Final answer:
The best medication to add for a patient with gout and hypertension should be a uricosuric drug that does not negatively impact blood pressure, such as salicylates, cinchopher, or adrenal cortical hormones. Lifestyle modifications like avoiding high-purine foods are also recommended.
Step-by-step explanation:
When managing a patient with gout and hypertension (HTN), it is essential to consider medications that can address both conditions. Uricosuric drugs are often used to control gout by promoting the increased excretion of uric acid in the urine and decreasing its re-absorption. These medications may include salicylates, cinchopher, and adrenal cortical hormones.
However, it is important to carefully choose a treatment option that does not negatively affect blood pressure. Some medications used for treating gout, like nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids, can raise blood pressure and should be used with caution.
Additionally, lifestyle modifications should be considered. Patients should avoid foods and drinks that contain high levels of purine-like compounds, such as tea, coffee, and chocolate, which may contribute to increased uric acid levels and aggravate both gout and kidney stone formation.