Drugs that cause hyperuricemia

Drugs that cause hyperuricemia due to decreased renal excretion of urate

The mnemonic CAN’T LEAP can be used to remember these drugs:

  • yclosporine
  • Alcohol
  • Nicotinic acid
  • Thiazides/Tacrolimus
  • Lasix (furosemide) (and other loop diuretics)
  • Ethambutol
  • Aspirin (low dose)
  • Pyrazinamide

Other drugs that can cause hyperuricemia include levodopa, theophylline, and didanosine. In contrast, the following commonly used drugs exert mild uricosuric effects and produce modest urate lowering: amlodipine, atorvastatin, fenofibrate, leflunomide, losartan, rosuvastatin, and high-dose salicylates.

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