Ganciclovir
Renal

Renal

CMV Treatment

CrCl greater than or equal to 70 mL/min

No renal adjustment required

CrCl 50 - 69 mL/min

2.5 mg/kg IV q12h

CrCl 25 - 49 mL/min

2.5 mg/kg IV q24h

CrCl 10 - 24 mL/min

1.25 mg/kg IV q24h

CrCl less than 10 mL/min

1.25 mg/kg IV 3 x /week

CMV Prophylaxis/Maintenance

CrCl greater than or equal to 70 mL/min

No renal adjustment required

CrCl 50 - 69 mL/min

2.5 mg/kg IV q24h

CrCl 25 - 49 mL/min

1.25 mg/kg IV q24h

CrCl 10 - 24 mL/min

0.625 mg/kg IV q24h

CrCl less than 10 mL/min

0.625 mg/kg IV 3 x /week

Intermittent Dialysis

CMV Treatment

1.25 mg/kg IV 3 x /week

  • Give dose after dialysis on HD days
CMV Prophylaxis/Maintenance

0.625 mg/kg IV 3 x /week

  • Give dose after dialysis on HD days

Peritoneal Dialysis

CMV Treatment

1.25 mg/kg IV 3 x /week

CMV Prophylaxis/Maintenance

0.625 mg/kg IV 3 x /week

Continuous Renal Replacement Therapy (CRRT)

CMV Treatment

2.5 mg/kg IV q24h

CMV Prophylaxis/Maintenance

1.25 mg/kg IV q24h