You might see more cases of gout

October 2003

You might see more cases of gout now that thiazide diuretics are being used more for high blood pressure.

Thiazides and loop diuretics INCREASE uric acid levels by DECREASING excretion...and sometimes leads to gout.

If this occurs, the diuretic should be stopped if possible.

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Table of Contents

Metabolic syndrome
confusion between Wellbutrin SR and the new Wellbutrin XL
using antidepressants in children and teens might not work...or might increase suicide risk
Infectious Diseases Valtrex (valacyclovir) is now approved to decrease heterosexual transmission of genital herpes
Cardiology interest in Aceon and other ACE inhibitors for patients with coronary heart disease
Cardiology statins for peripheral arterial disease
Rheumatology You might see more cases of gout
Heart Failure angiotensin receptor blocker (ARB) for heart failure
Diabetes interaction between gemfibrozil and Avandia
Women's Health Seasonale, a new extended-cycle oral contraceptive
Women's Health "bioidentical" hormone therapy
Pregnancy NSAIDs might increase the risk of miscarriage
Vaccines Flu vaccine will be plentiful this year
Vaccines Is the varicella vaccine less effective in kids with asthma
Is it okay for patients with hypertension to take pseudoephedrine (Sudafed, etc)
Practice California will finally accept NAPLEX