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[Pain therapy in acute renal colic.]
C Tschuschke1, S C Müller, L Hertle
1Urologische Klinik und Poliklinik der Johannes-Gutenberg-Universität Mainz, Mainz, Deutschland.
Schmerz (Berlin, Germany)
|September 1, 1993
Summary
Severe renal colic demands rapid pain relief. Nonsteroidal anti-inflammatory drugs (NSAIDs) like dipyrone, indomethacin, and diclofenac, administered intravenously, are preferred for managing kidney stone pain effectively.
Area of Science:
- Nephrology
- Pharmacology
Context:
- Renal colic presents as a medical emergency.
- Effective pain management is crucial for patient comfort and secondary treatment.
- Ureteral obstruction necessitates prompt and adequate analgesic intervention.
Purpose:
- To outline optimal analgesic strategies for severe renal colic.
- To identify first-line and second-line pharmacotherapies.
- To clarify the role of different drug classes in managing kidney stone pain.
Summary:
- Inhibition of prostaglandin synthesis is key to alleviating renal colic pain.
- Intravenous administration of dipyrone, indomethacin, or diclofenac is recommended.
- Narcotic agents are a viable second-line option; spasmolytic agents are not indicated.
Impact:
- Provides evidence-based guidelines for treating renal colic pain.
- Optimizes therapeutic approaches, potentially reducing patient suffering.
- Highlights the importance of timely and appropriate analgesic selection in emergency nephrology.
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