A comparative study on the effectiveness of losartan/hydrochlorothiazide and telmisartan/hydrochlorothiazide in patients with hypertension.

Author: HamadaToshihiro, HaruakiNinomiya, HirotaYutaka, HisatomeIchiro, KatoMasahiko, KosakaHiroki, KotakeHiroshi, KuwabaraMasanari, MiyazakiSatoshi, MizutaEinosuke, NakamuraHiroki, OginoKazuhide, OhtaharaAkira, OmodaniHiroki, TaniguchiShin-ichi, WatanabeArisa, WatanabeMasashi, YamamotoKazuhiro

Paper Details 
Original Abstract of the Article :
PURPOSE: Long-term effects of a low-dose hydrochlorothiazide (HCTZ) with losartan (LOS) on uric acid (UA) metabolism as well as glucose metabolism have been studied in hypertensive patients in comparison with those of a low-dose HCTZ with telmisartan (TEL). METHOD: Fifty-nine hypertensive patients ...See full text at original site
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引用元:
https://doi.org/10.3109/10641963.2013.810228

データ提供:米国国立医学図書館(NLM)

Losartan/Hydrochlorothiazide vs. Telmisartan/Hydrochlorothiazide for Hypertension: A Uric Acid Tale

Hypertension, a common health concern, often requires combination therapy to effectively manage blood pressure. This study compares two popular combination therapies: losartan/hydrochlorothiazide (LOS+HCTZ) and telmisartan/hydrochlorothiazide (TEL+HCTZ). The focus is on their effects on uric acid (UA) metabolism, a crucial aspect of overall health. The researchers recruited 59 hypertensive patients and randomly assigned them to either LOS+HCTZ or TEL+HCTZ groups. They monitored blood pressure and biochemical parameters before and after one year of treatment. Notably, LOS+HCTZ did not significantly alter UA levels, whereas TEL+HCTZ led to an increase in UA levels. This difference suggests that losartan may have a protective effect on UA metabolism, while telmisartan may have a negative impact. These findings are particularly important because elevated UA levels are linked to various health problems, including gout and cardiovascular disease.

Uric Acid Levels: A Balancing Act

This study underscores the importance of carefully considering the potential impact of antihypertensive medications on UA metabolism. The findings demonstrate that LOS+HCTZ appears to be more favorable in terms of maintaining UA levels. However, it is crucial to remember that individuals respond differently to medications, and further research is needed to confirm these findings and explore the underlying mechanisms. This study emphasizes the need for careful monitoring of UA levels in patients taking these combination therapies.

Navigating the Desert of Hyperuricemia: Choosing the Right Path

The findings highlight the importance of choosing the right antihypertensive medication for each individual, taking into account their specific health needs, including their UA levels. If you have a history of high UA levels or are at risk for gout, consulting your physician about your medication choices is crucial. Like a wise traveler in the desert who navigates sand dunes with care, a well-informed patient can make decisions that contribute to their overall well-being.

Dr.Camel's Conclusion

Hypertension and UA levels are intertwined in a delicate dance. This research sheds light on the potential impact of different antihypertensive medications on UA metabolism. Remember, personalized medicine is key, and consulting your physician is essential for making informed decisions about your health. Like a wise camel choosing a path through the desert, make choices that are tailored to your individual needs and health conditions.

Date :
  1. Date Completed 2015-01-22
  2. Date Revised 2018-12-02
Further Info :

Pubmed ID

23865441

DOI: Digital Object Identifier

10.3109/10641963.2013.810228

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PICO Info
in preparation
Languages

English

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