USMLE Forum Archives - USMLE Step 3 - Hydrochlorothiazide
Hydrochlorothiazide
zkadhem - 06-07-09 12:27
Patient on hydrochlorothiozide found to have high uric acid. Next step?
Patient on hydrochlorothiazide developed gout attack or renal calculi.Next step?
zkadhem - 06-07-09 12:27
Patient on hydrochlorothiozide found to have high uric acid. Next step?
Patient on hydrochlorothiazide developed gout attack or renal calculi.Next step?
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#2
Re: Hydrochlorothiazide
zkadhem - 06-07-09 14:03 In the first question, no you will not stop HTCZ.You don't treat asymptomatic hyperuricemia.
In the second question, yes you have to stop the drug.
#3
Re: Hydrochlorothiazide sabiraghauri - 06-07-09 15:17 if it is just increase in uric acid, no treatment.just follow closely
if it is gout stop HCTZ and treat the gout.
#4
Re: Hydrochlorothiazide mtniharika - 11-21-09 10:28 yup i agree with the above.
Side effects of hctz:
Hypokalemia
Hypomagnesemia
Hyperuricemia and gout
High blood sugar
Hyperlipidemia
Hypercalcemia
Headache
Nausea/vomiting
Photosensitivity
Weight Gain
#5
Re: Hydrochlorothiazide babbu5508 - 02-23-11 02:11 The major site of action in the nephron appears on an electroneutral Na+-Cl- co-transporter by competing for the chloride site on the transporter. By impairing Na transport in the distal convoluted tubule, hydrochlorothiazide induces a natriuresis and concomitant water loss.
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