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Adult Pediatric All

Adjustment of Dose & Administration

Indication-Specific Adjustment

  • Uncomplicated UTI in women 18 years and older:
    • Single 3 g dose  with or without food 
  • Complicated UTI (unlabeled): Males: Oral:
    • 3 g every 2-3 days for 3 doses 
  • Prostatitis (unlabeled): Males: Oral:
    • 3 g every 3 days for a total of 21 days

Renal Adjustment

No dosage adjustment provided in manufacturer’s labeling 

In 5 anuric patients undergoing hemodialysis, the t1/2 of fosfomycin during hemodialysis was 40 hours. In patients with varying degrees of renal impairment (creatinine clearances varying from 54 mL/min to 7 mL/min), the t1/2 of fosfomycin increased from 11 hours to 50 hours. The percent of fosfomycin recovered in urine decreased from 32% to 11% indicating that renal impairment significantly decreased the excretion of fosfomycin.

Drug-Specific Information

Pour sachet contents into 3 to 4 ounces of water and stir; do not use hot water 

Administer immediately after dissolving in water

Restricted Use

Use of fosfomycin is restricted to ID telephone approval.

General Notes

  1. Up-to-date cost information, click here 
  2. IV antimicrobials outpatient (OPAT) dosing, click here
  3. Obesity dosing weight recommendations here
  4. Helpful drug-drug interaction check website here 
  5. When dosing guidance is provided it is important to note the following:

Fixed (ie non weight-based) doses in adults are historically based on a 70 kg patient. Specific disease states or individual patients may warrant dosages that differ from the above recommendations. Since product-specific criteria for dose adjustment based on creatinine clearance exist, consult product information regarding specific recommendations for dosage adjustment based on estimated creatinine clearance.