CKD stage CKD stage GFR1 (ml/min/1.73m2) Recommended loading dose Recommended maintenance dose Dosing interval
I I >90 25-30 mg/kg 15-20 mg/kg Q12h
II II 60-89 25-30 mg/kg 20-30 mg/kg Q24h
III IIIA 45-59 25-30 mg/kg 15-20 mg/kg Q24h
IIIB 30-44 25-30 mg/kg 10-15 mg/kg Q24h
IV IV 15-29 25-30 mg/kg 7-10 mg/kg Q24h
V V <152 25-30 mg/kg 10 mg/kg Q48h
Patients on intermittent Hemodialysis (Three-times weekly) Patients on intermittent Hemodialysis (Three-times weekly) <152 25-30 mg/kg after dialysis ends 7.5-10 mg/kg3 after dialysis ends Three-times weekly
Patients on peritoneal Hemodialysis Patients on peritoneal Hemodialysis <152 25-30 mg/kg 10 to 15 mg/kg Based on plasma concentration.
Patients on CRRT4 Patients on CRRT4 <152 25-30 mg/kg 7.5-10 mg/kg Q12h