SUSTAINED REDUCTION IN URINARY CALCIUM DURING LONG-TERM TREATMENT WITH SLOW RELEASE NEUTRAL POTASSIUM PHOSPHATE IN ABSORPTIVE HYPERCALCIURIA
Autor: | Howard J. Heller, Charles Y.C. Pak, Neil A. Breslau, Alfredo A. Reza-Albarran |
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Rok vydání: | 1998 |
Předmět: | |
Zdroj: | Journal of Urology. 159:1451-1456 |
ISSN: | 1527-3792 0022-5347 |
DOI: | 10.1097/00005392-199805000-00006 |
Popis: | Purpose: We tested whether UroPhos§ §Mission Pharmacal, San Antonio, Texas.-K a new slow release neutral form of potassium phosphate (155 mg. phosphate, 8 mEq. potassium per tablet) in a dose of 4 tablets twice daily absorptive hypercalciuria, a major cause of nephrolithiasis characterized by excessive intestinal calcium absorption accompanied in some patients by excessive bone loss.Materials and Methods: A total of 25 patients with absorptive hypercalciuria were studied in a 4-year, prospective, open trial with UroPhos-K at yearly intervals during a 4-day inpatient physiological study with a constant metabolic diet containing 400 mg. calcium, 100 mEq. sodium and 800 mg. phosphate daily.Results: Treatment with UroPhos-K caused a sustained, marked reduction in urinary calcium (264 to 181 mg. daily). Fractional47 calcium absorption decreased modestly (74.0 to 64.6%) commensurate with a reduction in serum 1,25-dihydroxyvitamin D (42 to 34 pg./ml.). Intact parathyroid hormone increased within the norm... |
Databáze: | OpenAIRE |
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