Lisinopril and Gout connection??

[Jenny3kids]

Hi people,

I recently went back to taking Lisinopril (Prinivil) and
within 3 days I got Gout and have had it ever since.

I HAD BEEN on the Lisinopril (20mg twice a day) and
Atenolol (50mg once a day) about 6 months earlier. I had
lost some weight and my BP dropped accordingly (130/80) so
the Doc stopped Lisinopril and left me taking 50mg of
Atenolol daily.

Well as best I have tried not to, I have gained back about
20-lbs and the BP has risen to a point (140/90) where the
Doc put me back on the Lisinopril and the Gout appeared 3
days later.

My wife actually raised the question that maybe it was the
Lisinopril as I had zip in the way of Gout while off it. An
Internet search did find a couple of mentions of Lisinopril
and Gout but not all that convincing.

Any comments or suggestions? What's an alternative I can
suggest to the Doc? I have an appointment late next week.

Thanks
Bruce

PS This is my wife's newsreader so don't call me
Jenny!! <vbg>

--

Kind regards,
Jenny and her tribe of survivors.

[Anonymous]

<Jenny3kids@msn.net> wrote in message
news:qidhd0t40d02ta7gsn4q8toclqki9liiej@4ax.com...
> Hi people,
>
> I recently went back to taking Lisinopril (Prinivil) and
> within 3 days I got Gout and have had it ever since.
>
> I HAD BEEN on the Lisinopril (20mg twice a day) and
> Atenolol (50mg once a day) about 6 months earlier. I had
> lost some weight and my BP dropped accordingly (130/80) so
> the Doc stopped Lisinopril and left me taking 50mg of
> Atenolol daily.
>
> Well as best I have tried not to, I have gained back about
> 20-lbs and the BP has risen to a point (140/90) where the
> Doc put me back on the Lisinopril and the Gout appeared 3
> days later.
>
> My wife actually raised the question that maybe it was the
> Lisinopril as I had zip in the way of Gout while off it.
> An Internet search did find a couple of mentions of
> Lisinopril and Gout but not all that convincing.
>
> Any comments or suggestions? What's an alternative I can
> suggest to the Doc? I have an appointment late next week.
>
> Thanks
> Bruce
>
> PS This is my wife's newsreader so don't call me Jenny!!
> <vbg>
>
>
> --
>
> Kind regards, Jenny and her tribe of survivors.

Hi Jenny's husband :)

One possible route is to discuss anti-gout medications, such
as Allopurinol, with your Dr.

Also how do you know what you are experiencing is gout?

Bill

[Dr. Andrew B. C]

Jenny3kids@msn.net wrote:
>
> Hi people,
>
> I recently went back to taking Lisinopril (Prinivil) and
> within 3 days I got Gout and have had it ever since.
>
> I HAD BEEN on the Lisinopril (20mg twice a day) and
> Atenolol (50mg once a day) about 6 months earlier. I had
> lost some weight and my BP dropped accordingly (130/80) so
> the Doc stopped Lisinopril and left me taking 50mg of
> Atenolol daily.
>
> Well as best I have tried not to, I have gained back about
> 20-lbs and the BP has risen to a point (140/90)

Uh-oh. Ime, the better option (for maintaining weight
loss) would have been to drop the atenolol while keeping
the lisinopril. Beta blockers like atenolol tend to make
people hungrier.

> where the Doc put me back on the Lisinopril and the Gout
> appeared 3 days later.

Probably coincidental. Ime, there is no association. If you
are low-carbing (more protein), you will need to stop
because this is known to elevate uric acid levels leading to
gout for those who are predisposed.

> My wife actually raised the question that maybe it was the
> Lisinopril as I had zip in the way of Gout while off it.
> An Internet search did find a couple of mentions of
> Lisinopril and Gout but not all that convincing.

It shouldn't be.

> Any comments or suggestions?

See above.

> What's an alternative I can suggest to the Doc?

That you try to avoid excessive protein intake. This change
in "what" you are eating is easily dovetailed with eating
less per the 2PD approach.

> I have an appointment late next week.
>
> Thanks

You are welcome, Bruce.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
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[Jenny3kids]

>>One possible route is to discuss anti-gout medications,
>>such as Allopurinol, with your Dr.

Thanks for the reply Bill, but I want to take less pills not
more pills.

>>Also how do you know what you are experiencing is gout?

Had it off and on for the last 30 years and can recognize it
in a heartbeat.

I tried all the treatments but didn't like the idea of
taking a pill every day for something I didn't get that
often anyway.

--

Kind regards,
Jenny and her tribe of survivors.

[Jenny3kids]

On Wed, 23 Jun 2004 09:19:50 -0400, "Dr. Andrew B. Chung, MD/PhD"
<andrew@heartmdphd.com> wrote:

Thanks Dr. Chung,

>>been to drop the atenolol while keeping the lisinopril.
>>Beta blockers

The control of my BP has been a bit of a mystery to a slew
of doctors over the years. Atenolol on it's own only worked
for about 3 weeks then the BP went back up to where it was.
Increasing the dose had the same temporary effect.

