Page last updated: 2024-10-28

hydrochlorothiazide and Hyperuricemia

hydrochlorothiazide has been researched along with Hyperuricemia in 16 studies

Hydrochlorothiazide: A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.
hydrochlorothiazide : A benzothiadiazine that is 3,4-dihydro-2H-1,2,4-benzothiadiazine 1,1-dioxide substituted by a chloro group at position 6 and a sulfonamide at 7. It is diuretic used for the treatment of hypertension and congestive heart failure.

Hyperuricemia: Excessive URIC ACID or urate in blood as defined by its solubility in plasma at 37 degrees C; greater than 0.42mmol per liter (7.0mg/dL) in men or 0.36mmol per liter (6.0mg/dL) in women. This condition is caused by overproduction of uric acid or impaired renal clearance. Hyperuricemia can be acquired, drug-induced or genetically determined (LESCH-NYHAN SYNDROME). It is associated with HYPERTENSION and GOUT.

Research Excerpts

ExcerptRelevanceReference
"We investigated serum uric acid changes and incident hyperuricemia in relation to the achieved blood pressure (BP) after 12 weeks of antihypertensive therapy with the irbesartan/hydrochlorothiazide combination."8.02Incident hyperuricemia in relation to antihypertensive therapy with the irbesartan/hydrochlorothiazide combination. ( Huang, QF; Li, Y; Wang, JG; Zhang, D, 2021)
" Overall serum uric acid (UA) concentration increased, whereas in patients with hyperuricemia there was a significant reduction in this value."7.78Antihypertensive effect of a fixed-dose combination of losartan/hydrochlorothiazide in patients with uncontrolled hypertension: a multicenter study. ( Akaba, K; Endo, S; Fukui, A; Gomi, H; Hamaguchi, A; Hanaoka, K; Hara, Y; Hasegawa, T; Hayakawa, H; Hayashi, F; Hikida, M; Hirano, K; Horiguchi, M; Hosoya, M; Hosoya, T; Ichida, K; Ikeda, M; Imai, T; Ishii, T; Ishikawa, H; Ishikawa, M; Kameda, C; Kanai, T; Kasai, T; Kawamura, T; Kobayashi, A; Kobayashi, H; Kurashige, M; Kuriyama, S; Kusama, Y; Maezawa, H; Maezawa, Y; Maruyama, Y; Matsuda, H; Matsuo, N; Matsuo, T; Miura, Y; Miyajima, M; Miyakawa, M; Miyazaki, Y; Mizuguchi, M; Morita, T; Nakao, M; Nokano, H; Ogura, M; Ohkido, I; Ohno, I; Ohtsuka, Y; Okada, K; Okamoto, H; Okonogi, H; Saikawa, H; Saito, H; Sekiguchi, C; Soejima, M; Suetsugu, Y; Sugano, N; Suzuki, T; Takahashi, H; Takahashi, Y; Takamizawa, S; Takane, K; Takazoe, K; Tanaka, H; Tanaka, S; Terawaki, H; Tokudome, G; Tomonari, H; Toyoshima, R; Tsuboi, N; Udagawa, T; Ueda, H; Ueda, Y; Uetake, M; Unemura, S; Utsunomiya, M; Utsunomiya, Y; Yamada, T; Yamada, Y; Yamaguchi, Y; Yamamoto, H; Yokoo, T; Yokoyama, K; Yonezawa, H; Yoshida, H; Yoshida, M; Yoshizawa, T, 2012)
"The precise relationship of Hyperuricemia found in hypertensive patients is still obscure; this study is a urinary uric acid lowering intervention with Losartan in hypertensive patients induced by Thiazide diuretics."5.15To study the efficacy of Losartan on urinary uric acid excretion in Thiazide induced hyperuricemic and hypertensive patients. ( Islam, F; Jamali, SN; Khan, M; Khan, RA; Laghari, J, 2011)
