What are the ACR guidelines for management of concurrent medications in patients with gout?

Updated: Jan 26, 2021
  • Author: Bruce M Rothschild, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

The following conditional recommendations apply to patients with gout, regardless of disease activity:

  • Switch from hydrochlorothiazide to an alternate antihypertensive when feasible
  • Choose losartan preferentially as an antihypertensive agent when feasible
  • Do not stop low-dose aspirin (for patients taking this medication for appropriate indications)
  • Do not add or switch cholesterol-lowering agents to fenofibrate 

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