Valganciclovir

Criteria for patient selection

For prevention of CMV disease in high risk transplant patients identified as follows:

Renal and Simultaneous kidney-pancreas transplant (SKP) - All transplant recipients except CMV –ve recipients of CMV –ve donors

Valganciclovir has replaced Ganciclovir for prevention of CMV disease.  Prescriptions will be initiated in hospital within 10 days of transplantation.  Therapy will be continued in primary care for up to a total of 180 days treatment for which a shared-care protocol will be provided.

The initial valganciclovir dose is dependent on renal function as shown in the table below:
 

Creatinine clearance (ml/min) Prophylactic dose
>60 900mg od
40 to 59 450mg od
25 to 39 450mg every 2 days
10 to 24 450mg twice weekly
<10 100mg three times weekly after dialysis

   
Valganciclovir is available as 450mg tablets (pink) or as an oral solution and the brand name is Valcyte.  The tablets should be taken with food and not broken or crushed.
   
FBC and LFTs must be monitored daily during therapy.
Leucopenia can occur with valganciclovir treatment and this is a common cause for discontinuing the drug prematurely.

Note: Surveillance for CMV post - transplant is not performed routinely in the Unit.

Investigation of any episode of illness which might be CMV related, at any stage following a transplant operation.
 


Treatment of CMV disease

Patients in whom the diagnosis of CMV disease has been made with positive CMV PCR should be treated with 2 weeks IV ganciclovir followed by oral valgangiglovir. This should be continued until two consecutive negative CMV results have been obtained.   

Dose of IV gancyclovir will depend on creatinine clearance:

Creatinine clearance (ml/min) Prophylactic dose
>70 5mg/kg every 12 hours
50 to 69 2.5mg/kg every 12 hours
25 to 49 2.5mg/kg/day
10 to 24 1.25mg/kg/day
<10 1.25mg/kg/day after haemodialysis

   
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