Ganciclovir
Renal

Renal

Not On Dialysis: Treatment/induction dose (CrCl)

70+ mL/min

5 mg/kg IV q12h

50 - 69 mL/min

2.5 mg/kg IV q12h

25 - 49 mL/min

2.5 mg/kg IV q24h

10 - 24 mL/min

1.25 mg/kg IV q24h

0 - 10 mL/min

1.25 mg/kg IV 3 times weekly

Not On Dialysis: Prophylaxis/maintenance dose (CrCl)

70+ mL/min

5 mg/kg IV q24h

50 - 69 mL/min

2.5 mg/kg IV q24h

25 - 49 mL/min

1.25 mg/kg IV q24h

10 - 24 mL/min

0.625 mg/kg IV q24h

0 - 10 mL/min

0.625 mg/kg IV 3 times weekly

Intermittent Hemodialysis

Treatment/induction Dose: 1.25 mg/kg IV qHD - give after dialysis on dialysis days

Prophylaxis/maintenance dose: 0.625 mg/kg IV qHD - give after dialysis on dialysis days

CVVHDF

Treatment/induction Dose: 2.5 mg/kg IV q12h

Prophylaxis/maintenance dose: 2.5 mg/kg IV q24h