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Heart failure - chronic - Management
How should I manage someone with gout as a comorbidity in heart failure?
- Loop diuretics can cause an increase in uric acid levels and may precipitate or aggravate gout.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided in people with heart failure; in those with acute gout, colchicine is an alternative treatment to suppress inflammation and pain.
- If NSAIDs and colchicine are contraindicated, consider systemic corticosteroids.
- If allopurinol is used to prevent recurrence of gout, renal function should be monitored.
- For information on the management of gout, see the CKS topic on Gout.
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