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Adult Pediatric All

Adjustment of Dose & Administration

Indication-Specific Adjustment

  • Treatment-naïve or treatment-experienced INSTI-naïve: 50 mg PO once daily 
  • Treatment-naïve/experienced INSTI-naïve when coadministered with UGT1A/CYP3A inducers (efavirenz, fosamprenavir/ritonavir, tipranavir/ritonavir, or rifampin): 50 mg PO twice daily
  • INSTI-experienced with certain INSTI-associated resistance substitutions or clinically suspected INSTI resistance: 50 mg PO twice daily

Renal Adjustment

No dose adjustments necessary; use caution in severe renal dysfunction for INSTI-experienced patients 

Hepatic Adjustment

Use not recommended in patients with Child-Pugh C – have not been studied in this population

Drug-Specific Information

Dolutegravir is an integrase inhibitor (INSTI)

Restricted Use

ID consult is required for all HIV-positive inpatients receiving highly-active antiretroviral therapy (HAART). HAART medications may be dispensed prior to consult. 

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.