Contents
Beyond Diet: Medications That Can Help Prevent Kidney Stones
Published: Dec 17, 2023
While dietary changes are the first line of defense against kidney stones, some people may need additional help. Let's explore the medications that can reduce your risk of recurring stones.
Thiazide Diuretics: Calcium Controllers
Thiazide diuretics like chlorthalidone or indapamide are often prescribed for people with high urinary calcium levels. These medications work by increasing calcium reabsorption in the kidneys, reducing the amount that ends up in urine. It's like installing a calcium recycling system in your body. Studies show thiazides can cut stone recurrence rates by up to 50%.
Potassium Citrate: The Stone Inhibitor
For those with low urinary citrate levels, potassium citrate supplements can be a game-changer. Citrate is a natural inhibitor of stone formation, forming soluble complexes with calcium. Taking potassium citrate is like adding anti-freeze to your urinary system, making it harder for stones to form and grow.
Allopurinol: Tackling Uric Acid
If high uric acid levels are contributing to your stone formation, allopurinol might be prescribed. This medication reduces uric acid production in the body. Think of it as turning down the faucet on one of the key ingredients in certain types of kidney stones.
Frequently Asked Questions
Yes, discuss potential side effects with your doctor.
Often long-term, but it depends on your individual case.
Never stop without consulting your doctor first.
A Tailored Approach
The right medication, combined with lifestyle changes, can significantly reduce your risk of recurring kidney stones.
References
- Fink HA, et al. Medical management to prevent recurrent nephrolithiasis in adults: a systematic review for an American College of Physicians Clinical Guideline. Ann Intern Med 2013; 158:535.
- Qaseem A, et al. Dietary and pharmacologic management to prevent recurrent nephrolithiasis in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med 2014; 161:659.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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