Medications to help pass kidney stones

Certain medications can improve your chances of passing a stone if you are experiencing an active stone episode. The most commonly used medication is tamsulosin (Flomax). Other similar medications used for this purpose include alfuzosin, nifedipine, doxazosin, and terazosin. In patients with stones, these medications relax the muscles in the ureter, allowing the stones to more easily and quickly pass.

How well do they work?

In studies of patients taking these medications or placebo (sugar pill), those on the medications were 1.45 times more likely to successfully pass their stone. They also required less pain medication and passed their stones more quickly with fewer return trips to the hospital than patients taking placebo.


24 Responses to Medications to help pass kidney stones

  1. Badar says:

    Dear Sir,
    I have 4cm stones in left kidney,so pls give me best way to fully treatment of removed stones..

    Badar PKS

    • Angelo says:

      You need to know the type of stone. If it is Calcium oxalate, you can alkalize the urine with citrus (juice of two or three lemons a day). I also take the citrate forms of potassium, magnesium, and calcium. Yes, I said calcium. It is especially important to take calcium when drinking beer or eating veggies like spinach that have tons of oxalate in them. The calcium supplement you take binds with the oxalate in your food and does not let it get absorbed.

      Also, buy yourself some pH strips to see if you are successfully alkalizing your urine. Look up the oxalate content of the foods you eat.

      If your stone is uric acid, I’m not sure how that might be dissolved but extra water for any stone is always recommended. If you are a uric acid former, stay away from sardines and other high purine foods, and stay away from sugar and anything containing fructose.

      One final word, no bastard urologist has EVER told me about the value of calcium or about alkalizing the urine. Of course not; they want to make money fucking you over with a stent on the pretense that the “gravel” (after lithotripsy) will clog up your ureters and cause greater problems–fucking hogwash. Where’s the government when you need them. Oh yea, engaging in insider trading (fuckers in BOTH parties).

  2. Helen says:


    16 mm kidney stone stuck in the left kidney, doctor said imagine a funnel, the kidney is the top part of the kidney, the stone is stuck at the top of the tube.

    I have had agony for 2 years.

    I was told 2 years ago i had 5 kidney stones stuck in the tubes, on Thursday last week i was told i have this big huge stone that is stuck.

    I have tried the herbs tea, the tincture, the lemon juice, you name it, i have also tried having coconut oil and also oregano oil.. nothing is moving this stone.

    Blood in the urine, well yeah i would think that was a possibility seeing the size of the thing.

    I was thinking of asking my doctor for “Water tablets” do you think this might work?

    I have been taking Buscopan.

    I am abit too scared of having the shock wave treatment, i have heard it can cause cancer in later life, something i am don’t need to put myself through..

    • QueenofRocks says:

      If your stone is that large and persistent then my guess is they would do laser lithrotripsy over ESWL (shockwave). I have had both and the shockwave didn’t break up my stones enough. The laser lithrotripsy did break up whatever current stone was causing trouble and broke others into smaller pieces. “Water tablets” could make you dehydrated which is pretty much universally bad for people who make kidney stones. The drugs they mention above, like FloMax, help open up the urinary tract.

  3. ravi says:

    The USG and CT Scan show an 8.2 mm stone in ureter and my doctor says it is blocking flow of urine in the right kidney (hydronephrology). But I feel very little or no pain. Doctor has advised immediate lithotripsy. Should I go for it?

  4. kay says:

    Hi there,
    I went to the ER by myself three weeks ago knowing fully well based on the symptoms that kidney stone is here again.I was diagnosed with a 5mm stone and the Dr.was hopeful that i will pass it.I visited my Urologist a few day after leaving the ER (spent 3hrs),the same Urologist that performed the Shockwave litho surgery about a year ago and he confirmed that the stone had moved but not yet in my bladder ,positive sign. However it’s been 4 weeks,i strongly believe the sotne is still there but i dont feel any pain.My concern is that i hope this will not damage my kidney.I’m still on Flowmax and drinking gallons of water everyday.