"We assessed adverse metabolic effects of atenolol and hydrochlorothiazide among hypertensive patients with and without abdominal obesity using data from a randomized, open-label study of hypertensive patients without evidence of cardiovascular disease or diabetes mellitus."5.14Impact of abdominal obesity on incidence of adverse metabolic effects associated with antihypertensive medications. ( Beitelshees, AL; Boerwinkle, E; Chapman, AB; Cooper-DeHoff, RM; Gong, Y; Gums, JG; Hall, K; Johnson, JA; Parekh, V; Turner, ST; Wen, S; Zineh, I, 2010)
" Better understanding of the transporters URAT1 and ABCG2 in particular would appear to provide opportunities for more selective, better tolerated agents to increase the renal clearance of uric acid and thereby control hyperuricemia."4.90Uricosuric drugs: the once and future therapy for hyperuricemia? ( Bach, MH; Simkin, PA, 2014)
"We investigated serum uric acid changes and incident hyperuricemia in relation to the achieved blood pressure (BP) after 12 weeks of antihypertensive therapy with the irbesartan/hydrochlorothiazide combination."4.02Incident hyperuricemia in relation to antihypertensive therapy with the irbesartan/hydrochlorothiazide combination. ( Huang, QF; Li, Y; Wang, JG; Zhang, D, 2021)
" Overall serum uric acid (UA) concentration increased, whereas in patients with hyperuricemia there was a significant reduction in this value."3.78Antihypertensive effect of a fixed-dose combination of losartan/hydrochlorothiazide in patients with uncontrolled hypertension: a multicenter study. ( Akaba, K; Endo, S; Fukui, A; Gomi, H; Hamaguchi, A; Hanaoka, K; Hara, Y; Hasegawa, T; Hayakawa, H; Hayashi, F; Hikida, M; Hirano, K; Horiguchi, M; Hosoya, M; Hosoya, T; Ichida, K; Ikeda, M; Imai, T; Ishii, T; Ishikawa, H; Ishikawa, M; Kameda, C; Kanai, T; Kasai, T; Kawamura, T; Kobayashi, A; Kobayashi, H; Kurashige, M; Kuriyama, S; Kusama, Y; Maezawa, H; Maezawa, Y; Maruyama, Y; Matsuda, H; Matsuo, N; Matsuo, T; Miura, Y; Miyajima, M; Miyakawa, M; Miyazaki, Y; Mizuguchi, M; Morita, T; Nakao, M; Nokano, H; Ogura, M; Ohkido, I; Ohno, I; Ohtsuka, Y; Okada, K; Okamoto, H; Okonogi, H; Saikawa, H; Saito, H; Sekiguchi, C; Soejima, M; Suetsugu, Y; Sugano, N; Suzuki, T; Takahashi, H; Takahashi, Y; Takamizawa, S; Takane, K; Takazoe, K; Tanaka, H; Tanaka, S; Terawaki, H; Tokudome, G; Tomonari, H; Toyoshima, R; Tsuboi, N; Udagawa, T; Ueda, H; Ueda, Y; Uetake, M; Unemura, S; Utsunomiya, M; Utsunomiya, Y; Yamada, T; Yamada, Y; Yamaguchi, Y; Yamamoto, H; Yokoo, T; Yokoyama, K; Yonezawa, H; Yoshida, H; Yoshida, M; Yoshizawa, T, 2012)
" Potassium supplementation improves their insulin resistance and hypertension, whereas allopurinol reduces serum levels of uric acid and ameliorates hypertension, hypertriglyceridemia, hyperglycemia, and insulin resistance."3.74Thiazide diuretics exacerbate fructose-induced metabolic syndrome. ( Johnson, RJ; Mu, W; Nakagawa, T; Reungjui, S; Roncal, CA; Sirivongs, D; Srinivas, TR, 2007)

