Adult

Baloxavir

Warning

General Information

Cap-dependent endonuclease inhibitor

Restricted formulary antimicrobial: For details see OUH netFormulary  Note formulary age restriction of 12 years – 64 years.

For all information regarding contra-indications, interactions, contraception, pregnancy and breastfeeding and additional information, see BNF and Summary of Product Characteristics (SPC).

Standard dose

Patient body weight

Oral baloxavir marboxil dose

80kg or more

80mg po single dose

20kg upto 80kg

40mg po single dose

Renal and hepatic impairment

Renal impairment

  • No dose adjustment required.

Hepatic impairment

  • Mild or moderate hepatic impairment (Child-Pugh class A or B): No dose adjustment is required.
  • Severe hepatic impairment (Child-Pugh class C): Safety and efficacy have not been established in this patient group.

References

  1. UKHSA (2026) Guidance on use of antiviral agents for the treatment and prophylaxis of seasonal influenza. Accessed 26/10/26. LINK 
  2. Roche Products Limited. Xofluza 40 mg film coated tablets summary of product characteristics. Electronic medicines compendium. Last revision of the text 29/12/25. Accessed via www.medicines.org.uk Accessed 26/10/26.
  3. British National Formulary. Baloxavir marboxil. BNF online accessed via www.medicinescomplete.com  Accessed 26/10/26.
  4. The Renal Drug Database. Baloxavir marboxil. Last updated 31/10/23. Accessed via https://renaldrugdatabase.com Accessed 26/10/26.

Editorial Information

Last reviewed: 26 Oct 2026

Next review date: 29 Oct 2029

Author(s): AMST.

Approved By: ASG