Q & A: Alternative treatments for gout

by Jackie Hart, MD

Alternative HealthQ: What type of alternative treatments can I use for gout?

A: I am not aware of an alternative approach for the treatment of gout once you have an attack; the only treatments I know of that are effective once an attack ensues are prescription medications, such as Indomethacin or Colchicine.

There are, however, some measures you can take to prevent gout attacks and avoid the painful experience of uric acid crystals depositing in your joints. Following these approaches diligently may allow you to avoid using medications to prevent attacks, such as the commonly prescribed Allopurinol.
  • Eliminate alcohol intake or limit to no more than 1-2 drinks per week.
  • Avoid foods high in protein, because protein is a precursor to uric acid production, particularly the proteins found in meats and lentils.
  • Eliminate caffeine, which is found not only in coffee but also certain teas, colas, and chocolate. If you consume caffeine regularly, reduce it gradually by cutting your caffeine intake by half every two days.
  • Keep your weight down through healthy eating and exercise.
There was a time when we may have considered these lifestyle approaches "alternative." But I think that we would now all agree that these sensible approaches are rather mainstream.