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

摘要

Pharmacological management of renal colic includes acute pain management at presentation, usually followed by ongoing pain management until the stone passes spontaneously. In elderly patients, agents recommended for acute pain include parenteral ketorolac or morphine or rectal diclofenac. Ongoing pain is managed with oral or rectal NSAIDs or oral opioids. Patients who receive alpha-adrenoceptor antagonists to promote stone expulsion typically increase their chances of passing the stone by 50%. Indometacin, desmopressin, calcium channel antagonists and corticosteroids are not routinely recommended for elderly patients.