How can the risk of uric acid nephropathy and nephrolithiasis be minimized when prescribing uricosurics

How can the risk of uric acid nephropathy and nephrolithiasis be minimized when prescribing uricosurics?

1. Adequate fluid intake, 2 L/day.

2. Urine alkalinization (not needed in most patients); may use sodium bicarbonate (3–7.5 g daily) or potassium citrate (7.5 g daily) to maintain an alkaline urine (pH > 6.0).

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