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. |