Study summary

Hydrochlorothiazide did not prevent stones from coming back

NOSTONE trial · Randomized, double-blind · Published 2023, New England Journal of Medicine

What was tested

Hydrochlorothiazide at 12.5, 25 or 50 mg daily against placebo for preventing recurrent calcium stones.

What they found

What it means

Challenged a decades-old prevention habit; prevention now focuses on diet, fluids and tailored drugs.

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