Serum creatinine concentration (μmol/l) | Dose | Dose interval |
20–29 | 20 mg/kg | 8 hours |
30–39 | 20 mg/kg | 12 hours |
40–49 | 15 mg/kg | 12 hours |
50–59 | 12 mg/kg | 12 hours |
60–79 | 15 mg/kg | 18 hours |
80–100 | 15 mg/kg | 24 hours |
>100 | 15 mg/kg | check trough at 24 hours and dose according to measurements |