Can you advise on the medication to be taken by my friend for diabetes, hypertension, and joint issues?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Based on the information provided, the patient has a history of hypertension (high blood pressure) and diabetes mellitus (increased sugar in the blood). They have now developed gout, indicated by a high uric acid level of 471. The investigation results show that the uric acid level is 471, above the normal range of 210 to 420 micromol/L. The inflammation and swelling in the right middle finger joint are likely a result of this high uric acid level, a condition known as hyperuricemia. The attending physician has prescribed a medication called Zyloric, which contains Allopurinol, commonly used to lower elevated blood uric acid levels. It is important to note that hypertension, diabetes, and certain other conditions can predispose individuals to develop gout.

I hope this helps.

Please revert in case of further queries.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

You have not mentioned the current daily medications of the patient. Since your attending doctor prescribed Zyloric, I assume they have reviewed the medication regimen. Uric acid is a byproduct of digesting purine-rich foods. To reduce high blood uric acid levels, it is advisable to avoid purine-rich foods such as red meats, poultry, fish, organ meats, and shellfish. Staying well-hydrated, limiting alcohol and sugar intake can also be beneficial. The diabetic medication, Janumet 50/500, containing both sitagliptin and metformin, should not exacerbate or trigger gout. Given your well-controlled diabetic condition, it is recommended to continue your current medication.

I hope this helps.

Please revert in case of further queries.

Thank you.