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Pharmacological management of uncomplicated renal colic in elderly patients requires control of acute pain and perhaps medical expulsion therapy

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References

  1. Hollingsworth JM, Rogers MA, Kaufman SR, et al. Medical therapy to facilitate urinary stone passage: a meta-analysis. Lancet 2006; 368(9542): 1171–9

    Article  PubMed  Google Scholar 

  2. Sierakowski R, Finlayson B, Landes RR, et al. The frequency of urolithiasis in hospital discharge diagnoses in the United States. Invest Urol 1978; 15(6): 438–41

    PubMed  CAS  Google Scholar 

  3. Welk BK, Teichman JMH. Pharmacological management of renal colic in the older patient. Drugs Aging 2007; 24(11): 891–900

    Article  PubMed  CAS  Google Scholar 

  4. Pak CY. Medical management of urinary stone disease. Nephron Clin Pract 2004; 98(2): C49–53

    Article  PubMed  Google Scholar 

  5. Teichman JM. Acute renal colic from ureteral calculus. N Engl J Med 2004; 350(7): 684–93

    Article  PubMed  CAS  Google Scholar 

  6. Sowter SJ, Tolley DA. The management of ureteric colic. Curr Opin Urol 2006; 16(2): 71–6

    PubMed  Google Scholar 

  7. Holdgate A, Pollock T. Systematic review of the relative efficacy of non-steroidal anti-inflammatory drugs and opioids in the treatment of acute renal colic. BMJ 2004; 328(7453): 1401

    Article  PubMed  Google Scholar 

  8. Todesco S. Special considerations in the use of NSAIDs in the elderly. Eur J Rheumatol Inflamm 1994; 14(1): 7–13

    PubMed  CAS  Google Scholar 

  9. Nikolaus T, Zeyfang A. Pharmacological treatments for persistent non-malignant pain in older persons. Drugs Aging 2004; 21(1): 19–41

    Article  PubMed  CAS  Google Scholar 

  10. Barkin RL, Barkin SJ, Barkin DS. Perception, assessment, treatment and management of pain in the elderly. Clin Geriatr Med 2005; 21(3): 465–90

    Article  PubMed  Google Scholar 

  11. British Medical Association and the Royal Pharmaceutical Society of Great Britain. British national formulary. No. 54. London: BMJ Publishing Group Ltd and RPS Publishing, 2007 Sep

    Google Scholar 

  12. Todesco S. Special considerations in the use of NSAIDs in the elderly. Eur J Rheumatol Inflamm 1994; 14(1): 7–13

    PubMed  CAS  Google Scholar 

  13. Bird HA. When are NSAIDs appropriate in osteoarthritis? Drugs Aging 1998; 12(2): 87–95

    Article  PubMed  CAS  Google Scholar 

  14. Davenport K, Timoney AG, Keeley FX. Conventional and alternative methods for providing analgesia in renal colic. BJU Int 2005; 95(3): 297–300

    Article  PubMed  Google Scholar 

  15. Sarhill N, Walsh D, Nelson KA. Hydromorphone: pharmacology and clinical applications in cancer patients. Support Care Cancer 2001; 9(2): 84–96

    Article  PubMed  CAS  Google Scholar 

  16. Lee MA, Leng ME, Tiernan EJ. Retrospective study of the use of hydromorphone in palliative care patients with normal and abnormal urea and creatinine. Palliat Med 2001; 15(1): 26–34

    Article  PubMed  CAS  Google Scholar 

  17. Dellabella M, Milanese G, Muzzonigro G. Efficacy of tamsulosin in the medical management of juxtavesical ureteral stones. J Urol 2003; 170 (6 Pt 1): 2202–5

    Article  PubMed  CAS  Google Scholar 

  18. Dellabella M, Milanese G, Muzzonigro G. Randomized trial of the efficacy of tamsulosin, nifedipine and phloroglucinol in medical expulsive therapy for distal ureteral calculi. J Urol 2005; 174(1): 167–72

    Article  PubMed  CAS  Google Scholar 

  19. Mann RD, Biswas P, Freemantle S, et al. The pharmacovigilance of tamsulosin: event data on 12, 484 patients. BJU Int 2000; 85(4): 446–50

    Article  PubMed  CAS  Google Scholar 

  20. Michel MC, Mehlburger L, Bressel HU, et al. Tamsulosin treatment of 19, 365 patients with lower urinary tract symptoms: does comorbidity alter tolerability? J Urol 1998; 160 (3 Pt 1): 784–91

    Article  PubMed  CAS  Google Scholar 

  21. Yilmaz E, Batislam E, Basar MM, et al. The comparison and efficacy of 3 different alpha 1-adrenergic blockers for distal ureteral stones. J Urol 2005; 173(6): 2010–2

    Article  PubMed  CAS  Google Scholar 

  22. Porpiglia F, Vaccino D, Billia M, et al. Corticosteroids and tamsulosin in the medical expulsive therapy for symptomatic distal ureter stones: single drug or association? Eur Urol 2006; 50(2): 339–44

    Article  PubMed  CAS  Google Scholar 

  23. Dellabella M, Milanese G, Muzzonigro G. Medical-expulsive therapy for distal ureterolithiasis: randomized prospective study on role of corticosteroids used in combination with tamsulosin-simplified treatment regimen and health-related quality of life. Urology 2005; 66(4): 712–5

    Article  PubMed  Google Scholar 

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Pharmacological management of uncomplicated renal colic in elderly patients requires control of acute pain and perhaps medical expulsion therapy. Drugs Ther. Perspect 24, 14–17 (2008). https://doi.org/10.2165/00042310-200824070-00004

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