MedMaths medical maths calculatorsMedMaths
Browse
  1. Home
  2. /Calculators
  3. /Creatinine Clearance

Creatinine Clearance Calculator — Cockcroft-Gault CrCl

Renal function

Calculate Cockcroft-Gault creatinine clearance

Enter adult age, serum creatinine, and either a protocol-selected weight or compare actual, Devine ideal, and adjusted weight options before choosing one.

Cockcroft-Gault sex factor

Use the category specified by the relevant calculator convention, medicine reference, or local protocol.

years

Enter adult age in years, such as 70.

How will you enter the equation weight?

MedMaths can show common weight calculations, but it does not decide which method is correct for a medicine.

kg

Enter the actual, ideal, adjusted, or other kilogram weight already specified by the medicine reference or local policy.

Serum creatinine unit

Changing the unit clears the creatinine field so the same number cannot be carried into the wrong equation.

µmol/L

Enter the pathology value in µmol/L, such as 120.

Selected equation explained

How the Cockcroft-Gault equation works with µmol/L

Change the serum creatinine unit above to update the denominator and explanation. The calculator inputs and actions stay first.

Cockcroft-Gault formula using serum creatinine in µmol/L

CrCl (mL/min) = [(140 − age) × weight (kg) × sex factor] ÷ [0.814 × SCr (µmol/L)]

In simple words

Subtract age from 140. Multiply by the selected weight in kilograms and the sex factor. Divide by 0.814 multiplied by serum creatinine in micromoles per litre.

CrCl
= estimated creatinine clearance in millilitres per minute
age
= adult age in years
weight
= the actively selected kilogram weight method required by the dosing reference
sex factor
= 1.0 for male or 0.85 for female in this equation
SCr
= serum creatinine in µmol/L

Why the equation changes with the creatinine unit

The mg/dL version uses 72 in the denominator. The µmol/L version uses 0.814 because the creatinine unit has been converted. Correctly converted values should produce closely matching estimates, apart from rounding.

Check the requested renal estimate and weight method before dosing

This calculator returns Cockcroft-Gault creatinine clearance in mL/min. It does not choose a medicine dose, decide the correct weight method, replace renal-trend review, or confirm whether CrCl rather than eGFR is required.

Adult educational calculator. Verify the requested renal-function estimate, creatinine unit, weight method, renal trend, medicine-specific guidance, and final order independently.

Cockcroft-Gault CrCl at a glance

This calculator estimates adult creatinine clearance in mL/min from age, serum creatinine, the Cockcroft-Gault sex factor, and an explicitly selected weight. It is an estimate, not a measured clearance, diagnosis, CKD stage, or medication dose.

CrCl and eGFR are different estimates

Use the renal estimate named by the current medicine label, dosing reference, pharmacist, prescriber, or local protocol. Newer eGFR methods may be appropriate for many medicines, while some sources still specify Cockcroft-Gault CrCl. Do not substitute one for the other automatically.

How is creatinine clearance calculated?

Cockcroft-Gault subtracts age from 140, multiplies by the selected weight and sex factor, then divides by a serum-creatinine denominator. The denominator changes with the creatinine unit.

Cockcroft-Gault formula using serum creatinine in µmol/L

CrCl (mL/min) = [(140 − age) × weight (kg) × sex factor] ÷ [0.814 × SCr (µmol/L)]

In simple words

Subtract age from 140. Multiply by the selected weight in kilograms and the sex factor. Divide by 0.814 multiplied by serum creatinine in micromoles per litre.

CrCl
= estimated creatinine clearance in mL/min
weight
= the kilogram weight required by the dosing reference
sex factor
= 1.0 for male or 0.85 for female in this equation
SCr
= serum creatinine in µmol/L

Cockcroft-Gault formula using serum creatinine in mg/dL

CrCl (mL/min) = [(140 − age) × weight (kg) × sex factor] ÷ [72 × SCr (mg/dL)]

In simple words

Subtract age from 140. Multiply by the selected weight in kilograms and the sex factor. Divide by 72 multiplied by serum creatinine in milligrams per decilitre.

CrCl
= estimated creatinine clearance in mL/min
weight
= the kilogram weight required by the dosing reference
sex factor
= 1.0 for male or 0.85 for female in this equation
SCr
= serum creatinine in mg/dL

The mg/dL equation uses 72 in the denominator. The equivalent µmol/L equation uses 0.814 after unit conversion. A value in µmol/L must never be entered into the mg/dL equation.

Cockcroft-Gault worked examples

Example using µmol/L

Age 70 years, weight 80 kg, male factor 1.0, serum creatinine 120 µmol/L.

Selected weight entered directly = 80 kg
CrCl (mL/min) = [(140 − age) × weight (kg) × sex factor] ÷ [0.814 × SCr (µmol/L)]
CrCl = [(140 − 70) × 80 × 1] ÷ [0.814 × 120 µmol/L]
Numerator = 5600
Denominator = 97.68
CrCl = 5600 ÷ 97.68
CrCl = 57.3301 mL/min
Exact result: 57.3301 mL/min. Displayed to one decimal place: 57.3 mL/min.

