01 / Renal Function

Creatinine Clearance

Creatinine Clearance · Cockcroft-Gault Equation

CrCl = [(140 − age) × weight × (0.85 if ♀)] ÷ (72 × SCr)

Patient Information

Sex
Age
years
Weight — actual
kg
Serum Creatinine
mg/dL
Height — optional
cm

Result

Normal
mL/min
Clinical Interpretation

Formula & Clinical Notes

  • The Cockcroft-Gault equation, developed in 1976, remains the most widely used basis for FDA drug-dosing labeling.
  • Not accurate in AKI where renal function is changing rapidly; assumes a steady-state SCr.
  • In obesity (BMI ≥30 or TBW > 130% IBW), using ABW instead of actual weight is recommended.
  • In underweight patients (TBW < IBW), use TBW as-is (do not substitute IBW).
  • General dose-adjustment thresholds: CrCl <50 (adjust), <30 (reduce significantly), <15 (mostly contraindicated or dialysis-dependent).
  • This result is a clinical decision-support aid; final prescribing decisions must account for the patient’s complete clinical picture.

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