Duke University Hospital Duke Raleigh Hospital Duke Regional Hospital

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Adult Pediatric All

Usual Dose & Administration

4 g IV q8h

Adjustment of Dose & Administration

Renal Adjustment

Indication

 

                                                       eGFR (mL/min/1.73m2)
>50 30-49 15-29 <15, IHD CRRT

All indications including:

Intra-abdominal

Pneumonia

UTI

4g IV q8h 2g IV q8h 2g IV q12h 1g IV q12h 2g IV q8-12h

All doses are administered over 3 hours

 

Please find optimal dosing recommendations here: https://www.customid.org/policy/duhs-adult-beta-lactam-dosing-policy 

Drug-Specific Information

Meropenem-vaborbactam is a new carbapenem/beta-lactamase inhibitor combination.  It may be used to treat KPC-producing carbapenem resistant Enterobacteriacae.

Restricted Use

ID Consult required

Cost Index

$$$$$

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.