Diuretics :: Exacerbates Gout


Jan 21, 2009

I took the drug for High BP for many years at max dose 5mg/day.

Can cause awkward need to pass water at inconvenient times- but effective against high BP - in my case used in conjunction with ACE inhibitor Trandolapril with some success.

However, if you have a familial tendency to Gout (ie Arthritis in family- as a precursor) then this drug type will make Gout pretty likely.

You will not want to experience the pain of Gout, believe me!

At the first sign of joint reddening (esp. with alcohol usage) then review use of this drug. Certainly reduce alcohol intake.

It took me 6 weeks to adjust to cessation of this diuretic -with some fluid retention problems and BP surging up again.

I've talked to many people over the years about this -and the link between any diuretic and Gout seems very common.

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Anxiety Exacerbates Vertigo?

I can see from your posts that most of you feel that anxiety exacerbates vertigo, but is not the cause.

I have had fairly severe vertigo for about six months now. It starts with double vision, then jumping eyes/nystagmus where the world is rapidly moving downwards - like a sideways film reel, and then the whole world pitches forward as well and I am sick. At this point it is severe - I can't recognise my own son, or even stand up. Sometimes it lasts the day but often it is gone by late lunch, when school run is over.

The ENT had my ears, balance, MRIs done and they're all clear. I have " undiagnosed recurrent vertigo" and there's little can be done.

It first presented itself last May at a stressful time and at the end of a mild virus which was probably the initial cause. It stayed for five weeks and drifted away over the school holidays (I'm a single mum so holidays are much lower stress). However last year was a hugely stressful one. I have Bipolar and for the first time had to go into hospital for it in late August. This was a traumatic experience and after a few days, the vertigo returned and hit me like a ton of bricks.

I have had it ever since..over six months. For me, the big trigger for it is not movement or lights - it's *having to leave the house*. It starts right before I have to go anywhere, and particularly in the mornings just before the school run. Sometimes closing my eyes helps, sometimes it doesn't.

In desperation some weeks ago I went back to a Physio specialising in vertigo, who had previously told me she couldn't help me. She listened to me and said she thought I had gotten into a vicious circle of anxiety with it. : I need to go out -> causes anxiety -> creates vertigo -> heightens anxiety. And so on.

I have to say it makes sense, and my bipolar makes me prone to anxiety anyway. Funnily enough over two weeks ago I hurt my back and while it was healing, my vertigo disappeared! It was bliss. But it came back with a vengeance last Thursday. Did it stop because my brain was diverted elsewhere?

I have booked myself in for CBT with a good practitioner starting next week, and I'm learning to meditate. If you're still reading, thank you.

Has anyone any similar stories to tell or advice to offer? I would so appreciate it. Life is on hold, my default star is frightened, and I am quietly desperate.

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I am a 29yr old male, in good shape and not obese. I had my first gout attack 2 years ago, most certainly due to high blood pressure (on meds now). About 6 months ago I had a bad fall and injured the same toe that had previously gotten a gout attack, so I had a resulting 2nd gout attack. I had uric acid of 7.5 and started taking Uloric.

I read alcohol (especially beer) is very bad for gout. I can't say that I've ever noticed alcohol to cause an attack, maybe a few times my big toe has been a little tender the day after drinking a little too much, but never an attack.

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I have as many as seven lumps formed on one toe all around  toe joint, now it has formed an abscess oozing a thick white mucus now with a gaping oozing hole,this is also happening on another toe.

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