    Any advise on how to pass this sotne and the implications of it still there.The Urologist did not advise or preventive measures despite the huge cost of last year’s surgery and the various test that had been done.
    Please advise, i don’t want any surgery or want to go throug the discomfort of stent insertion again, huh that was painful during the last surgery.


  5. Dilip Raval says:

    My wife suffering for 5 mm between kidney & urine pipe stones. How to remove this problem ? Plz. Tell me some idea

  6. rajesh says:

    i have one13mm stone in pelvis of right kidney

  7. ulysses says:

    hello..i wonder if you could help father has kidney stones but it’s in his bladder already..may i ask, is the treatment/medication for this the same or it’s a special case..we believe that the stone is about 3cm..

    • Bobbo says:

      It is simply impossible for a 3cm stone to pass from the kidney to the bladder. Perhaps you meant 3mm? Any stone that can naturally pass from the kidney to the bladder will have no trouble being urinated out of the bladder.

  8. Florence de rosa says:

    I am discharge today from hospital,3days ago i felt pain as if am in labor,i was admitted in hosp,after ultrasound found that i have 3 left kidney stones.13mm midsection,5mm&6mm i have a chance to pass it out? Surgery really needed? Is there medicines that can dissolve or lessen the size?am so scared

  9. Anthony says:

    Is there anyway I can pass my kidney stone. It is 8mm and my insurance hasn’t came threw yet the pain is above a 10 I can’t walk anymore it hurts so bad

  10. p.srinivas says:

    I have been diagnosed 8.2 distal ureteric colic can it be removed by medicine

  11. Nancy says:

    I have been diagnosed with a uric acid kidney stone in my left side. Went into hospital this past August. I was given a stent and some medications to try and break it up. So far it has been in there 5 months because I do not have health insurance currently. I went again to hospital and my urologist was not available for an appointment until today. I have been having severe pains in my abdomen and feeling pressure in my bladder when I stand up and sometimes itching and extremely painful urination like glass is cutting into me. I found this website out of desperation because I tried to get hospital care this past Wednesday and they were not able to reach my regular doctor.
    They were not able to get any IV s in me but one for about 5 minutes or so to extract enough blood to get basic results. But I was not able to keep it in. A Cat scan showed some fluid around my kidney ands something called calcification. Still trying to figure out what that means. Help.

    • samantha says:

      When I passed my first stone, I gave it to Dr. To be tested. He told me mine were calcium. To stay away from TUMS, limit all calcium intake, butter, milk, etc.
      I had 2 more in kidneys. Trying to pass one now.
      It will hurt like all get out. It feels like you said, urinating shards of glass.
      Talk to your doctors about what the signs you need to go to hospital immediately.
      Hope this helps. Samantha

  12. Sam says:

    Hi, this is not an answer for you but a q to you . About 4 days back I have been diagnosed with a 4.2 mm stone in my left renal. The doctor is quite confident that it will pass naturally in a couple of Weeks and that I do not need any surgery. However he has told my family to not let me travel at all for this period. I am in a sales job and need to do day trips at the least to still remain employed :) My q is is he correct to as me not to Travel ? Also how have you been managing for the last year ?

    • Adrian says:

      I started having severe pain and bleeding on Christmas Day. Then pain and bleeding on and off for 6 months; sometimes I went 3 weeks without problems. I had a CT scan in June which found a 5mm stone in the outlet to my left kidney. I passed the stone at the end of July after taking Tamsulosin. Over those 7 months, I travelled for work (probably no more than 4 hours away from where I live though and mainly by train) and sometimes stayed away overnight. My main concern was passing the stone or having complications while I was away from home. My ‘insurance’ was always to pack plenty of prescription meds (anti-inflamatories and strong pain killers). I guess your doctor was just being cautious; if you had a problem while you were on the road you might end up in hospital a long way from where you live. Also not a good idea to drive if you’re in a lot of pain or on strong meds. You need to weigh up the pros and cons of taking his advice.

