Duke University Hospital Duke Raleigh Hospital Duke Regional Hospital

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Adult Pediatric All

Usual Dose & Administration

Usual Adult Dose

1 g q8h

Adjustment of Dose & Administration

Indication-Specific Adjustment

Indication                                                                          CrCl (mL/min)
>50 30-50 10-29 <10, IHD
Genital Herpes 500-1000mg q12h 500-1000mg q12h 500-1000mg q24h 500mg q24h
Herpes Zoster 1g q8h 1g q12h 1g q24h 500mg q24h
Herpes labialis (cold sores) 2g every 12 hours for 2 doses starting at the first sign or symptom of lesions 1g q12h for 2 doses 500mg q12 for 2 doses 500mg as a single dose

 

Cost Index

$$ (11-20)

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.