Intended for healthcare professionals

Rapid response to:

Practice From Drug and Therapeutics Bulletin

Latest guidance on the management of gout

BMJ 2018; 362 doi: https://doi.org/10.1136/bmj.k2893 (Published 18 July 2018) Cite this as: BMJ 2018;362:k2893

Rapid Response:

Re: Latest guidance on the management of gout

As a GP I frequently see patients with gout. Many of these patients also have cardiovascular disease.

Sometimes one can tip the balance by adjusting their other medication, in particular avoiding thiazide diuretics which increase Urate levels and using instead calcium Channel blockers and Losartan which have a uricosuric effect. This can be enough to prevent further acute attacks and reduce the need for allopurinol with it is well recognised risk of side effects.

https://www.bmj.com/content/331/7517/623

Competing interests: No competing interests

07 August 2018
Steven Charkin
GP
London