Skip to main content
Log in

Control of hyperoxaluria with large doses of pyridoxine in patients with kidney stones

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Pyridoxine in doses of 250–500 mg daily by mouth was administered to 12 patients suffering from recurrent calcium oxalate renal calculi and idiopathic hyperoxaluria. This therapy decreased urinary oxalate excretion significantly (p<0.025) during up to 18 months of treatment. In that period eight patients showed no evidence of active stone disease; three showed slight increase in the size of their old stone(s) and one patient formed one new stone. None of these patients developed any significant complications of the therapy. These findings support the view that pyridoxine in pharmacological doses is useful in the control of elevated urinary oxalate excretion in patients with recurrent renal oxalate calculi.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Tiselius, H. G., Almgard, I. E.: The diurnal urinary excretion of oxalate and the effect of pyridoxine and ascorbate on oxalate excretion.Eur. Urol., 3, 4 (1977).

    Google Scholar 

  2. Revúsová, V., Gratzlová, J., Zvara, V.: The evaluation of some biochemical parameters in pyridoxine-treated calcium oxalate renal stone formers.Eur. Urol., 3, 32 (1977).

    Google Scholar 

  3. Gibbs, D. A., Watts, R. W. E.: The action of pyridoxine in primary hyperoxaluria.Clin. Sci., 38, 277 (1970).

    PubMed  CAS  Google Scholar 

  4. Will, E. J., Bijvoet, O. L. M.: Primary oxalosis, clinical and biochemical response to high dose of pyridoxine therapy.Metabolism, 28, 542 (1979).

    Article  PubMed  CAS  Google Scholar 

  5. Smith, L. H., Williams, H. E.: Treatment of primary hyperoxaluria.Modern Treatment 4, 522 (1967).

    PubMed  Google Scholar 

  6. Watts, R. W. E., Chalmers, R. A., Gibbs, D. A.: Studies on some possible biochemical treatment of primary hyperoxaluria.Quart. J. Med., 48, 259 (1979).

    PubMed  CAS  Google Scholar 

  7. O’Regan, P. F. B., Constable, A. R., Harrison, A. R.: The management of the primary hyperoxaluric patient oxalate in human biochemistry and clinical pathology. In: Rose, A. R. (ed): Proceedings of an International Meeting, London 1979, pp. 209–219.

  8. Prien, E. L., Gershoff, S. F.: Magnesium oxide-pyridoxine therapy for recurrent calcium oxalate calculi.J. Urol., 112, 509 (1974).

    PubMed  Google Scholar 

  9. Harrison, A. R., Kasidas, G. P., Rose, G. A.: Hyperoxaluria and recurrent stone formation apparently cured by short courses of pyridoxine.Br. Med. J., 282, 2097 (1981).

    Article  CAS  Google Scholar 

  10. Balcke, P., Schmidt, P., Zazgornik, J.: Pyridoxine therapy in patients with renal calcium oxalate calculi.Proc. EDTA, 20, 417 (1983).

    CAS  Google Scholar 

  11. Yendt, E. R., Cohanim, M.: Response to physiological dose of pyridoxine in type I primary hyperoxaluria.N. Engl. J. Med., 312, 953 (1985).

    Article  PubMed  CAS  Google Scholar 

  12. Hodgkins, Williams:Clinica Acta, 36, 127 (1972).

    Article  Google Scholar 

  13. Williams, H. E., Smith, L. H. Jr.: Primary hyperoxaluria. In: Stanbury, J. B. (ed.): The Metabolic Basis of Inherited Disease. McGraw-Hill, New York 1983, pp. 204–228.

    Google Scholar 

  14. Andrus, S. B., Gershoff, S. N., Faragalla, F. F.: Production of calcium oxalate renal calculi in Vit B6 deficient rats.Lab. Invest., 9, 7 (1960).

    PubMed  CAS  Google Scholar 

  15. Gershoff, S. N., Faragalla, F. F., Nelson, D. A.: Vit B6 deficiency and oxalate nephrocalcinosis in the cat.Am. J. Med., 27, 72 (1959).

    Article  PubMed  CAS  Google Scholar 

  16. Lyon, E. S., Borden, T. A., Ellis, J. E.: Calcium oxalate lithiasis produced by pyridoxine deficiency and inhibition with high magnesium diets.Invest. Urol., 4, 133 (1966).

    PubMed  CAS  Google Scholar 

  17. Pyrah, L. N., Anderson, C. K., Hodgkinson, A.: A case of oxalate nephrocalcinosis and primary hyperoxaluria.Br. J. Urol., 31, 235 (1959).

    PubMed  CAS  Google Scholar 

  18. Moore, C. A., Bunce, G. E.: Reduction in frequency of renal calculus formation by oral magnesium administration.Invest. Urol., 2, 7 (1964).

    PubMed  CAS  Google Scholar 

  19. Pinto, B., Bernshtm, J.: Diethylaminoethanol-cellulose in the treatment of absorptive hyperoxaluria.J. Urol., 119, 630 (1978).

    PubMed  CAS  Google Scholar 

  20. Solomons, C. C., Goodman, S. I., Riley, C. M.: Calcium carbimide in the treatment of primary hyperoxalauria.N. Engl. J. Med., 276, 267 (1967).

    Article  Google Scholar 

  21. King, J. S. Jr., Wainer, A.: Glyoxalate metabolism in normal stone forming humans and the effect of allopurinol therapy.Exp. Biol. Med., 128, 1162 (1968).

    CAS  Google Scholar 

  22. Rose, D. P.: The influence of oestrogens on tryptophan metabolism in man.Clin. Sci., 31, 265 (1966).

    PubMed  CAS  Google Scholar 

  23. Gibbs, D. A., Watts, R. W. E.: Biochemical studies on the treatment of primary hyperoxaluria.Arch. Dis. Child., 42, 505 (1967).

    PubMed  CAS  Google Scholar 

  24. Dent, C. E., Stamp, T. C. B.: Treatment of primary hyperoxaluria.Arch. Dis. Child., 45, 735 (1970).

    PubMed  CAS  Google Scholar 

  25. Daniel, R. A., Michels, R., Aisen, P.: Familial hyperoxaluria.Am. J. Med., 29, 820 (1961).

    Article  Google Scholar 

  26. Schaumburg, H., Kaplan, J., Windebank, A.: Sensory neuropathy from pyridoxine abuse, a new megavitamin syndrome.N. Engl. J. Med., 309, 445 (1983).

    Article  PubMed  CAS  Google Scholar 

  27. Berger, A., Schaumburg, H. H.: More on neuropathy from pyridoxine abuse.N. Engl. J. Med., 310, 986 (1984).

    Article  Google Scholar 

  28. Mitwalli, A. H., Blair, G., Oreopoulos, D. G.: Safety of intermediate doses of pyridoxine.Can. Med. Assoc. J., 131, 14 (1984).

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mitwalli, A., Ayiomamitis, A., Grass, L. et al. Control of hyperoxaluria with large doses of pyridoxine in patients with kidney stones. International Urology and Nephrology 20, 353–359 (1988). https://doi.org/10.1007/BF02549567

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02549567

Keywords

Navigation