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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Gout

I have suffered with gout over the last several years. I take 100 mg of Allopurinol daily but still get flair ups. I read an article that blood pressure meds could be a problem with the pain reluctance. I take 25mg Losartan(evening) and 5mg Amlodipine Besylate (morning). Thoughts?
Fri, 26 May 2017
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General & Family Physician 's  Response
i had gone through your question and understand your concerns. unfortunately you didn't mention about your uric acid level and your blood pressure.
Therapeutic goals of gout include terminating acute attacks; providing rapid, safe relief of pain and inflammation; averting future attacks; and preventing such complications as formation of tophi, kidney stones, and destructive arthropathy.
It is important to identify the factors contributing to hyperuricemia that may be correctable. Some of these factors are obesity, a high-purine diet, regular alcohol consumption, and diuretic therapy. so if you have one of them you have to try to reduce it.
there are several studies that mention have high blood pressure increases the rate of recurrence of pain. so you have to control and stabilize your blood pressure to reduce the recurrence of pain.
i suggest you see your doctor again. because your doctor may give pain killers to relieve your pain that is safe and suitable for you.
hope this answers your question.if you have additional quetions or for follow up questions then please do not hestitate in writing to us. i will be happy to answer your questions.
Wishing you good health.
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Suggest Treatment For Gout

i had gone through your question and understand your concerns. unfortunately you didn t mention about your uric acid level and your blood pressure. Therapeutic goals of gout include terminating acute attacks; providing rapid, safe relief of pain and inflammation; averting future attacks; and preventing such complications as formation of tophi, kidney stones, and destructive arthropathy. It is important to identify the factors contributing to hyperuricemia that may be correctable. Some of these factors are obesity, a high-purine diet, regular alcohol consumption, and diuretic therapy. so if you have one of them you have to try to reduce it. there are several studies that mention have high blood pressure increases the rate of recurrence of pain. so you have to control and stabilize your blood pressure to reduce the recurrence of pain. i suggest you see your doctor again. because your doctor may give pain killers to relieve your pain that is safe and suitable for you. hope this answers your question.if you have additional quetions or for follow up questions then please do not hestitate in writing to us. i will be happy to answer your questions. Wishing you good health.