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  • Result of other medical conditions) should not use sodium bicarbonate. Potassium citrate. Potassium citrate, which restores citrate to the urine, is useful for patients with high levels of uric acid in the urine. Allopurinol. Allopurinol (lupurin, zyloprim) is very effective in reducing high blood levels of uric acid, and may be helpful for patients with uric acid stones. Allopurinol will not prevent calcium stones from forming. buy viagra online There is also a slight risk for the formation of xanthine stones with this drug. Side effects include diarrhea, headache, and fever. About 2% of patients have an allergic reaction to allopurinol that causes a rash. In rare cases, the rash can become severe and widespread enough to be life threatening. Viagra for sale Allopurinol reduces uric acid levels rapidly, so it may trigger an attack of gout in vulnerable people. To prevent this problem, patients taking allopurinol should also take a nonsteroidal anti-inflammatory drug (nsaid) for 2 or 3 months. Aspirin should not be taken, since it increases uric acid levels. Patients should discuss the appropriate nsaid choice with their doctor. In 2009, the u. overnight cheap viagra S. Food and drug administration approved febuxostat (uloric) to treat gout. generic low price viagra It is the first new treatment for gout in 40 years. Febuxostat lowers uric acid levels by inhibiting the same enzyme as allopurinol, and can be taken by patients who are allergic to allopurinol. This new drug is very effective but expensive. buy viagra online Medications for struvite stones before patients can receive any medical treatment for struvite stones, they must have surgery to completely remove the stones. Antibiotics for eliminating infection. People with struvite stones receive ongoing treatment with antibiotics to keep the urine free of the bacteria that cause urinary tract infections. Careful follow-up and urine testing is extremely important. A high-ph urine indicates low acidity and an increased risk of infection. Acetohydroxamic acid (aha). Acetohydroxamic acid (aha or lithostat) is beneficial when used with long-term antibiotics. buy viagra online Aha blocks enzymes that bacteria release, and has been effective in preventing stones even when bacteria are present. Side effects, however, can be severe. The drug reduces iron levels in the body, so anemia is a common problem. Patients may need to take iron supplements. Other side effects include nausea, vomiting, depression, anxiety, rash, persistent headache, and, rarely, small blood clots in the legs. This drug is recommended only for patients with healthy kidneys who have chronic diseases caused by specific struvite-causing organisms. Patients taking this medicine should avoid alcohol. Pregnant women should not take acetohydroxamic acid. Organic acids. Medical treatments to dissolve stones may be useful in patients who do not respond to other medications, or in combination with surgeries. Acidic urine dissolves struvite stones, so the doctor may wash the urinary tract with a solution of organic acids (such as renacidin). Candidates for such washes must have sterile urine (no bacteria or other organisms in the urine) and healthy kidney function. In surgical patients, the wash is performed 4 or 5 days after the operation. The wash starts with saline (salt solution) for 1 - 2 days and, if there are no problems, the organic acid solution follows for another 1 or 2 days, until all stones dissolve. Regular urine tests are necessary to ensure that the bacteria do not return. buy viagra online Aluminum hydroxide gel. An aluminum hydroxide anti-acid gel may reduce phosphate levels that are important in struvite stone formation, but it has a long-term risk of causing aluminum toxicity. Long-term reduction of phosphorus can also increase the risk for calcium oxalate stones. Experts recommend limiting phosphorus through a low-protein diet, rather than through the use of this gel. buy viagra online Medications for cystine stones the first-line treatment for cystine stones is increasing the alkalization of urine so the stones can dissolve. If alkalization fails, drug treatments may include d-penicillamine, alpha-mercaptopropionylglycine (tiopronin), or captopril. These medications lower cystine concentration. Patients with cystine stones must drink much more fluids than patients with other stones -- at least 4 quarts of water over a 24-hour period. Resources www. Cheap viagra no prescription Kidney. Niddk. Nih. Gov -- national kidney and urologic diseases information clearinghouse www. Urologyhealth. cheap price viagra Org -- american urological association www. Kidney. Org -- national kidney foundation www. Ohf. Org -- oxalosis and hyperoxaluria foundation references cameron ma, maalouf nm, adams-huet b, moe ow, sakhaee k. Urine composition in type 2 diabetes: predisposition to uric acid nephrolithiasis. J am soc nephrol. 2006 may;17(5):1422-1428. Epub 2006 apr 5. Cameron ma, sakhaee k. Uric acid nephrolithiasis. Urol clin north am. 2007;34(3):335-346. Chandhoke ps. Evaluation of the recurrent stone former. Urol clin north am. 2007; 34(3):315-322. Finkielstein va. Strategies for preventing calcium oxalate stones. Cmaj. 2006;174(10):1407-1409. Krambeck ae, gettman mt, rohlinger al, lohse cm, patterson de, segura jw. Diabetes mellitus and hypertension associated with shock wave lithotripsy of renal and proximal ureteral stones at 19 years of followup. J urol. 2006;175(5):1742-1747. Lingeman je, matlaga br, evan ap. Surgical management of upper urinary tract calculi. discount prescription viagra In: wein aj, ed. Wein: campbell-walsh urology, 9th ed. generic viagra jelly Philadelphia, pa: saunders; 2007:chap 44. Miller nl, evan ap, lingeman je. Pathogenesis of renal calculi. Urol clin north am. Cheap viagra online 2007; 34(3):295-313. Monk rd, bushinsky da. Kidney ston. Supportive Care
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Welcome to Supportive Cancer Care Victoria (SCCV) project website developed to ensure easy access to information and resources and to foster communication and collaboration between the nine Integrated Cancer Services (ICS) in Victoria.

The SCCV project has been initiated to assist the ICS implement the Victorian Government’s supportive care policy: Providing optimal cancer care: Supportive care policy for Victoria. This policy underpins the work of the ICS to achieve high quality supportive care services for people affected by cancer and provides a framework for achieving Victoria’s Cancer Action Plan 2008-2011.

Victoria’s Cancer Action Plan 2008-2011 (VCAP) sets the direction and targets for the cancer reforms over the next three years. Action Area four of VCAP commits to strengthening supportive care services for people with cancer and their carers and establishes the following supportive care targets:

The SCCV project will assist the ICS to develop local strategies to help improve supportive care outcomes for people affected by cancer and achieve the VCAP targets.



Supportive Cancer Care Victoria is funded by the Cancer and Palliative Care Section of the
Victorian State Government's Department of Health in support of Victoria's Supportive Care Policy.