By vgreene, 29 December, 2015 If relatively high UCa++: Limit dietary Na+ ≤2,300 mg/day and consume dietary Ca++ 1,000-1,200 mg/day, per AUAU1
By vgreene, 29 December, 2015 ACP7 concluded multicomponent diet studies showed mixed results. ACP7 and AHRQ2 note inadequate evidence on tailoring diet by stone type and blood/urine chemistries
By vgreene, 29 December, 2015 If alkalinization inadequate, then consider allopurinol as an adjunct, per AHRQ,13 AUA10
By vgreene, 29 December, 2015 Alkalinize diet (↑fruits, veggies), per EAU.12 If relatively high urine uric acid: Limit nondairy animal protein, per AUA9
By vgreene, 29 December, 2015 Alkalinize urine to pH of 6.0 w/ K+ citrate, per AUA:10 EAU recommends pH 6.2-6.8 for recurrence prevention11
By vgreene, 29 December, 2015 If fluid-restricted (eg, CHF, CKD, etc) consider reducing target urine volume, per ACP5
By vgreene, 29 December, 2015 ↑fluids to achieve daily urine output of ≥2 L/day per ACP1 and AHRQ;2 whereas AUA3 and EUA4 recommend ≥2.5 L/day
By vgreene, 29 December, 2015 Tx w/ thiazide, citrate, or allopurinol. ✓ single 24-hr urine @ 6 mo,8 if no tx response, repeat stone analysis, per AUA9
By vgreene, 29 December, 2015 ACP11 concluded multicomponent diet studies showed mixed results and inadequate evidence on tailoring drug/diet by stone type and blood/urine chemistries