What medicine should be taken for kidney stones? 10-day network hotspot analysis and scientific medication guide
Recently, "kidney stone drug treatment" has once again become a hot topic in the health field. The following are the hot statistics on kidney stone treatment in the past 10 days across the Internet:
| keywords | Search volume (10,000 times) | main focus | Hot trends | 
|---|---|---|---|
| kidney stone pain relievers | 42.8 | Acute attack relief | up 28% | 
| Pai Shi Chinese Medicine | 35.6 | naturopathy | stable | 
| Potassium citrate | 22.4 | Prevent recurrence | up 15% | 
| Kidney stone dissolving medicine | 18.9 | drug dissolution effect | Add hotspot | 
1. Selection of analgesics in the acute phase

Recent data suggest that drug selection during an acute attack of kidney stones is of greatest concern. The following is a comparison of commonly used clinical analgesic solutions:
| drug type | Representative medicine | Action time | Things to note | 
|---|---|---|---|
| NSAIDs | Ibuprofen, diclofenac | 4-6 hours | Use with caution in renal insufficiency | 
| Opioids | Tramadol, pethidine | 2-4 hours | Requires doctor's prescription | 
| Antispasmodics | Anisodamine | 3-5 hours | Not suitable for patients with glaucoma | 
2. Selection of drugs to promote stone excretion
According to the latest clinical guidelines, stones with different components require differentiated medication regimens:
| Stone type | drug of choice | auxiliary medicine | Course of treatment | 
|---|---|---|---|
| calcium oxalate stones | Potassium citrate | Vitamin B6 | 3-6 months | 
| uric acid stones | Allopurinol | sodium bicarbonate | long term maintenance | 
| infectious stones | antibiotics | Acidifying urine medications | 4-8 weeks | 
3. Analysis of hot spots of traditional Chinese medicine stone removal plan
In the past 10 days, the number of discussions on the topic of traditional Chinese medicine for removing stones has increased by 40%, among which the following prescriptions have received the most attention:
| Prescription name | Main ingredients | Applicable stone size | Course of treatment | 
|---|---|---|---|
| Pai Shi particles | Money grass, sea golden sand | <6mm | 2-4 weeks | 
| Urolithon Pill | Desmodium and corn silk | <8mm | 4-8 weeks | 
| Shenshitong granules | Money grass, Gallus gallus gallus L. | <10mm | 4-12 weeks | 
4. Precautions for drug treatment
1.personalized medicine: Drugs must be selected based on the analysis results of stone components. Blind use of drugs may be counterproductive.
2.dose control: Potassium citrate and other drugs require regular monitoring of urine pH, and it is best to maintain 6.0-6.5.
3.combination therapy: Medication treatment needs to be combined with drinking 2000-3000ml of water every day, and moderate exercise will have better results.
4.Regular review: Ultrasound examination should be performed every 3 months during the medication period to evaluate changes in stones.
5. Latest research hot spots
The latest guidelines from the American Urological Association (AUA) state:
• Alpha blocker (tamsulosin) increases the expulsion rate of 5-10mm ureteral stones to 78%
• The new stone-dissolving drug acetylcysteine improves the dissolution efficiency of cystine stones by 35%
• The artificial intelligence-assisted medication system can predict drug responses on a personalized basis with an accuracy of 89%
Reminder: This article is for reference only. Please follow your doctor’s advice for specific medication. If fever, persistent severe pain, etc. occur, seek medical attention immediately.
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