management

Last reviewed 01/2018

Idiopathic hypercalciuria:

• low calcium diet:
• restrict consumption of dairy produce - milk, cream, cheese
• ensure adequate fluid intake - 2-3 litres per day

• thiazide diuretics:
• reduce urinary calcium excretion
• physiological mechanism uncertain

• calcium binders:
• oral phosphates e.g. sodium cellulose phosphate 5 gms before meals
• sodium cellulose phosphate may cause secondary hyperoxaluria and magnesium depletion; thus dietary restriction of oxalate and magnesium supplementation should accompany treatment

Secondary hypercalciuria:

• adequate hydration
• treat underlying cause