TylerFromMS
Gold $$ Contributor
No heart meds have allopurinol in them. Uric acid builds up in the joints. It was originally known as a disease of the wealthy due to the rich foods they would eat compared to commoners.this is all a fairy tale, rich poor does not matter. Gout is a buildup of uric acid in your body, it crystalizes in your muscles somewhere usually if the feet but, it can be anywhere. when you get a "flare up" it's like a sea urchin with all those little spikes in your muscle. it can be bad enough to murder someone to get relief! high dose of MOTRIN will kill a flare up and it safe, they give women 1000 MG doses of it for menstrual cramps. so it's safe. but since I have been taking Allopurinol I have not had a flare up, all the diet suggestions are just "old wives tales" get to an arthritis doctor and they will fix you up almost ALL heart meds have Allopurinol in them, the last place you want your gout to settle in is your heart!
Yes Hydrochlorothiazide can cause/increase acid levels.
Any diuretic can make someone more prone to a flare up, just from the concentration of uric acid (and other stuff) in the blood being higher because of less fluid- because you’re peeing it out. We run into it with HF patients a lot- sometimes a necessary evil.My wife suffered from this for several years. Her uremic acid levels were high normal, so she didn't exhibit the classic cause and effect issue. Hers was induced by a diuretic she was taking for high blood pressure. Once she stopped taking the diuretic, her symptoms disappeared.
As others have said, soda and beer are particularly bad for gout. Also drinking a lot of water helps. But your best source of advice is from a specialist that specializes in gout treatment. This is how we found out about the diuretic.
Fun fact, we sometimes use colchicine after a bypass for pain control. Same thing with pericarditis. You know it’s working because they get diarrhea!