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. Author manuscript; available in PMC: 2011 Aug 1.
Published in final edited form as: Kidney Int. 2010 Oct 6;79(4):385–392. doi: 10.1038/ki.2010.389

Table 3. | Commonly used drugs in the treatment of hypercalciuric calcium nephrolithiasis.

Drug Recommended dosage(s) Comments
Hydrochlorothiazide 50 mg/day
25mg twice/day
A single dosage is preferred since the twice a day dosage may cause frequent nocturia and consequent patient discomfort.
Chlorthalidone 25 mg/day
50 mg/day
Both dosages lower urinary calcium by the same degree. Because of its long action, this treatment may cause hypokalemia and hypocitraturia.
Indapamide 1.2 mg/day
2.5 mg/day
This treatment may have fewer side effects that hydrochlorothiazide, including the rare occurrence of hypokalemia and hypotension.
Amiloride 5 mg/day This treatment is a potassium sparing diuretic that lowers urinary calcium, but to a lesser degree than hydrochlorothiazide.
Amiloride/Hydrochlorothiazide 5 mg/50 mg/day Maintains the hypocalciuric effect of thiazide, whereas averting the development of severe hypokalemia.
Trichlormethiazide 2 mg/day
4 mg/day
This drug is not marketed in the United States.