 mg bid.