The elderly mother of a coworker of mine was just diagnosed with gout yesterday, and I was passing along some internet links for her to look at, including this one about how certain diuretics can cause hyperuricemia and consequently gout attacks: https://dcc2.bumc.bu.edu/goutstudy/Documen
To make their long story short:
"Considering the relatively high prevalence of hypertension
among gout patients and the widespread use of diuretics for
the treatment of hypertension, we conducted an internet-based
case-crossover study to assess the relation of diuretic use to
the risk of recurrent gout attacks and evaluated whether the
effect varies according to types of diuretic use."
"In summary, we found that recent use of thiazide and possibly
loop diuretics was associated with a significantly
increased risk for recurrent gouty arthritis. Despite the well
known association of gout and diuretics, a relatively large proportion
of our patient population with preexisting gout was
prescribed this class of antihypertensive therapy. Given the
wide availability of alternative effective agents for the treatment
of hypertension and congestive heart failure, clinicians
have ample ability to individualize management for this population,
and could reduce risk of recurrent gout attacks by
avoiding the use of thiazide and possibly loop diuretics in persons
with preexisting gout."
End of story? "Avoiding use of thiazide." Apparently there are other diuretics which may be more appropriate if you've been diagnosed with gout.
Challenge 1: Add activity at home to my must-do list.
Challenge 2: Bedtime is now going to be 11:30.
Challenge 3: Leave work on time. It'll all be there in the morning. Whatevs.
| current weight: 199.0