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Health · Clinical Reference · 2026

Creatinine Clearance (CrCl) Calculator

Estimate kidney function using the Cockcroft–Gault equation. Includes CKD staging, unit toggles, and clinical interpretation. Not a substitute for medical advice.

100% FreeCockcroft–GaultUnit TogglesCKD Staging
Cockcroft–Gault CrCl Calculator
Enter patient information to estimate creatinine clearance (mL/min)

Female results multiplied by 0.85

Valid range: 1–120 years

Actual body weight (not ideal)

Normal: 0.7–1.3 mg/dL (61.9–114.9 μmol/L)

Quick Examples — Click to Auto-Fill
Normal Function

Male, 50yr, 70kg, SCr 1.0 → ≈87.5 mL/min

Mild Decrease

Female, 60yr, 60kg, SCr 1.1 → ≈53.4 mL/min

Moderate CKD

Male, 72yr, 80kg, SCr 2.5 → ≈26.1 mL/min (G4)

Excellent Function

Female, 45yr, 55kg, SCr 0.8 → ≈85.5 mL/min

KDIGO CKD Staging Reference — 2024
Kidney Disease: Improving Global Outcomes classification by GFR/CrCl range
G1: NormalG2: Mild↓G3a: Mild-ModG3b: Mod-SevG4: SevereG5: Failure

CrCl / eGFR (mL/min/1.73m²) direction: left to right

StageCrCl / GFR RangeDescriptionAction
G1≥ 90 mL/minNormal or highAnnual monitoring if risk factors present
G260–89 mL/minMildly decreasedMonitor every 6–12 months
G3a45–59 mL/minMild–moderate decreaseNephrology referral, review medications
G3b30–44 mL/minModerate–severe decreaseActive nephrology management
G415–29 mL/minSeverely decreasedPrepare for renal replacement therapy
G5< 15 mL/minKidney failureDialysis or transplant evaluation
Understanding Creatinine Clearance — The Complete Guide

1What Is Creatinine Clearance?

Creatinine clearance (CrCl) tells you how efficiently your kidneys are filtering creatinine — a waste product your muscles naturally produce — from your blood every minute. Think of it as a speedometer for kidney filtration: the higher the number, the better your kidneys are working. A healthy adult produces creatinine at a steady rate, so measuring how fast the kidneys remove it gives a reliable window into overall kidney performance.

The most widely used estimation method is the Cockcroft–Gault equation, developed in 1976 and still the gold standard for drug dosing calculations worldwide. Unlike eGFR (which is body-surface-area adjusted), Cockcroft–Gault gives a raw mL/min figure that pharmacists and physicians plug directly into dosing tables for antibiotics, anticoagulants, and chemotherapy agents.

2The Cockcroft–Gault Formula — Derived

The equation accounts for four variables that predict creatinine production and excretion:

CrClmale=(140Age)×Weight (kg)72×SCr (mg/dL)\text{CrCl}_{\text{male}} = \frac{(140 - \text{Age}) \times \text{Weight (kg)}}{72 \times \text{SCr (mg/dL)}}CrClfemale=CrClmale×0.85\text{CrCl}_{\text{female}} = \text{CrCl}_{\text{male}} \times 0.85

The (140Age)(140 - \text{Age}) term captures the fact that muscle mass — and therefore creatinine production — naturally declines with age. Weight accounts for body mass (though ideal body weight is sometimes substituted in obese patients). The 0.85 female correction reflects that women typically have less muscle mass than men of the same weight, so they produce less creatinine at baseline.

Worked example: A 55-year-old male, 80 kg, SCr 1.2 mg/dL:(14055)×8072×1.2=680086.478.7 mL/min\frac{(140-55) \times 80}{72 \times 1.2} = \frac{6800}{86.4} \approx 78.7 \text{ mL/min} — consistent with mild CKD G2.

3When Clinicians Use CrCl (vs. eGFR)

Drug Dosing
Renally cleared medications — antibiotics (vancomycin, gentamicin), anticoagulants (dabigatran, apixaban), diabetes drugs (metformin)
CKD Staging
Tracking progression of chronic kidney disease across KDIGO G1–G5 stages over months to years
Nephrotoxicity Monitoring
Baseline + follow-up during contrast procedures, NSAIDs, or chemotherapy known to stress the kidneys
Pre-op Assessment
Evaluating renal reserve before major surgery where fluid shifts and anesthesia may temporarily reduce GFR

4Limitations and Common Pitfalls

  • Acute kidney injury: SCr takes 24–48 hours to rise after injury. An "normal" SCr in an AKI patient gives a falsely high CrCl.
  • Extreme body weight: For obese patients (BMI > 30), using ideal body weight (IBW) or adjusted body weight (AdjBW) often gives a more accurate estimate.
  • Muscle wasting: Athletes may have higher CrCl than average; cachectic patients and amputees produce less creatinine and may have falsely normal CrCl despite impaired kidneys.
  • Elderly patients (>80 yrs): Muscle mass declines dramatically, so SCr stays "normal" even with severely reduced GFR. Always consider the age factor.
  • Pregnancy: GFR increases by 40–60% during pregnancy. Normal CrCl thresholds don't apply — consult obstetric nephrology guidelines.

Medical Disclaimer

This tool is for educational purposes only. It does not constitute medical advice. Creatinine clearance estimates have inherent limitations and should always be interpreted by a qualified healthcare professional in the context of the full clinical picture.

Frequently Asked Questions

Creatinine clearance measures how well your kidneys filter creatinine — a muscle waste product — from your blood. Expressed in mL/min, it estimates glomerular filtration rate (GFR). Normal values are 97–137 mL/min for adult males and 88–128 mL/min for adult females. Values below 60 mL/min suggest chronic kidney disease (CKD Stage G3+).
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Creatinine Clearance (CrCl) Calculator 2026 - Cockcroft-Gault Equation Tool | MathIsimple