Glucarpidase Dose and Leucovorin Spacing (Voraxaze Label)

Glucarpidase dose, vials and leucovorin spacing, as the VORAXAZE label states them.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Weight
70 kg
Plasma methotrexate
12 µmol/L
Delayed methotrexate clearance from impaired renal function
Yes
Planned glucarpidase time
2026-10-12T12:00
Last leucovorin dose
2026-10-12T09:00
Next leucovorin dose
2026-10-12T15:00

Result: Glucarpidase 3,500 Units (50 Units/kg), from 4 × 1,000-Unit vials.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Weight
  • Plasma methotrexate
  • Delayed methotrexate clearance from impaired renal function
  • Planned glucarpidase time (YYYY-MM-DDTHH:MM, optional)
  • Last leucovorin dose (YYYY-MM-DDTHH:MM, optional)
  • Next leucovorin dose (YYYY-MM-DDTHH:MM, optional)
How this is calculated

Citation

FDA label on DailyMed: VORAXAZE (glucarpidase), sections 1, 2.1 (50 Units/kg), 2.2 (leucovorin at least 2 hours before or after; 48-hour and 3-day rules), 2.3 and 3 (1,000-Unit vial) and 5.2 (assay interference). Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.