Dosing Notes

Obese patients are dosed according to Dosing Body Weight (DBW). Consult pharmacist or refer to "Additional Information" section for details.

Round to nearest 50 mg

Not On Dialysis: Extended Interval Dosing (CrCl)

60+ mL/min

15 mg/kg IV q24h

40 - 59 mL/min

15 mg/kg IV q36h

0 - 40 mL/min

Refer to conventional dosing

Not On Dialysis: Conventional Dosing (CrCl)

50+ mL/min

7.5 mg/kg IV q12h

20 - 49 mL/min

7.5 mg/kg IV q24h and consult pharmacist

0 - 20 mL/min

7.5 mg/kg IV once and consult pharmacist

Not On Dialysis: Synergy dosing

Not recommended. Use gentamicin.

Intermittent Hemodialysis

7.5 mg/kg IV qHD Consult pharmacist


10 mg/kg IV load, then 7.5 mg/kg IV q24-48h Consult pharmacist


7.5 mg/kg IV once and consult pharmacist