Research

Studies (16)

TimeframeStudies, this research(%)All Research%
pre-19905 (31.25)18.7374
1990's0 (0.00)18.2507
2000's1 (6.25)29.6817
2010's9 (56.25)24.3611
2020's1 (6.25)2.80

Authors

AuthorsStudies
Zhang, D1
Huang, QF1
Li, Y1
Wang, JG1
Ala-Mutka, EM1
Rimpelä, JM1
Fyhrquist, F1
Kontula, KK1
Hiltunen, TP1
Nishimura, H1
Shintani, M1
Maeda, K1
Otoshi, K1
Fukuda, M1
Okuda, J1
Nishi, S1
Ohashi, S1
Kato, S1
Baba, Y1
Bach, MH1
Simkin, PA1
Vandell, AG1
McDonough, CW1
Gong, Y2
Langaee, TY1
Lucas, AM1
Chapman, AB2
Gums, JG2
Beitelshees, AL2
Bailey, KR1
Johnson, RJ2
Boerwinkle, E2
Turner, ST2
Cooper-DeHoff, RM2
Johnson, JA2
Manrique, C1
Johnson, M1
Sowers, JR1
Wen, S1
Zineh, I1
Hall, K1
Parekh, V1
Ohshiro, K1
Sakima, A1
Nakada, S1
Kohagura, K1
Yamazato, M1
Tana, T1
Ohya, Y1
Khan, M1
Khan, RA1
Islam, F1
Laghari, J1
Jamali, SN1
Hosoya, T1
Kuriyama, S1
Ohno, I1
Kawamura, T1
Ogura, M1
Ikeda, M1
Ishikawa, M1
Hayashi, F1
Kanai, T1
Tomonari, H1
Soejima, M1
Akaba, K1
Tokudome, G1
Endo, S1
Fukui, A1
Gomi, H1
Hamaguchi, A1
Hanaoka, K1
Hara, Y2
Hasegawa, T1
Hayakawa, H1
Hikida, M1
Hirano, K1
Horiguchi, M1
Hosoya, M1
Ichida, K1
Imai, T1
Ishii, T1
Ishikawa, H1
Kameda, C1
Kasai, T1
Kobayashi, A1
Kobayashi, H1
Kurashige, M1
Kusama, Y1
Maezawa, H1
Maezawa, Y1
Maruyama, Y1
Matsuda, H1
Matsuo, N1
Matsuo, T1
Miura, Y1
Miyajima, M1
Miyakawa, M1
Miyazaki, Y1
Mizuguchi, M1
Nakao, M1
Nokano, H1
Ohkido, I1
Ohtsuka, Y1
Okada, K1
Okamoto, H1
Okonogi, H1
Saikawa, H1
Saito, H1
Sekiguchi, C1
Suetsugu, Y1
Sugano, N1
Suzuki, T2
Takahashi, H1
Takahashi, Y1
Takamizawa, S1
Takane, K1
Morita, T1
Takazoe, K1
Tanaka, H1
Tanaka, S1
Terawaki, H1
Toyoshima, R1
Tsuboi, N1
Udagawa, T1
Ueda, H1
Ueda, Y1
Uetake, M1
Unemura, S1
Utsunomiya, M1
Utsunomiya, Y1
Yamada, T1
Yamada, Y1
Yamaguchi, Y1
Yamamoto, H1
Yokoo, T1
Yokoyama, K1
Yonezawa, H1
Yoshida, H1
Yoshida, M1
Yoshizawa, T1
OTTAVIANI, P1
MANAI, G1
MANDELLI, F1
BORDONI, C1
DOLCI, G1
AYVAZIAN, JH1
AYVAZIAN, LF1
SMILO, RP1
BEISEL, WR1
FORSHAM, PH1
SPERBER, RJ1
FISCH, S1
DEGRAFF, AC1
FREUDENTHAL, RR1
HEALEY, LA1
MAGID, GJ1
DECKER, JL1
Reungjui, S1
Roncal, CA1
Mu, W1
Srinivas, TR1
Sirivongs, D1
Nakagawa, T1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomised Double-blind Cross-over Single-centre Study on Molecular Genetics of Drug Responsiveness in Essential Hypertension[NCT03276598]Phase 4233 participants (Actual)Interventional1999-11-25Completed
A Triple-Blind, Parallel Study to Investigate the Effect of Losartan Versus Atenolol on the Reduction of Morbidity and Mortality in Hypertensive Patients With Left Ventricular Hypertrophy[NCT00338260]Phase 3496 participants (Actual)Interventional1995-06-30Completed
Pharmacogenomic Evaluation of Antihypertensive Responses (PEAR)[NCT00246519]Phase 41,701 participants (Actual)Interventional2005-10-31Completed
Uric Acid and Hypertension in African Americans[NCT00241839]Phase 3150 participants (Actual)Interventional2005-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Blood Pressure Response (Delta BP (After 18 Weeks of Medication - Baseline)).

