i also read about that Q ....??Hi fellow docs!
A question: UW states that citrate is NOT protective against calcium renal stones. Is this true?
Here is another confirmationI did a small research in pubmed and here's what I found
It clearly states very high remission rate of stone disease when you supplement with potassium citrate. I was like WTH!?
Probably UW is wrong in this question, there is no other explanation...
Can somebody else as well confirm what we suggest?
ur hit the point ......thxHey guys, i know how such subjects can get complicated such as this one but i would personally break it down to two points. One physiologically speaking, potassium citrate increases urine PH and that per say would help in cases of both Urate & Calcium stones. Two biostatisticlly speaking, there could have been studies that showed no difference between using potassium citrate and placebo & UW would be referring to such proven data and from experience we know that some logically used drugs don't help from unkown reasons sometimes. OR UW could be just plainly WRONG.
In the end, remember the physiologic evidence when you answer Qs on tests and worry about the existence of supporting evidence (whether for or against) when you actually prescribe that to a patient in ttt of nephrolithiasis Hope that helped