Here are a range of resources that local pharmacists, paediatricians and nurses may find of use.  



The best resource for dosing in children with impaired renal function is to base doses on a combination of the proportional dose reduction from the Renal Drug Handbook on children's doses found in BNFc.  The Renal Drug Handbook should be available in most hospital pharmacies.  

Practical information on specific renal drugs

  1. Aranesp (information on dosing and conversion from erythropoietin)
  2. Calcium carbonate dispersible tablets. 
  3. Calcium carbonate suspension How to obtain this if local supply difficult.
  4. Citrate conversion chart
  5. Cyclophosphamide Dosing/preparation/supply for use in nephrotic syndrome.  
  6. Sevelamer carbonate sachets 

 

High risk drug monographs for patients with renal impairment from Nottingham Children's Hospital

The full list of high-risk monographs is on the guidelines page of the NUH website.  Link to individual monographs directly below:

  1. Morphine
  2. Gentamicin
  3. Vancomycin
  4. Sodium bicarbonate
  5. Intravenous potassium
  6. Intraperitoneal potassium
  7. Urokinase
  8. Rituximab
  9. Methylprednisolone
  10. Intravenous immunoglobulin
  11. Tazocin 
  12. Alteplase line lock dialysis lines
  13. Cyclophosphamide
  14. Enoxaparin

 If you have other suggestions for high risk drug monographs that you would like to see here please email This email address is being protected from spambots. You need JavaScript enabled to view it. or This email address is being protected from spambots. You need JavaScript enabled to view it.

Useful links

  • Medicines for children.  Information leaflets for patients on a wide range of drugs
  • MHRA.  Information on the regulation of children's medicines.
  • British National Formulary.  Via Medicines Complete (available only from NHS computers and registration required)