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. 2024 Feb 16;13(4):1114. doi: 10.3390/jcm13041114

Table 4.

Management of uric acid stones.

Metabolic Assessment Outcome EAU Recommendations EAU Strength of Recommendation AUA Recommendation AUA Strength of Recommendation
Hyper-acidic urinary pH < 5.5
  • Alkaline citrate

Strong
  • Potassium citrate

Expert opinion
Hyperuricosuria
  • Allopurinol

Strong
  • Reduce intake of non-dairy animal protein

Expert opinion
Urinary pH > 6.5 in ammonium urate stone
  • L-methionine