Comments on ‘best practice’, September issue of 2007, article:- Gout - Hit the targetReturn to article Add a comment about this article
|
| Comment from: Stephen Hoskin | Friday, September 12, 2008 |
We are often told that diuretic therapy is a risk factor for gout and stop treatment in patients with gout. However there is evidence to suggest the association may be confounded by cardiovascular risk. [http://ard.bmj.com/cgi/content/full/65/8/1080] I find I often have patients with poorly controlled hypertension who 'cannot' take bendrofluazide because of previous gout. I especially wonder about such a contraindication in patients who have successfully lowered their uric acid using allopurinol. Could we not restart bendrofluazide and check their uric acid does not rise above 0.36mmol/L?
|
| Return to article |
| Add a comment about this article |
Secure Resources