It appears that some diuretics can cause gout while others do not. Yesterday my doctor took me off a combination high blood pressure and water pill because she said it can trigger gout flares. However, she did not take me off lasix.
************* * SHARON * *************
Starting over Nov. 23, 2009, 245 lbs.
current weight: 235.0
Fitness Minutes: (3,214) Posts: 484 9/28/12 12:22 P
I usually wake up in the morning to find that I am coming under attack. Gout is a sneaky enemy. On only two occasions has it had the courage to attack me in the daylight both times were on road trips when I didn't drink enough and let myself become dehydrated. Dehydration will definitely cause attacks.
I have been AWOl, enjoying the summer, and a few too many of it's foods, but have been exercising 2-3 hours a day.
My foot has been fine since March 20th, and one reason I think is that i now drink 12 glasses of water minimum daily. I take 80 mg Lasix in morning, and 40 at night, and when I got dehydrated, my gout attacks would happen. It is listed as one cause of gout by the way ( diuretics ).
Drink lots of water.
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I also have no other health issues, other than a little high blood pressure. But if drinking lots of water fends off a gout attack, isn't it logical that a diuretic would cause one? Boss is on the right track for some of us, I never had gout until I tipped the scale at my highest weight ever. Thank you, Woubbie, for making us think and pay attention to our bodies.
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:
"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.
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