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FDA: The use of fomepizole is recommended if ethylene glycol or methanol serum levels are above 20 mg/dl or if ingestion of methanol/ethylene glycol is suspected. In cases where ethylene glycol levels are equal to or above 50 mg/dl, or when the patient has renal failure or worsening metabolic acidosis, haemodialysis should also be considered. Haemodialysis removes fomepizole, therefore doses must be given more frequently during haemodialysis.