TABLE 4

Anti-influenza outpatient treatments

TreatmentsWhoWhenHowClinical considerations
Influenza treatment: oseltamivirAdults and children from birthAs soon as possible; ideally begin within 2 days of symptom onsetTaken at home orallyFor persons at high risk ofcomplications,a initiate as soon as possible, even if > 2 days since symptom onset
Renal dosing if creatinine clearance is < 60 mL/min
Influenza prevention after exposureb: oseltamivirAdults and children from 3 months of age at very high risk for influenza complicationsaStart as soon as possible after exposureTaken at home orallyProphylaxis and treatment dosing differ—refer to your institutional guideline
Renal dosing if creatinine clearance is < 60 mL/min
  • a Adults ≥ 65 years, people who are pregnant or post partum (within 2 weeks after delivery), residents of long-term care facilities, non-Hispanic Black persons, Hispanic or Latino persons, American Indians and Alaska natives, persons with body mass index ≥ 40 kg/m2, and individuals with certain chronic medical conditions (eg, pulmonary, cardiovascular, endocrine [eg, diabetes mellitus], renal, hepatic, hematologic, metabolic, neurologic, human immunodeficiency virus, malignancy), or those receiving immunosuppressive medications.

  • b Contact within the past 48 hours with a confirmed or suspected case.

  • Information from reference 22.