NSAIDs for relieving renal colic in patients with kidney stones

摘要

to the editor: Drs. Frassetto and Kohlstadt provide a useful summary of kidney stone management. However, their discussion of pain control is limited to opioid analgesics and suggests avoiding nonsteroidal antiinflammatory drugs (NSAIDs) because of their effects on renal blood flow and glomerular filtration rate. Although there are patients in whom NSAIDs should be used with caution or avoided (e.g., patients with chronic kidney disease), there is inadequate evidence demonstrating significant harms from NSAIDs in patients with renal colic.