No antihypertensive in gout

Risk of gout attack due to hypotension

12.03.2012

Gout patients should be particularly careful when taking antihypertensive agents, because under certain circumstances, the preparations may cause an acute attack of gout, according to a recent communication from the scientific advisory board of the Professional Association of German Rheumatologists in Wiesbaden.

The diuretics commonly used in high blood pressure can cause an increased concentration of uric acid in the organism, which in turn is considered as a possible trigger for acute attacks of gout, explained Prof. Dr. med. Klaus Krüger, member of the scientific advisory board of the professional association of German rheumatologists. A recent British study has shown that the risk of acute gout attacks due to diuretics increases particularly strongly. But also antihypertensives such as beta-blockers, ACE inhibitors and special AT1 blockers are problematic for gout patients, so the statement of the expert.

In certain blood pressure lowering threatens an acute gout attack
Due to the risk of an acute attack of gout, caution should be exercised when taking antihypertensives for gout patients. Especially diuretics are not recommended here. Klaus Kruger. Because they bring an increase in uric acid level with the result that deposit more uric acid crystals in the joints of patients and thus trigger the typical rheumatic symptoms such as joint inflammation, swelling and severe pain, explained the expert. Since hypertension often occurs in concomitant gout patients, many of those affected are treated with so-called antihypertensives, which may increase the risk of acute attacks of gout, Krüger continues. In the opinion of the rheumatologist, the gout patients should always pay attention to which medication they are prescribed to lower their blood pressure. According to the expert, diuretics are best avoided altogether in gout patients.

Naturopathy treatment of gout
In natural medicine, various methods are used to influence the level of uric acid and thus reduce the risk of acute attacks of gout. Magnetic field therapy should be mentioned here, as well as phytotherapy with different medicinal plants (eg autumn time lilies, stinging nettles, black nettle herb) or homeopathy. The acid-base balance plays a special role in the naturopathic treatment of gout, as it is closely related to the formation of uric acid crystals in the joints. Nutritional therapies are also commonly used in the prevention and treatment of gout. For good reason, because only late last year, the German Rheumatism League in Bonn had pointed out that meat and fish as well as alcohol for gout patients are taboo. The experts can recommend vegetables, fruits, pasta, potatoes and rice. In order to maintain the mobility of the joints, the German Rheumatism League also advises the affected person to move sufficiently. Exercise exercises like tai chi, yoga or aquagym will help here. Overall, a wide range of naturopathic treatment approaches in gout, the selection of which should be made dependent on the individual complaints of the patient. (Fp)

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