(NCT00246519)
Timeframe: baseline to 18 weeks of treatment

InterventionmmHg (Mean)
Atenolol +HCTZ Arm-12.06
HCTZ + Atenolol-13.33

Change in Diastolic Blood Pressure by Cuff 8-10 Weeks Minus Baseline

"The Diastolic BP was taken at Baseline and after 8-10 weeks of treatment or placebo while on chlorthalidone and potassium chloride. The blood pressure was measured according to Shared Care protocol: 15 minutes of quiet, undisturbed rest with three BP measurements obtained subsequently at 5 minute intervals.~The mean of the second and third reading was the value used for analysis for both the Baseline measurement and the measurement after 8 - 10 weeks of treatment. The dependent variable is baseline value minus ending value.~Measures are in millimeters of mercury (mm hg)" (NCT00241839)
Timeframe: Measured at 8-10 weeks on allopurinol / placebo

Interventionmm Hg (Mean)
A (Allopurinol)3.44
B (Placebo)-0.83

Change in Overall Mean BP From Those Obtained by 24 Hour Ambulatory Blood Pressure Measurements (ABPM) 8-10 Weeks Minus Baseline.

Subjects had 24 hr blood pressure monitoring (ABPM) at baseline and treatment end. The readings were averaged and the changes from baseline to treatment end were compared. (NCT00241839)
Timeframe: Baseline and end of treatment (8-10 weeks on allopurinol / placebo)

Interventionmm Hg (Mean)
A (Allopurinol)-5.9
B (Placebo)0.90

Change in Systolic Blood Pressure by Cuff After 8-10 Weeks Minus Baseline

"The systolic BP was taken at Baseline and after 8-10 weeks of treatment on placebo, while on chlorthalidone and potassium chloride. The blood pressure was measured according to Shared Care protocol: 15 minutes of quiet, undisturbed rest with three BP measurements obtained subsequently at 5 minute intervals.~The mean of the second and third reading was the value used for analysis for both the Baseline measurement and the measurement after 8 - 10 weeks of treatment. The dependent variable is baseline value minus ending value.~Measures are in millimeters of mercury (mm hg)" (NCT00241839)
Timeframe: Measured at 8-10 weeks on allopurinol or placebo

Interventionmm Hg (Mean)
A (Allopurinol)0.21
B (Placebo)-0.95

Change in Uric Acid (UA) Levels: Baseline Less End of Treatment

Subjects on allopurinol are expected to lower their uric acid levels relative to placebo. (NCT00241839)
Timeframe: Baseline UA levels compared to end of treatment levels (8-10 weeks on allopurinol / placebo)

Interventionmg/dl (Mean)
A (Allopurinol)2.29
B (Placebo)0.14

Reviews

1 review available for hydrochlorothiazide and Hyperuricemia

ArticleYear
Uricosuric drugs: the once and future therapy for hyperuricemia?
    Current opinion in rheumatology, 2014, Volume: 26, Issue:2

    Topics: ATP Binding Cassette Transporter, Subfamily G, Member 2; ATP-Binding Cassette Transporters; Drug Dis

2014

Trials

3 trials available for hydrochlorothiazide and Hyperuricemia

ArticleYear
Which is a better treatment for hypertensive patients with diabetes: a combination of losartan and hydrochlorothiazide or a maximum dose of losartan?
    Clinical and experimental hypertension (New York, N.Y. : 1993), 2013, Volume: 35, Issue:8

    Topics: Aged; Albuminuria; Antihypertensive Agents; Diabetes Mellitus, Type 2; Dose-Response Relationship, D

2013
Impact of abdominal obesity on incidence of adverse metabolic effects associated with antihypertensive medications.
    Hypertension (Dallas, Tex. : 1979), 2010, Volume: 55, Issue:1

    Topics: Adolescent; Adult; Aged; Antihypertensive Agents; Atenolol; Diabetes Mellitus; Drug Therapy, Combina

2010
To study the efficacy of Losartan on urinary uric acid excretion in Thiazide induced hyperuricemic and hypertensive patients.
    Pakistan journal of pharmaceutical sciences, 2011, Volume: 24, Issue:4

    Topics: Aged; Humans; Hydrochlorothiazide; Hypertension; Hyperuricemia; Kidney; Losartan; Middle Aged; Sodiu

2011

Other Studies

12 other studies available for hydrochlorothiazide and Hyperuricemia

ArticleYear
Incident hyperuricemia in relation to antihypertensive therapy with the irbesartan/hydrochlorothiazide combination.
    Blood pressure monitoring, 2021, Dec-01, Volume: 26, Issue:6

    Topics: Antihypertensive Agents; Biphenyl Compounds; Blood Pressure; Humans; Hydrochlorothiazide; Hypertensi