    • samantha says:

      Travel by car, OK I know from experience, between the vibration and bumps make the stones move. When they move you can bleed a lot, and can cause extreme pain. Also know once you pass one you are prone to pass more.

  13. Lalit says:

    I have a 10.5 mm stone in my left renal. I have been taking medicines for last 3 year but couldn’t get any good results. shall i go for laser surgery ?

    • Kim Micohn says:

      I think that you should have your stone removed, definitely with laser surgery cause a 10.5 mm stone is too big too pass. i have had 4 or 5 attacks throughout the years. When i was 32, 6 weeks after my youngest daughter was born, I had an attack back then. This was 1991. I had no idea what it was. I woke up that morning. My bladder kind of ached and felt like I had to pee but it didn’t hurt too much till later in the day. Then it was excruciating pain that I couldn’t bear. It was on the right side. The first thing I thought was is it my appendix. When my ex husband took me to the hospital back then, they checked my appendix first. Ruled out that it wasn’t. They ran more tests, blood work, urine samples. Then said it was a kidney stone. They said that I passed hit then. Was sent home later that day but had to do 3 days urine cultures and then take them to the hospital. A year or so later I started getting more. I knew what they were then. I had 3 more. The third one, they had to remove cause it wouldn’t pass on it’s own. I was in the hospital about 3 days then before they removed it. They were hoping it would pass on it’s own but didn’t. Now I am 55 and have been diagnosed with having a 3mm one on my upper pole right kidney and a smaller 1 mm one one my left kidney. I am scared for both of them to pass. Also my oldest daughter who is 35 has also inherited them from me. I feel so bad for her. She had them the same age when I started to get them. She has been in the hospital for hers too in the past. Please think about getting yours removed cause a 10.5 one is too big to pass on it’s own.

      • Laurie Michalski says:

        I am a “Chronic” kidney stone producer, started in “1978″ and the 1 stone had to be cut from the belly bottom down to remove that stone (ancient history now a days!!) and have had 15 surgeries last one recently as of the date 10/28/14, had 5 in the right side 3 were the big ones described below. I have passed some, but mostly they have gotten so big, I have had to have them surgically removed. I had the laser, the “wave” and the tubal placement in the back to the kidney. I have had more than my share of 10X10X13 and 10X10X12, and 10X10X10 stones that had to be surgically removed, a stent is placed in the ureter tube to keep the flow of urine coming out after surgery, and for men it is a definite for that. My 37 year old son has only had 2 surgeries and passed over 100 stones, he refuses to have surgery unless it is so bad that he feels like DYING!.He started at age 27….The urologist is the only one who should determine if it is too big to pass, as I have passed quite a few big ones to me 4mm and less, by myself, but to me anything over 4mm is a reason to have it removed. They can block the flow of urine and cause kidney failure if not taken care of in some cases. My 5 were doing just this, blocking the flow of urine in the right side. I just had a surgery in June of this year for a stone blocking the flow of urine on the same side, so I am a chronic producer.The MOST important thing is to drink drink drink lots of water especially when you are having an attack, that helps to push it out if you are able. I have tried all the “remedies” to stop production (ha ha) nothing has helped. I have other issues like HBP and HC, diabetes, and I also take a water pill to help with the flow of urine which depletes the potassium levels, so I have to take 8 potassium pills a day. I have forbid myself to go to the emergency room anymore when I have an attack, I have learned to medicate myself at home. The ER just dopes you up, sends you home, and tells you to call the doctor anyway (I saved numerous ER charges this way). I have a standing order to get filled of percocet from my doctor if I need them, for just this reason. As far as a cure or medication to dissolve the stone, this website has actually said, that their is no medicine to dissolve these painful stones. I feel for you and your pain, but YES have it removed!

    • siju says:

      use alfusin or stone solve,and thumsolusin

    • Basharat says:

      U shud try the shock wave treatment

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