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Terpene Mixture (Urolithiasis / Renal Colic)

Anethol with Borneol, Camphene, Cineole, Fenchone and Pinene

Brand names: Rowatinex

This is a fixed combination of plant-derived terpenes (Rowatinex) used as an adjunct to help passage of small urinary tract stones and for renal colic.

Dosing — being independently re-sourced

ClinCalc Pro is rebuilding its dose data from primary open sources — the manufacturer SmPC (eMC), the WHO Model Formulary and other official references — under clinician review. This drug's structured dose is not yet published here. Confirm all doses against the product SmPC and your local formulary before prescribing.

Clinical monograph

How it works

The terpene constituents are thought to have antispasmodic and mild diuretic actions on the urinary tract, which may facilitate stone passage, though the mechanism is not fully defined.

Prescribing in practice

  • It is an adjunct only and does not replace assessment for obstruction, infection or stones requiring urological intervention.
  • Use with caution in pregnancy and avoid where a urinary obstruction needs definitive management.
  • Capsules are usually taken before food and should be swallowed whole.

Monitoring

No specific laboratory monitoring is required; review symptoms and confirm stone passage or the need for further urological assessment.

Counselling the patient

  • This medicine is intended to help small stones pass and ease colic.
  • Seek medical help for severe pain, fever or inability to pass urine.

Evidence & guidelines

Terpene combination preparations are used as adjuncts in urolithiasis, with definitive stone management guided by NICE guidance on renal and ureteric stones (NG118).

Reference: EAU Guidelines on Urolithiasis (2024); SmPC Rowatinex; Confirm identity and dosing against the manufacturer SPC (eMC) and NICE. Verify against your local formulary and current prescribing references before prescribing. Monograph status: clinician-reviewed (2026-07-04).

Related

Curated clinical cross-links plus same-class fallbacks.

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