the effect of allopurinol treatment regimen on serum uric acid and arterial blood pressure in hemodialysis patients

نویسندگان

hamidreza omrani

seyed muhammad kazem sadeghi

dariush raeisi

amirhosein hashemian

چکیده

introduction: controlling and reducing serum uric acid levels may have beneficial effects on blood pressure control. the current study was carried out to assess the effects of allopurinol administration on serum uric acid and arterial blood pressure among the patients under hemodialysis.  methods: this double-blind clinical trial was conducted on 132 hemodialysis patients (two separate groups) suffering from hyperuricemia and hypertension at imam reza hospital, kermanshah in 2014. the first group received a daily dose of 100 mg allopurinol and the second group, as control, received placebo. the demographic data, vital signs, paraclinical data and comorbidities of all patients were recorded in a checklist. serum uric acid and blood pressure were measured at the end of the first, second and third months. the obtained data were analyzed by spss software using t-test, paired t-test and repeated measure t-test. results: the results showed that allopurinol significantly reduced systolic and diastolic blood pressure and uric acid level in the patients with chronic renal dysfunction. this reduction was also reported to be significant between the patient and control groups at different times.   conclusion: given the beneficial effect of allopurinol on the patients with chronic renal dysfunction, this drug can be used in this group of patients. uage:en-us;mso-bidi-language: fa'>this study showed that 30µg/kg/min of intravenous propofol caused reduced the incidence of post spinal headache in young women undergone elective cesarean section. �   supportive interventions must be considered as an indispensable part of care for children with cancer.

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Commentary on: The effect of allopurinol on lowering blood pressure in hemodialysis patients with hyperuricemia

BACKGROUND Hyperuricemia has been associated with the development of high blood pressure (BP). We studied the effects of allopurinol therapy in hyperuricemic hemodialysis (HD) patients with high BP. MATERIALS AND METHODS This single-blind, randomized cross-over clinical study involved 55 HD patients with serum uric acid level > 6.5 (men) and > 5.5 mg/dL (women). They were randomly divided in ...

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