A possible association between the use of diuretics and the sudden development of gout was first identified more than 25 years ago. But the medical community does not know whether a diuretic or underlying hypertension is the main culprit. If you have high blood pressure and, more importantly, use diuretics, which are prescription drugs, commonly called water pills, to lower your blood pressure; then studies now show that you have a risk of developing gout. Middle-aged and older people are more likely to use diuretics. Therefore, in fact, they are more at risk of complicating the development of gout with this type of medication. In this article, we will consider diuretics for gout.




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Diuretics for gout

Diuretics are a class of drugs that have been shown to increase serum urate levels. Diuretics work to reduce the amount of fluid in your blood, thus lowering your blood pressure by having less blood flowing through your arteries and blood vessels. Since diuretics usually have fewer side effects than other antihypertensive drugs, doctors tend to prescribe them more often. How diuretics work specifically for high-pressure sufferers is that they force you to produce more urine than usual in order to wash away excess fluid in the blood. They stimulate the kidneys to displace more water in the form of urine.  




According to one study by Mara A. McAdams DeMarco, Ph.D. at Johns Hopkins University in Baltimore and appearing in the January 2012 issue of Arthritis and Rheumatism, your chances of developing gout or a gout attack have increased 1.48 times. The risk of gout was also increased with both thiazide and loop diuretics. This study followed 5789 participants who had high blood pressure but no gout for 9 years. It was also noted that when using other antihypertensive drugs to treat high blood pressure, this reduces the risk of developing gout. DeMarco and his colleagues also said: “Future studies should not only confirm the risk of gout associated with diuretic-induced hyperuricemia but also to further clarify the complex relationship of hypertension, diuretics, uric acid, and gout. ” Basically, more work needs to be done to connect all the dots.  

By taking diuretics or so-called water pills, you can develop what is considered secondary gout, not primary gout. It is more often hereditary or related to the diet. Secondary gout usually occurs because gout only occurs after taking medications such as water pills to treat any other condition or disease. What water pills do is that they remove excess water from your body. And this causes an increase in uric acid levels. Yes, if you have never had gout or an attack of gout, and you use diuretics to treat high blood pressure, you run the risk of gout. If gout occurs, then talk with your doctor about changing to other types of antihypertensive drugs. Such as calcium channel blockers,  .

If you already have gout, taking diuretics can increase your risk of developing gout attacks. Then your doctor will most likely prescribe allopurinol, colchicine, probenecid, or NSAIDs. In order to get rid of uric acid before it crystallizes, and makes you a painful attack of gout. It is very important to check your uric acid and make sure you get it up to 5 mg/dl or lower. Diuretics for gout, see above.

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