Common Medications Can Trigger High Uric Acid, Increasing Gout Risk
Jakarta, Indonesia – Several widely prescribed medications can elevate uric acid levels in the blood, perhaps triggering gout or worsening existing symptoms, according to recent findings.Patients taking these drugs should be aware of the risks and consult with their doctors.
Low-dose aspirin (75-150 mg) – commonly used for heart attack and stroke prevention - has been linked to increased uric acid. Conversely,high-dose aspirin (over 2,000 mg daily) can reduce uric acid,but carries significant risks of bleeding and gastrointestinal toxicity.
Certain diuretics, notably thiazide and furosemide, can also raise uric acid levels.However, potassium-sparing diuretics like spironolactone pose a lower risk, though medical consultation is still essential before use.
ACE inhibitors, frequently prescribed for high blood pressure and heart failure (examples include captopril and lisinopril), have also been shown to increase uric acid.Safer alternatives with a lower risk include losartan and amlodipine.
patients undergoing chemotherapy for leukemia or lymphoma may experience a rapid increase in uric acid due to the rapid cell changes caused by the treatment. Immunosuppressive drugs used in conjunction with chemotherapy, such as cyclosporine and tacrolimus, further elevate gout risk.
Cyclosporine, used to prevent organ rejection in transplant patients, is known to increase uric acid. Similarly, long-term use of tacrolimus, another transplant immunosuppressant, can also contribute to elevated levels.
Individuals taking cyclosporine or tacrolimus who suspect gout symptoms should seek immediate medical attention.
Further data on managing high uric acid and preventing complications can be found here.