How is MET administered for the treatment of nephrolithiasis?

Updated: Jun 21, 2018
  • Author: Chirag N Dave, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
  • Print
Answer

A typical regimen for this aggressive therapy is as follows:

  • 1-2 oral narcotic/acetaminophen tablets every 4 hours as needed for pain

  • 600-800 mg ibuprofen every 8 hours

MET with 0.4 mg tamsulosin once daily or 4 mg of terazosin once daily is recommended dosing.

Limit MET to a 10- to 14-day course, as most stones that pass during this regimen do so in that time frame. If outpatient treatment fails, promptly consult a urologist.

Future studies may identify a subgroup of patients such as those with larger stones or history of inability to pass stones that would benefit from MET.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!