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SHARON632's Photo SHARON632 SparkPoints: (79,352)
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3/22/13 2:37 P

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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.

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* SHARON *
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Nov. 23, 2009, 245 lbs.


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DOCHAS79's Photo DOCHAS79 SparkPoints: (6,492)
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9/28/12 12:22 P

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I have always avoided water at all cost. But it's now becoming my best friend. emoticon Good to know thanks for the info!

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DWHENNIGAN's Photo DWHENNIGAN SparkPoints: (3,453)
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7/25/12 2:39 P

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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.

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RUSSELL_40's Photo RUSSELL_40 Posts: 16,826
7/24/12 1:41 P

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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.

"We can't solve our problems with the same thinking we used when we created them "

- Albert Einstein

“Whether you think you can, or you think you can't--you're right.”

- Henry Ford


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ALPHASENIOR's Photo ALPHASENIOR Posts: 681
6/22/12 12:55 P

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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.

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BOSS61's Photo BOSS61 SparkPoints: (14,313)
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6/22/12 8:40 A

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Interesting as always Woubbie.

Also interesting is that I have gout attacks but do not otherwise have correlative "metabolic syndrome" indicators. No hypertension, diabetes, heart disease... latest physical confirms.

I remain convinced that weight loss will greatly managed if not eliminate my susceptibility to attacks. We shall see, huh?

Edited by: BOSS61 at: 6/22/2012 (13:03)
"Some day we will look back on this, and it will all seem funny" - Bruce Springsteen (The real BOSS, as opposed to me.)





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WOUBBIE's Photo WOUBBIE SparkPoints: (69,588)
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6/22/12 8:28 A

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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/D
oc
uments/Diuretic_Gout.pdf


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.

Half of what we know is wrong. The purpose of science is to discover which half.


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