Example using mg/dL

Age 65 years, weight 70 kg, female factor 0.85, serum creatinine 1.2 mg/dL.

Selected weight entered directly = 70 kg
CrCl (mL/min) = [(140 − age) × weight (kg) × sex factor] ÷ [72 × SCr (mg/dL)]
CrCl = [(140 − 65) × 70 × 0.85] ÷ [72 × 1.2 mg/dL]
Numerator = 4462.5
Denominator = 86.4
CrCl = 4462.5 ÷ 86.4
CrCl = 51.6493 mL/min
Exact result: 51.6493 mL/min. Displayed to one decimal place: 51.6 mL/min.
How to use the calculator and compare weight methodsShowHide
  1. 1. Select the Cockcroft-Gault sex factor and enter adult age.
  2. 2. Use the weight method specified by the current medicine source. Enter that kilogram value directly, or compare actual, Devine ideal, and adjusted weight in the helper.
  3. 3. Choose the serum creatinine unit shown on the pathology result. Changing the unit clears the field to prevent accidental carry-over.
  4. 4. Calculate and record the selected weight method with the CrCl result.
  5. 5. Apply only the thresholds and actions written in the current medicine guidance.

Why the weight method matters

For the same 60-year-old male, 100 kg actual weight, 175 cm height, and SCr 100 µmol/L, the arithmetic changes when a different weight is selected. These values demonstrate the difference only; they do not decide which method is clinically correct.

Actual body weight

Weight: 100 kg

CrCl 98.3 mL/min

Devine ideal body weight

Weight: 70.46 kg

CrCl 69.3 mL/min

Adjusted body weight (0.4 factor)

Weight: 82.28 kg

CrCl 80.9 mL/min

When to pause before using the estimate

  • The renal estimate is not specified: confirm whether the medicine guidance requires Cockcroft-Gault CrCl, eGFR, BSA-adjusted eGFR, measured clearance, or another method.
  • Serum creatinine is changing or may be misleading: acute kidney injury, dialysis, pregnancy, severe frailty, low muscle mass, and body-size extremes can reduce reliability.
  • The weight method is unclear: do not let the calculator choose actual, ideal, adjusted, or another weight by default.
  • The result is close to a dose threshold: recheck units, selected weight, trend, and the exact medicine-specific source before acting.
Common mistakes to avoidShowHide
  • Entering a µmol/L creatinine value while the mg/dL equation is selected, or vice versa.
  • Using laboratory eGFR when the current medicine source specifically requires Cockcroft-Gault CrCl.
  • Allowing a calculator to choose actual, ideal, or adjusted weight without checking the dosing reference.
  • Treating one CrCl value as a diagnosis or universal dose band without reviewing renal trend and medicine-specific guidance.
Practice questions with workingShowHide
Question 1: A 70-year-old male uses a protocol-selected weight of 80 kg and has SCr 120 µmol/L. What is the estimated CrCl?

Answer: About 57.3 mL/min.

[(140 − 70) × 80 × 1] ÷ (0.814 × 120) = 5600 ÷ 97.68 = 57.3 mL/min.

Question 2: A 65-year-old female uses a protocol-selected weight of 70 kg and has SCr 1.2 mg/dL. What is the estimated CrCl?

Answer: About 51.6 mL/min.

[(140 − 65) × 70 × 0.85] ÷ (72 × 1.2) = 4462.5 ÷ 86.4 = 51.6 mL/min.

Question 3: A medicine reference specifies adjusted weight for a 60-year-old male who weighs 100 kg, is 175 cm tall, and has SCr 100 µmol/L. What estimate does the 0.4-factor helper produce?

Answer: Adjusted weight about 82.28 kg and CrCl about 80.9 mL/min.

IBW 70.46 kg; adjusted weight = 70.46 + 0.4 × (100 − 70.46) = 82.28 kg; CrCl = [(140 − 60) × 82.28] ÷ (0.814 × 100) = 80.9 mL/min.

Creatinine clearance FAQShowHide
What does a Cockcroft-Gault CrCl result mean?

It is an estimated creatinine clearance in mL/min calculated from age, selected weight, serum creatinine, and the Cockcroft-Gault sex factor.

  • The result is an estimate rather than a timed urine measurement or directly measured GFR.
  • It is not a diagnosis, CKD stage, medication dose, or universal dosing category.
  • Use it only when the current medicine label, dosing reference, pharmacist, prescriber, or local protocol requires Cockcroft-Gault CrCl.

A result of 57.3 mL/min is the calculator estimate produced from the entered values and selected weight method.

What formula does this calculator use?

It uses the adult Cockcroft-Gault equation and reports estimated creatinine clearance in mL/min.

  • Using mg/dL: CrCl = [(140 − age) × weight kg × sex factor] ÷ [72 × serum creatinine mg/dL].
  • Using µmol/L: CrCl = [(140 − age) × weight kg × sex factor] ÷ [0.814 × serum creatinine µmol/L].
  • The equation uses a factor of 1.0 for male and 0.85 for female.

70 years, 80 kg, male, SCr 120 µmol/L → about 57.3 mL/min.

