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Gout Remedies Forum For Gout Treatment

Lisinopril and Gout

[This Lisinopril and Gout discussion moved from old forum August 2009]

My Experiences with Lisinopril and Gout

Lisinopril belongs to a group of drugs known as ACE inhibitors. These drugs are used to treat hypertension and a number of other maladies. I was put on Lisinopril approximately three weeks after my blood pressure skyrocketed to 177/99 while I was at my local clinic, causing me to collapse in to a chair. This incident was brought on by a huge sleep deficit and extremely high level of stress. After about thirty minutes, my blood pressure did fall back to 139/92 (or so), which was still above my average BP over the last three months of 127/85. The doctor that insisted that I go on Lisinopril was not my regular doctor and in fact, was quite condescending, failing to listen to a word I said to him. On my medical records, it showed that at one point last year I turned down a prescription for Lisinopril. He chastised me for this, essentially guilting me in to trying it again while I was in a much-weakened state. I tried to tell him that I HAD taken Lisinopril before and found the side effects to be unbearable. He told me it was a medicine with little to no side effects. Buuullll Shhhit!

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Gout Remedies Forum For Gout Treatment

Diclofenac For Gout

Coincidentally, my recent posts about gout remedies for pain relief requires another – this time it is diclofenac for gout.

Diclofenac is one of many NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) that are suitable for any kind of inflammatory pain. As they fight inflammation, they are often prescribed for gout.

It seems to me, that the selection of a NSAID has more to do with a doctor’s prescribing habits than anything else. In essence, this is bound to happen. There is limited research into comparing NSAIDs as they are all quite similar. If doctors find something that presents more benefits than problems, they are likely to stick with it. So if diclofenac works, then there is little point switching to something else.

I also believe that trying to champion one NSAID for gout over another completely misses the point. It is far more important to plan a gout treatment program that recognizes the part that NSAIDs play. The NSAID must be a temporary solution to cover the months that gout patients are at risk until their uric acid is reduced to a safe level – 5mg/dL (0.30mmol/L), or below. The NSAID might be part of a combination relief that supports colchicine. It might, in turn, need support from other compatible pain-blocking analgesics.

So, if all NSAIDs are similar, is there any point in discussing diclofenac for gout?

I believe there is a need to discuss diclofenac for gout patients because the dosage is vital. In some countries, diclofenac is available Over The Counter (OTC – non-prescription), often under the Voltaren brand. But it does not matter whether you buy from Walgreens.com, Walmart.com, or some other pharmacy – dosage is vital.

If your dose is insufficient for gout (as many OTC doses are where it is available) you do not get relief. If you overdose, you die.

As with other specific pain relief products that I have started new discussion topics for, I am happy to clarify the role of pain relief in your gout treatment plan. But, though dosage is vital for gout pain, guidelines are not clear.

Personally, I am familiar with ibuprofen, but I have no experience of diclofenac in the context of gout pain relief. As with other types of gout remedies for pain, I would love to hear what your doctor is prescribing for you.

Though I am particularly interested in prescribed doses, please feel free to discuss any aspect of diclofenac for gout here.