Podcast #66: Medications for Kidney Stones

Run Time: 4 minutesblausen_0595_kidneystones

Author: Dr. Jared Scott

Educational Pearls:

  • NSAIDS should be prescribed for all patients with kidney stones. This helps to reduce the hyperactivity of your ureter.
  • Narcotics work well for treating kidney stone pain. This should be accompanied by NSAIDS for best results.
  • Using diuretics or fluid therapy do not significantly treat kidney stones.
  • Alpha-blockers, despite currently being used to treat kidney stones, have been shown to have no efficacy or limited efficacy for stones greater than 5 mm.

Link to Podcast:  http://medicalminute.madewithopinion.com/meds-for-kidney-stones/

References:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3313741/

http://www.cochrane.org/CD006027/RENAL_nonsteroidal-anti-inflammatory-drugs-are-effective-treatment-for-acute-renal-colic

http://www.cochrane.org/CD004292/RENAL_increased-water-intake-may-help-reduce-the-risk-of-recurrence-of-kidney-stones-but-more-studies-are-needed

http://www.cochrane.org/CD008509/RENAL_alpha-blockers-as-medical-expulsive-therapy-for-ureteral-stones

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