Should I enter serum creatinine in µmol/L or mg/dL?

Use the unit shown on the pathology result. The calculator supports both units and changes the equation automatically.

  • Australian pathology commonly reports serum creatinine in µmol/L, while many international references use mg/dL.
  • Choosing the wrong unit can create a major calculation error.
  • For a rough check only, serum creatinine in mg/dL is approximately µmol/L divided by 88.4.

106 µmol/L is approximately 1.20 mg/dL, not 106 mg/dL.

Is Cockcroft-Gault CrCl the same as eGFR?

No. They are different estimates and should not be substituted automatically.

  • Cockcroft-Gault estimates creatinine clearance as an absolute mL/min value and includes a selected weight.
  • Laboratory eGFR is commonly reported in mL/min/1.73 m² and is calculated with a different equation.
  • Newer eGFR methods may be appropriate for many medicines, while some labels and references still specify Cockcroft-Gault CrCl. Use the method named by the current source.

If a medicine monograph specifies Cockcroft-Gault CrCl, do not replace it with the laboratory eGFR without checking the guidance.

Which weight should I use for Cockcroft-Gault?

Use the weight method required by the current medicine reference or local protocol. The calculator shows options but does not choose the clinically correct one.

  • You can enter a protocol-selected kilogram weight directly or compare actual, Devine ideal, and adjusted weight.
  • The adjusted option uses IBW + 0.4 × (actual weight − IBW); the factor and method are not universal.
  • The result records the selected method so the calculation can be checked.
Can this calculator choose a renal medication dose?

No. It calculates arithmetic only and does not select a medicine, dose, interval, threshold, or dialysis adjustment.

  • A medicine reference may use CrCl bands, but those bands and actions are product-specific.
  • The final decision may also depend on indication, renal trend, toxicity, therapeutic drug monitoring, dialysis, and clinical context.
  • Use the exact renal estimate and thresholds stated in the current medicine source.
When may Cockcroft-Gault be unreliable?

Be cautious when serum creatinine is changing rapidly or when creatinine does not reliably reflect filtration.

  • Examples include acute kidney injury, dialysis, pregnancy, severe frailty, low muscle mass, and extremes of body size.
  • A single creatinine-based estimate can lag behind rapid renal change.
  • Measured clearance, measured GFR, cystatin C, or another estimate may be needed depending on the clinical question.
Why can two CrCl calculators give different answers?

They may use different creatinine units, weight methods, rounding rules, height formulas, or automatic assumptions.

  • Actual, ideal, adjusted, and directly entered protocol weights can produce different estimates.
  • Some calculators round intermediate values while others round only the final result.
  • Compare the equation, creatinine unit, selected weight, sex factor, and rounding before comparing outputs.

Continue calculating

Related renal dosing calculators

Use these calculators when renal function connects to dosing weight, liquid dosing, tablet dosing, or body-size calculations.

Ideal Body Weight Calculator

Calculate adult clinical ideal body weight using the Devine formula in cm or feet and inches.

Open calculator

BSA Calculator

Calculate body surface area from metric or imperial height and weight using four published formulas.

Open calculator

mg/kg to mL Dose Calculator

Calculate mg/kg per-dose or per-day orders using kg or lb, divided doses, and liquid concentration.

Open calculator

Fixed-Dose Tablet Calculator

Calculate tablet quantity from a dose in mg or from a weight-based mg/kg dose.

Open calculator

Authorship and review

Transparent page ownership, review timing, and limits of use.

Written by

George Lambroglou, RN

Last reviewed

30 July 2026
Formula and educational content checked against the listed references. This calculator does not replace medicine-specific renal dosing guidance, pharmacy review, or clinical judgement.
Editorial policy Medical disclaimer Report an issue
ReferencesShowHide

Cockcroft DW, Gault MH — Prediction of creatinine clearance from serum creatinine. Original 1976 publication of the Cockcroft-Gault equation.

RCPA Manual — Creatinine clearance estimated: eGFR. Australian pathology guidance noting Cockcroft-Gault use for assisting drug-dosing decisions in renal impairment.

eviQ — Creatinine Clearance Calculator. Cockcroft-Gault formula, practice points, limitations, and oncology context.

NIDDK — Determining Drug Dosing in Adults with Chronic Kidney Disease. Guidance on matching kidney-function estimates to medicine-specific dosing information and recognising limitations of serum-creatinine equations.

BNF/NICE — Prescribing in renal impairment. Guidance on renal-function estimates for dose adjustment, including body-size extremes.

Product

  • Calculators

Legal

  • Privacy Policy
  • Terms of Service
  • Medical Disclaimer
  • Cookie Policy

Information

  • About Us
  • Contact
  • Editorial Policy

Data Protection

  • Calculator inputs processed locally
  • Not stored by us
  • Formula references included
MedMaths

© 2026 MedMaths. All rights reserved.

Contact us: medmaths.calc@gmail.com

In Australia, call Triple Zero (000) for a serious or urgent emergency. Outside Australia, use your local emergency number.

MedMaths is not a substitute for professional medical advice, diagnosis, or treatment.