Saturday, November 15, 2014

Dietary and pharmacologic management to prevent recurrent nephrolithiasis in adults: a clinical practice guideline from the american college of physicians.

To help prevent recurrent nephrolitiasis, the American College of Physicians recommends: a) increased fluid intake throughout the day to achieve at least 2 L of urine per day; and b) if increased fluid intake fails, monotherapy with a thiazide diuretic, citrate, or allopurinol is recommended in patients with active disease. Both of these recommendations from the ACP are graded as "weak."  (Ann Intern Med. 2014 Nov 4;161(9):659-67)
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