In patients with gout and hypertension, which antihypertensive agent is preferred?

In patients with gout and hypertension, which antihypertensive agent is preferred?

• A. ACE inhibitors
• B. Calcium channel blockers
• C. Beta blockers
• D. Thiazide diuretics

Answer: (B)

Gout and hypertension together call for an antihypertensive that won’t raise uric acid. Thiazide diuretics are notorious for increasing serum urate and can trigger gout attacks, so they’re avoided in this setting. Calcium channel blockers lower blood pressure without affecting urate handling, making them a safer, gout‑friendly choice. ACE inhibitors or ARBs can also be used, but among the options given, the calcium channel blocker is the most appropriate because it provides effective BP control without elevating uric acid.

Gout and hypertension together call for an antihypertensive that won’t raise uric acid. Thiazide diuretics are notorious for increasing serum urate and can trigger gout attacks, so they’re avoided in this setting. Calcium channel blockers lower blood pressure without affecting urate handling, making them a safer, gout‑friendly choice. ACE inhibitors or ARBs can also be used, but among the options given, the calcium channel blocker is the most appropriate because it provides effective BP control without elevating uric acid.