Drugs That Increase Uric Acid
Uric acid is a byproduct of the body breaking down purines in the body. If the body has too much purine, due to natural disposition or from eating purine-rich foods, the level of uric acid in the blood rises. Increased levels of uric acid in the blood, also referred to as hyperuricemia, can cause a type of arthritis called gout. Gout occurs due to crystallized uric acid settling in joints in the body. The big toe on the foot is a common area for gout to occur. Symptoms of gout include pain, inflammation and swelling. In addition to extra purine in the body, taking certain medications can increase uric acid levels.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Thiazide Diuretics
Several medications fall into the class of thiazide diuretics 2. These oral medicines increase urinary output to help control high blood pressure. As the kidneys pull more fluid out of the body, it increases the risk of uric acid building up due to the decreased ability of the kidney to remove the uric acid. Thiazide diuretics can cause an imbalance in fluids in the body 23. Symptoms of this imbalance, according to RxList.com, include:
- thirst
- dry mouth
- drowsiness
- confusion
- seizures
- increased heart rate
- decreased urine output 2
Increased levels of uric acid due to the use of thiazide diuretics may increase the risk of developing coronary heart disease and heart attacks, according to HealthCentral.com 23.
Aspirin
Herbs for Dissolving a Blood Clot
Learn More
Aspirin, also referred to as acetylsalicylic acid, is an anti-inflammatory and analgesic medication that can alter the levels of uric acid in the blood. The oral medication also thins the blood and lowers fevers. Low doses of aspirin, classified by infrequent use, can cause an increase in the uric acid levels, according to Lab Tests Online, where as large doses of aspirin can decrease the levels of uric acid 4.
Anti-Rejection Medications
Anti-rejection medication, such as cyclosporine, can cause increased levels of uric acid in the blood and raises the risk of developing gout. These medications work to increase survival of individuals who undergo an organ transplant, such as the heart, kidney and bone marrow. Cyclosporine may also treat conditions such as rheumatoid arthritis and psoriasis. Kidney dysfunction can occur from taking anti-rejection medications. The damaged kidney loses the ability to efficiently remove uric acid from the blood, which can cause the uric acid levels to rise.
- Anti-rejection medication, such as cyclosporine, can cause increased levels of uric acid in the blood and raises the risk of developing gout.
- The damaged kidney loses the ability to efficiently remove uric acid from the blood, which can cause the uric acid levels to rise.
Related Articles
References
- MayoClinic.com: Gout
- RxList.com: Diuretics
- HealthCentral.com: Thiazide Diuretics: A First-Line Mistake?
- Lab Tests Online: Uric Acid
- Drugs.com: Aspirin
- George C, Minter DA. Hyperuricemia. [Updated 2019 Jun 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-.
- American Association for Clinical Chemistry. Uric acid. Reviewed May 17, 2017.
- Benn CL, Dua P, Gurrell R, et al. Physiology of hyperuricemia and urate-lowering treatments. Front Med (Lausanne). 2018;5:160. doi:10.3389/fmed.2018.00160
- George C, Minter DA. Hyperuricemia. [Updated 2019 Jun 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-.
- Ramirez-Sandoval JC, Madero M. Treatment of hyperuricemia in chronic kidney disease. Contrib Nephrol. 2018;192:135-146. doi: 10.1159/000484288
- Wilson FP, Berns JS. Tumor lysis syndrome: new challenges and recent advances. Adv Chronic Kidney Dis. 2014;21(1):18–26. doi:10.1053/j.ackd.2013.07.001
- American Association for Clinical Chemistry. Uric acid. Reviewed May 17, 2017.
- Khanna D, Fitzgerald JD, Khanna PP, et al. 2012 American College of Rheumatology guidelines for management of gout. Part 1: systematic nonpharmacologic and pharmacologic therapeutic approaches to hyperuricemia. Arthritis Care Res (Hoboken). 2012;64:1431–46. doi: 10.1002/acr.21772
- Coburn BW, Bendlin KA, Sayles H, et al. Target serum urate: Do gout patients know their goal? Arthritis Care Res (Hoboken). 2016;68(7):1028-35. doi:10.1002/acr.22785
- Wiederkehr MR, Moe OW. Uric acid nephrolithiasis: a systemic metabolic disorder. Clin Rev Bone Miner Metab. 2011;9(3-4):207–217. doi:10.1007/s12018-011-9106-6
Writer Bio
Abigail Adams began her freelance writing career in 2009, teaching others about medical conditions and promoting wellness by writing on online health and fitness publications. She is educated and licensed as a registered nurse, having received her degree from North Georgia College and State University.