2021
Effect of hydrochlorothiazide on serum uric acid concentration: a genome-wide association study.
    Pharmacogenomics, 2018, Volume: 19, Issue:6

    Topics: Aged; Antihypertensive Agents; DNA-Binding Proteins; Female; Finland; Genome-Wide Association Study;

2018
Effect of hydrochlorothiazide on serum uric acid concentration: a genome-wide association study.
    Pharmacogenomics, 2018, Volume: 19, Issue:6

    Topics: Aged; Antihypertensive Agents; DNA-Binding Proteins; Female; Finland; Genome-Wide Association Study;

2018
Effect of hydrochlorothiazide on serum uric acid concentration: a genome-wide association study.
    Pharmacogenomics, 2018, Volume: 19, Issue:6

    Topics: Aged; Antihypertensive Agents; DNA-Binding Proteins; Female; Finland; Genome-Wide Association Study;

2018
Effect of hydrochlorothiazide on serum uric acid concentration: a genome-wide association study.
    Pharmacogenomics, 2018, Volume: 19, Issue:6

    Topics: Aged; Antihypertensive Agents; DNA-Binding Proteins; Female; Finland; Genome-Wide Association Study;

2018
Hydrochlorothiazide-induced hyperuricaemia in the pharmacogenomic evaluation of antihypertensive responses study.
    Journal of internal medicine, 2014, Volume: 276, Issue:5

    Topics: Adult; Antihypertensive Agents; Black or African American; Diuretics; Female; Genome-Wide Associatio

2014
Thiazide diuretics alone or with beta-blockers impair glucose metabolism in hypertensive patients with abdominal obesity.
    Hypertension (Dallas, Tex. : 1979), 2010, Volume: 55, Issue:1

    Topics: Adrenergic beta-Antagonists; Atenolol; Diabetes Mellitus; Diuretics; Drug Therapy, Combination; Fast

2010
Beneficial effect of switching from a combination of angiotensin II receptor blockers other than losartan and thiazides to a fixed dose of losartan/hydrochlorothiazide on uric acid metabolism in hypertensive patients.
    Clinical and experimental hypertension (New York, N.Y. : 1993), 2011, Volume: 33, Issue:8

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Blood Pressure; Dose-Respons

2011
Antihypertensive effect of a fixed-dose combination of losartan/hydrochlorothiazide in patients with uncontrolled hypertension: a multicenter study.
    Clinical and experimental nephrology, 2012, Volume: 16, Issue:2

    Topics: Adult; Aged; Antihypertensive Agents; Blood Pressure; Blood Pressure Determination; Creatinine; Drug

2012
[Investigations of the mechanism of appearance of hyperuricemia caused by hydrochlorothiazide].
    Giornale di clinica medica, 1961, Volume: 42

    Topics: Chlorothiazide; Hydrochlorothiazide; Hyperuricemia; Kidney; Uric Acid

1961
A study of the hyperuricemia induced by hydrochlorothiazide and acetazolamide separately and in combination.
    The Journal of clinical investigation, 1961, Volume: 40

    Topics: Acetazolamide; Chlorothiazide; Humans; Hydrochlorothiazide; Hyperuricemia; Uric Acid

1961
Reversal of thiazide-induced transient hyperuricemia by uricosuric agents.
    The New England journal of medicine, 1962, Dec-13, Volume: 267

    Topics: Chlorthalidone; Humans; Hydrochlorothiazide; Hyperuricemia; Probenecid; Pyrazoles; Thiazides; Uric A

1962
CORRECTION OF DIURETIC-INDUCED HYPOKALEMIA AND HYPERURICEMIA.
    The American journal of the medical sciences, 1965, Volume: 249

    Topics: Bicarbonates; Blood Chemical Analysis; Chlorthalidone; Diuretics; Drug Therapy; Geriatrics; Hydrochl

1965
Uric acid retention due to hydrochlorothiazide.
    The New England journal of medicine, 1959, Dec-31, Volume: 261

    Topics: Chlorothiazide; Hydrochlorothiazide; Hyperuricemia; Uric Acid

1959
Thiazide diuretics exacerbate fructose-induced metabolic syndrome.
    Journal of the American Society of Nephrology : JASN, 2007, Volume: 18, Issue:10

    Topics: Allopurinol; Animals; Blood Pressure; Body Weight; Diuretics; Fructose; Gout Suppressants; Hydrochlo

2007