Diuretics and gout

Posted , 3 users are following.

Hi all.  I have been having gout for around six months.  I took a twenty-four hour urine test and my uric acid was 896.  (My regular blood test showed uric acid of 7.2).

I think I may have solved my problem.  I have been on Torsemide ( a loop diuretic) for heart failure and hypertension, although my BP has been fine for three years and I have had no symptoms of heart failure during this time.  I told my Cardiologist that I wanted to reduce the Torsemide and he had no problems with me doing that.  My understanding is that, while diuretics are important in removing fluid from the body (for people with hypertension or heart failure), the urine which remains has a higher level of uric acid in it, and this makes people susceptible to gout.  

Just wanted to share this information here.  If you are on diuretics and there is any way you can work with your physician to lower them (or perhaps switch to a different one) you may notice a significant change. 

I believe that I have but I will not know for sure for a couple of months when I have my uric acid tested again.

0 likes, 2 replies

2 Replies

  • Posted

    Thanks for the info. This could explain some things for me.
    • Posted

      My pleasure.  So far so good.  

      I started to have a flare up the day before I lowered the Torsemide and instead of the flare up getting worse it went away the next day!  This never happened before.

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