No blood pressure lowerers for gout

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Risk of gout attacks due to blood pressure lowering

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

The diuretics often used in high blood pressure can cause an increased concentration of uric acid in the organism, which in turn is considered a possible trigger for acute gout attacks, explained Prof. Dr. 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 is particularly high due to the diuretics. But blood pressure lowerers such as beta blockers, ACE inhibitors and special AT1 blockers are also problematic for gout patients, according to the expert.

Acute gout attacks may occur with certain hypotensive agents Due to the risk of an acute gout attack, gout patients should be particularly careful when taking appropriate hypotensive agents. Diuretics in particular are not recommended here, emphasized Prof. Klaus Krüger. Because they bring an increase in uric acid levels, which means that more uric acid crystals are deposited in the joints of the patient and thus trigger the typical rheumatic symptoms such as joint inflammation, swelling and severe pain, the expert explained. Since high blood pressure often occurs as a concomitant disease in gout patients, many of those affected are treated with so-called hypotensive agents, which may increase the risk of an acute gout attack, Krüger continues. According to the rheumatologist, gout patients should therefore always pay attention to which medication they are prescribed to lower their blood pressure. According to the expert, diuretics are best avoided entirely in gout patients.

Naturopathy Treatment of Gout In naturopathy, various methods are used to influence the uric acid level and thus reduce the risk of an acute attack of gout. Magnetic therapy is also to be mentioned here, as is phytotherapy with various medicinal plants (e.g. autumn leaves, nettle, black nettle herb) or homeopathic procedures. The acid-base balance plays a special role in the naturopathic treatment of gout, since it is closely related to the formation of uric acid crystals in the joints. Nutritional therapies are also often used to prevent and treat gout. For good reason, because only at the end of last year the German Rheumatism League in Bonn pointed out that meat and fish as well as alcohol were taboo for gout patients. The experts can, however, recommend vegetables, fruit, pasta, potatoes and rice. In order to maintain the mobility of the joints, the German Rheumatism League also advises those affected to exercise sufficiently. Exercises such as tai chi, yoga or water aerobics should help here. Overall, there is a wide range of naturopathic treatment approaches for gout, the selection of which should be made dependent on the individual complaints of the patients. (fp)

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