Not On Dialysis: PO Dosing
250mg PO Q24H (preferred)
Alternative: 250-500mg PO Q48H
250mg PO Q12H (preferred)
Alternative: 250-500mg PO Q24H
No adjustment necessary
Not On Dialysis: IV Dosing
0.75-1.5g IV Q24H
0.75-1.5g IV Q12H
No adjustment necessary
Extended infusion: 1.5g IV Q6H infused over 3 hours -or- Continuous infusion: 1.5g loading dose followed by 6g IV Q24H infused over 24 hours
Intermittent Dialysis
750-1500mg IV Q24H
250mg PO Q24H
Give dose after HD on dialysis days.
Continuous Dialysis
1.5g IV Q12H
Peritoneal Dialysis
750-1500mg IV Q24H
250mg PO Q24H