Medical
• If present, prevent infection-induced struvite and calcium phosphate carbonate by repeating urine cultures and administering antibiotics when needed..
• Next, select therapy to prevent the most abundant mineral near the center (see recommendations for specific mineral types at z.umn.edu/mnurolithRX).
• Then, make adjustments in therapy to prevent the other minerals without opposing therapy to prevent the most abundant mineral near the center (e.g. feed therapeutic canned foods or add water to achieve a specific gravity less than 1.030 for cats, adjust urine pH, and consider medications that reduce minerals).