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Tamsulosin For Kidney Stones

Tamsulosin For Kidney Stones

Reviews for Tamsulosin to treat Urinary Tract Stones

Flomax (tamsulosin): "Had a 4 mm kidney stone and was told it is likely to take 3 - 4 weeks to pass. Offered a stent, which I refused. Started Flomax and stone passed 2 days later. Read one online case note about the use of Flomax which suggested it was more effective for larger stones (6 - 7 mm) and only marginal benefit for smaller stones. I think the marginal benefit was because stones smaller in size are expected to pass on their own. However, it is my opinion that Flomax sped the passage of this smaller stone. It also worked to relieve the pain. For anyone suffering with kidney stones, trying Flomax is a must."

Tamsulosin Could Help Passage of Larger Kidney Stones

  • Especially helpful with larger stones, while smaller ones may pass on their own
  • The study was led by Jeremy Furyk, M.B.B.S., M.P.H., of Townsville Hospital in Australia. His team found that 28 days after visiting an emergency department for any size of kidney stone, 87 percent of patients treated with tamsulosin and 81.9 percent of those treated with a placebo passed their kidney stones. The difference of 5 percent was not significant (95 percent confidence interval, −3.0 to 13.0 percent).
  • However, among patients with large stones -- between 5 and 10 mm long -- 83.3 percent of patients who took tamsulosin passed stones, compared with 61 percent of those who received placebo, a difference of 22 percent (95 percent confidence interval, 3.1 to 41.6 percent); number needed to treat of 4.5. The researchers noted no difference in urologic interventions, time to self-reported stone passage, pain, or analgesia requirements. Adverse events did not differ between groups and were found to be generally mild.
  • "The news on small kidney stones isn't positive, but tamsulosin appears to offer benefit to those unlucky people whose kidney stones are really big," Furyk said in a journal news release. And, "for patients with small kidney stones, time seems to be the one sure cure," he said. "However, when treating patients with large kidney stones, emergency physicians should definitely.

Kidney stones and pain

pineledge: I have had a few episodes of painful kidney stones requiring a visit to the ER for pain control. Is there a pain medicine I can ask my primary care physician for (to keep on hand) so I don't have to make another costly visit to the ER?

Dr__Monga: First would be to keep an alpha-blocker on hand [for example, tamsulosin (Flomax®)] to help the ureter relax and stones pass. Second would be to keep ketorolac (Toradol®, a non-narcotic), which can be used for 5 days at a time. Most physicians will not provide narcotic to keep on hand due to concerns about addiction.

lonny3: What should one do if they have a kidney stone attack? Do you call a doctor? Do you go to the ER, or do you wait and see if there are problems first?

Dr__Monga: If the pain is severe, go to the ER as that is where you will hopefully be able to get the fastest relief. If you have had stones before and recognize the pain, and you feel it is not too bad, then you can wait and see if it will pass. Start an alpha blocker like Flomax to help the stone pass. If you have a doctor who has recent images to document the size and location of your stones, you should call that doctor to discuss the best approach.

Dr__Monga: It is unlikely that kidney stones will lead to renal failure and cause chronic disability. With that said, there is no question that the pain associated with frequent stone passage can have a major impact on a person's life.

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