Internal

Page 1:

Medication Preferred Admin Time

Antibiotics
Amoxicillin After dialysis
Ampicillin At least 1 dose after dialysis
Azithromycin Not affected by dialysis
Cefazolin Post-dialysis
Ceftazidime Post-dialysis
Ceftriaxone Not affected by dialysis
Cephalexin After dialysis
Ciprofloxacin After dialysis
4 h apart from Ca/Fe (if PO)
Dapsone After dialysis
Etrapenem After dialysis
Fluconazole After dialysis
Gentamicin Post-dialysis
Imipenem After dialysis
Levofloxacin After dialysis
4 h apart from Ca/Fe (if PO)
Meropenem After dialysis
Metronidazole At least 2 dose after dialysis
Nystatin Not affected by dialysis
Best if on empty stomach
Piperacillin-tazobactam At least 1 dose after dialysis
Vancomycin During last hour of dialysis
Antihypertensives
**Antihypertensives should be given AFTER dialysis or at least 6 HOURS before dialysis start time**
Amlodipine Not affected by dialysis
Atenolol After dialysis
Bisoprolol Not affected by dialysis
Candesartan Not affected by dialysis
Diltazem extended Not affected by dialysis
release
Irbesartan Not affected by dialysis
Losartan Not affected by dialysis
Metoprolol At least 1 dose after dialysis
Ramipril After dialysis
Terazosin Not affected by dialysis
Analgesics
**PRN analgesics may be given based on symptoms regardless of dialysis**
Acetaminophen At least 1 dose after dialysis
Gabapentin After dialysis
Medication Preferred Admin Time
Hydromorphone long acting At least 1 dose after dialysis
Oxycodone long acting At least 1 dose after dialysis
Internal

Transplant Drugs
Anti-thymocyte globulin Not affected by dialysis
Basiliximab Not affected by dialysis
Methylprednisolone After dialysis
Mycophenolate Not affected by dialysis
Prednisone Not affected by dialysis
Tacromlimus Not affected by dialysis
Trimethoprim/sulfamethoxazole After dialysis
Valganciclovir After dialysis, take with food
Other
Allopurinol After dialysis
ASA Enteric Coated Not affected by dialysis
Atorvastatin Not affected by dialysis
Calcitriol Not affected by dialysis
Calcium carbonate Not affected by dialysis
Clopidogrel Not affected by dialysis
Darbepoietin alfa IV – during dialysis
SC- not affected during dialysis
Docusate sodium Not affected by dialysis
Epoetin alfa IV – during dialysis
SC- not affected during dialysis
Ferrous fumarate Not affected by dialysis
Insulin, all types Not affected by dialysis
Iron sucrose During dialysis
Levothyroxine Not affected by dialysis
Lorazepam Not affected by dialysis
Midodrine ½ hour before dialysis
Pantoprazole Not affected by dialysis
Phenytoin After dialysis
Rosuvastatin Not affected by dialysis
Sevelamer Not affected by dialysis, take with meals
Vitamin B & C (Replavite®) After dialysis
Warfarin Not affected by dialysis
Page 2: