MF Platelet count >200,000/mm3 20 mg bd,
100,000-200,000/mm3 15 mg bd,
75,000 to <100,000/m2 10 mg bd,
50,000 to <750,000/mm3 5 mg bd.
Severe renal impairment (CrCl <30 mL/min) Reduce dose by approx 50%.
Patient on dialysis Initially single dose of 15 mg or 20 mg based on platelet count w/ subsequent single doses only after each dialysis session.
PV 10 mg bd.
Severe renal impairment (CrCl <30 mL/min) 5 mg bd.
Patient w/ ESRD on hemodialysis Single dose of 10 mg or 2 doses of 5 mg given 12 hr apart to be administered post-dialysis & only on hemodialysis day.
MF & PV Hepatic impairment Reduce dose by approx 50% bd.
Acute GvHD 5-10 mg bd.
Chronic GvHD 10 mg bd.
Acute & chronic GvHD Severe renal impairment 5 mg bd.
ESRD on dialysis 10 mg once after dialysis.