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Went Through An Elective Coronary Stent Procedure. Taking Medicine. Are These Drugs Affecting The Gout Condition?

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Posted on Wed, 17 Oct 2012
Question: Hi Doctor, I am a 39 year old male. Few days ago I went through an elective coronary stent procedure. Now I am on the following drugs ,Coplavix (Clopidogrel/Aspirin) 75 mg, Tritace (Ramipiril) 2.5.mg, Atorvastain (APO) 40 mg. I do have a family history of coronary conditions.

Previously I did have gout and was controlled by managing my diet. Just after I stated taking the new medication I have had a gout attack and finding it very painful.

How do I address this issue? Are the cholesterol reducing drugs affecting the gout condition and if so, what should be my next steps.

Thanks
XXXXXX


doctor
Answered by Dr. Dr. Praveen Tayal (3 hours later)
Hello,
Thanks for posting your query.
Lipid lowering drugs like statins are likely to cause rhabdomyolysis which precipitates gout. Atorvastatin is safest of all statins as it has a tendency to lower the uric acid levels too.
You can consult your cardiologist and consider taking other cholesterol lowering agents like:
* Bile acid-sequestering resins
* Ezetimibe
* Fibrates (such as gemfibrozil)
* Nicotinic acid
Avoid consumption of alcohol, seafood and meat.
Taking a diet XXXXXX in vitamin C, dairy products and coffee is likely to help in improvement of symptoms.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (31 minutes later)
Thanks Doctor, If I take any medication for gout will it affect my Cholesterol level, are there any safe options that you could suggest? Also does this lead to a need to review my liver health as these issues could be related to the liver.
doctor
Answered by Dr. Dr. Praveen Tayal (14 minutes later)
Hello.
Thanks for writing again.
Medications for gout are not likely to affect your cholesterol levels.
Taking anti inflammatory medicines will help but you should get these prescribed from your physician.
Taking Vitamin c supplements will help in relieving your symptoms.
You also need to get your liver profile evaluated as liver functions might also be affected by these medicines.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Went Through An Elective Coronary Stent Procedure. Taking Medicine. Are These Drugs Affecting The Gout Condition?

Hello,
Thanks for posting your query.
Lipid lowering drugs like statins are likely to cause rhabdomyolysis which precipitates gout. Atorvastatin is safest of all statins as it has a tendency to lower the uric acid levels too.
You can consult your cardiologist and consider taking other cholesterol lowering agents like:
* Bile acid-sequestering resins
* Ezetimibe
* Fibrates (such as gemfibrozil)
* Nicotinic acid
Avoid consumption of alcohol, seafood and meat.
Taking a diet XXXXXX in vitamin C, dairy products and coffee is likely to help in improvement of symptoms.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.