Dosing and Administration Protocols
The recommended dosage of RETEVMO for adults and adolescents (12 years and older) is weight-based: 120 mg orally twice daily for those less than 50 kg, and 160 mg orally twice daily for those 50 kg or greater. For pediatric patients aged 2 to less than 12 years, dosing is based on body surface area (BSA), ranging from 40 mg three times daily (0.33-0.65 m²) to 160 mg twice daily (≥1.53 m²). RETEVMO can be taken with or without food, unless coadministered with a proton pump inhibitor (PPI), in which case it should be taken with food. Dose modifications are crucial when used with acid-reducing agents (PPIs, H2 antagonists, antacids) or strong/moderate CYP3A inhibitors, which generally necessitate a dose reduction. Patients with severe hepatic impairment also require a reduced RETEVMO dosage. Dose adjustments, including reductions or discontinuation, are outlined for various adverse reactions.