By vgreene, 11 July, 2024 If RTA and HPT excluded reduce urinary Ca w HCTZ 25 mg initially up to 50 mg day
By vgreene, 11 July, 2024 If RTA urine pH 5 4 after ammonium chloride loading test correct w alkaline citrate 3 10 g day or bicarb 1 5 g tid Strong treat hypercalciuria w HCTZ Strong
By vgreene, 11 July, 2024 If hypercalciuria 8 mmol 24h give HCTZ 25 mg initially up to 50 mg day Strong 1 3 Advise pts on HCTZ to get their skin checked on a regular basis as they have a higher risk of NMSC and some forms of melanoma Caution in pts w hx skin cancer
By vgreene, 11 July, 2024 Base tx on results of stone type and 24 hr urine test underlying causes per AUA EUA1 3
By vgreene, 11 July, 2024 Offer meds only if increased fluids fail and stones are recurrent per ACP 2 Offer mono tx w thiazide citrate or allopurinol WR M 2
