By vgreene, 11 July, 2024 Exclude Patient Type Detail Header No Detail Type Text Detail Text 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 If urinary pH 6 5 6 8 exclude RTA UTI If UTI treat underlying infxn 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 If RTA and HPT excluded reduce urinary Ca w HCTZ 25 mg initially up to 50 mg day Patient Type Detail Header (Long) Carbonate apatite stones