I had to change docs a few times because of our cheap arsed
insurance so got to have new ideas tried as each had their
own idea. We tried about half a dozen different drugs (can't
recal names now as it was 6 or 8 years back) but nothing
worked for long, back to 140/90.

Actullay on of the drugs had the reverse reaction and my
BP shot to
170/130. Scared the crapper out of us. I had seen the doc on
the Wednesday, got the new pills on Thursday and
right on the start of the weekend boom up it went
and no doc to call. I stopped taking the stuff and
by later that night I was down to a happy (but not
good) 140/95.

Finally one doc suggested the Tenormin and Prinivil combo
and bingo stable BP forever. The Prinivil (cheap arsed
insurance made us change to Atenolol and Lisinopril later)
on it's own had the temporary effect but in combo it
seemed to work.

>>Probably coincidental. Ime, there is no association. If
>>you are low-carbing (more protein), you will need to stop
>>because this is known

Nope, I am NOT one of the typical dumb-arsed fad-followers
of anything. I eat anything and everything (meaning a
balanced diet) but I try (try being the operative) to keep
the intake quantity down. That's my achilles's heel, over-
eating. I lost the weight when Jenny was weighing the food
and I stopped when there was nothing left on the plate.

All good plans must fail sometime. Jenny had to have surgery
on her foot and has been in a wheelchair for the past 4
months leaving me the household chores like cooking. Yum!!
<vbg> The best laid plans etc etc. I know, I know, don't
nag. <vbg>

I have since called the doc's nurse and the doc has
responded with Atenolol twice a day and drop the Lisinopril.
Within two days the gout is almost done and BP seems to be
holding at 130/80. I am NOT easily swayed by psychosomatic
indulgences so I am beginning to believe there may be some
veracity in that 1% possibility of Lisinopril and Gout.

Thanks for the reply.

--

Kind regards,
Jenny and her tribe of survivors.

[Dr. Andrew B. C]

Jenny3kids@msn.net wrote:

> On Wed, 23 Jun 2004 09:19:50 -0400, "Dr. Andrew B. Chung,
> MD/PhD" <andrew@heartmdphd.com> wrote:
>
> Thanks Dr. Chung,
>

You are welcome.

>
> >>been to drop the atenolol while keeping the lisinopril.
> >>Beta blockers
>
> The control of my BP has been a bit of a mystery to a slew
> of doctors over the years. Atenolol on it's own only
> worked for about 3 weeks then the BP went back up to where
> it was. Increasing the dose had the same temporary effect.
>
> I had to change docs a few times because of our cheap
> arsed insurance so got to have new ideas tried as each had
> their own idea. We tried about half a dozen different
> drugs (can't recal names now as it was 6 or 8 years back)
> but nothing worked for long, back to 140/90.
>
> Actullay on of the drugs had the reverse reaction and my
> BP shot to
> 170/130. Scared the crapper out of us. I had seen the doc
> on the Wednesday, got the new pills on Thursday
> and right on the start of the weekend boom up it
> went and no doc to call. I stopped taking the
> stuff and by later that night I was down to a
> happy (but not good) 140/95.
>
> Finally one doc suggested the Tenormin and Prinivil combo
> and bingo stable BP forever. The Prinivil (cheap arsed
> insurance made us change to Atenolol and Lisinopril later)
> on it's own had the temporary effect but in combo it
> seemed to work.
>
> >>Probably coincidental. Ime, there is no association. If
> >>you are low-carbing (more protein), you will need to
> >>stop because this is known
>
> Nope, I am NOT one of the typical dumb-arsed fad-
> followers of anything. I eat anything and everything
> (meaning a balanced diet) but I try (try being the
> operative) to keep the intake quantity down. That's my
> achilles's heel, over-eating.

It is *everyone's* achille's heel. Hunger makes us human.

> I lost the weight when Jenny was weighing the food and I
> stopped when there was nothing left on the plate.
>

Yep.

>
> All good plans must fail sometime. Jenny had to have
> surgery on her foot and has been in a wheelchair for the
> past 4 months leaving me the household chores like
> cooking. Yum!! <vbg> The best laid plans etc etc. I know,
> I know, don't nag. <vbg>
>

The 2PD approach is very forgiving. You can easily get back
on the wagon (scale).

>
> I have since called the doc's nurse and the doc has
> responded with Atenolol twice a day and drop the
> Lisinopril. Within two days the gout is almost done and BP
> seems to be holding at 130/80. I am NOT easily swayed by
> psychosomatic indulgences so I am beginning to believe
> there may be some veracity in that 1% possibility of
> Lisinopril and Gout.
>
> Thanks for the reply.
>

You are welcome.

Fwiw, your blood pressure will get better as you eat less
and reach "ideal" body weight.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867