Gout meds to lower uric acid and chronic kidney disease

Posted by kitmus @kitmus, Mar 8, 2021

I am Stage 4 CKD and have had a few episodes of gout. Is anyone on this forum who is in late stage taking or has taken meds to help with lowering uric acid? Thank you for any responses, positive and negative.

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@lagrange5

This is cherry season. I try to get to the local farmers market to buy tasty fresh picked cherries. The stores have them too. It's fresh fruit, which dieticians recommend, and the sugar is natural, not processed. It may not be the same as tart cherry concentrate, but you never know, and it tastes good.

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My understanding is the amount of cherries you would have to eat would be enough to make you sick. 1 tablespoon of concentrate equals 50-60 cherries. I take 3 T a day. Cherry fruit will certainly not hurt you but therapeutically you would need more than you can eat.

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Thanks for the timely reply.

I did go to the Farmers Market this morning and got sweet Bing cherries as well as small very red sour cherries. I don't know what the sour cherries are called, but they taste good. I appreciate your input on the sweet cherries. I usually pick away at them over a two- or three-day period. I don't plan to get sick on them, since I have enough other medical issues to manage. Like you, I take 3 daily tablespoons of tart cherry concentrate. It's part of my morning routine. I did try the Fruit-Fast Brownwood Acres but still prefer to stay with the Cherry Bay Orchards. probably out of habit and being accustomed to the taste.

I hope that you have a Happy Fourth.

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@gladiator14

GOUT

Supplemental Support:

600mg Celery Seed extract 1x day 3 x times a day during flare up
375mg Bilberry fruit extract
8 oz Montmorency cherry juice 1 x day or 3-4 tablespoons of concentrate 2-3 x day during flare up – can buy concentrate but must be Montmorency Cherry Juice
Cherry Bay Orchards Tart Cherry Concentrate

https://leelanaufruit.com/shop/all-products/leelanau-fruit-co-cherry-concentrate-32oz/
https://www.fruitfast.com/cherryjuice?gad=1&gclid=Cj0KCQjw9deiBhC1ARIsAHLjR2B2V5w7mFZHwSpr3c95qHsKK7nMG1f8xPGDrbI4XERfW7SRJ_AstaQaAoPQEALw_wcB

1000mg Fish oil/Omega 3 1 x day 2-3 x day during flare up
Bromelain 500mg. 1 x day 2-3 x day during flare up
Magnesium complex 400mg 1 x day 2 x day during flare up
Supplements can be bought from Puritan.com for a reasonable price
Avoid the Following:
Eliminate purine’s from diet: No pork, organ meats, beans, peas, lentils or seafood. Go easy on proteins especially during episodes. During a flare up eliminate proteins from animals.
Eliminate: All alcohol, fried foods, processed foods, refined carbohydrates, and caffeine containing foods such as coffee, tea, cola, and chocolate.
Sugar and refined grains: Raise blood sugar and stress the adrenal glands, feed yeast, increases dysbiosis and cause a myriad of serious health problems.
Chemical additives: The average American consumes ten pounds of food additives each year. This stresses the liver and the immune system.
Hydrogenated oils and fried foods: Hydrogenated oils promote inflammation and cardiovascular disease, while decreasing immunity and hormonal health. Nerves and brain function are also affected.
Repetitious eating: The foods that one becomes sensitive to are usually those eaten on a daily basis. A simple rotation diet minimizes stress to the immune system from hidden allergies. Try eliminating common allergens such as wheat and other grains, dairy, corn, soy, citrus fruits, chocolate, coffee, and soda.
Processed and packaged foods: These foods are devoid of real nutrition. Processed and packaged foods create nutritional deficiencies, diminishing one’s health and vitality.

Basic Rules about Eating and Lifestyle:
Drink eight 8‐ounce glasses of pure water every day: You need water to eliminate toxins.
Most of the food you consume (more than 50% by volume) should be vegetables: Vegetables are high in antioxidants, trace minerals, fiber, vitamins, minerals, and other nutrient

Give Blood – It has been found that pre-menopausal women virtually have no cases of gout. It is based on the iron level in the blood. Menstruation causes loss of iron. After menopause iron can accumulate and is found to increase the risk for gout. Give blood as often as possible. This is true for men and women.

Sorry I could not attach the file and pasting it here changed the formatting.

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This is very interesting info as I am pre-prediaibtic (6.0)and CKD3 and was told everything was progressive and that my CKD3 would not get better and no need for diet etc. So I have on my own tried to adjust my life style and diet and I think your info may help a lot....thank you very much for your clear and concise info. I took screen shots and hope I can get my printer to work. Thanks to my docs that have been patient and helped. I am 84 and it very frustrating but upwards and onwards. Peace be with you.

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@fromthehill

This is very interesting info as I am pre-prediaibtic (6.0)and CKD3 and was told everything was progressive and that my CKD3 would not get better and no need for diet etc. So I have on my own tried to adjust my life style and diet and I think your info may help a lot....thank you very much for your clear and concise info. I took screen shots and hope I can get my printer to work. Thanks to my docs that have been patient and helped. I am 84 and it very frustrating but upwards and onwards. Peace be with you.

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Not knowing your specific situation I would tell you to get a second opinion. My first nephrologist said there was nothing to do but my Mayo Clinic doctors have a completely different opinion. Controlling blood sugar is important as the more sugar in the blood the more syrupy it gets and more difficult for the kidneys to filter. As far as sodium, potassium, phosphorus, etc. there are formulas to follow to learn your limits. When diagnosed 4 years my eGFR was 39 and it was 57 last week. My creatinine has also improved the same amount. SO diet is very important as far as I'm concerned and most experts agree. Best wishes.

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@fromthehill

This is very interesting info as I am pre-prediaibtic (6.0)and CKD3 and was told everything was progressive and that my CKD3 would not get better and no need for diet etc. So I have on my own tried to adjust my life style and diet and I think your info may help a lot....thank you very much for your clear and concise info. I took screen shots and hope I can get my printer to work. Thanks to my docs that have been patient and helped. I am 84 and it very frustrating but upwards and onwards. Peace be with you.

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@fromthehill If you wander over to the kidney and bladder support group, you will find several discussions about renal/kidney diets.

We all seem to agree that diet and the foods we consume play a mjor factor in our kidney health. Many of us, myself included, heard from our doctors telling us not to worry, not to go towards a renal diet, etc. Wrong! is all I gotta say about that! Watching intake of sodium, potassium, calcium, phosphorous, protein and redmeat are all very important.

Do yourself a great favor by taking control of what you eat!
https://connect.mayoclinic.org/group/kidney-conditions/
Ginger

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I have had a kidney transplant for 8 yrs and still have gout problems. I take 40 mgs of uloric acid daily and I have not had any more problems. I have tolerated the drug well.

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@gladiator14

Not knowing your specific situation I would tell you to get a second opinion. My first nephrologist said there was nothing to do but my Mayo Clinic doctors have a completely different opinion. Controlling blood sugar is important as the more sugar in the blood the more syrupy it gets and more difficult for the kidneys to filter. As far as sodium, potassium, phosphorus, etc. there are formulas to follow to learn your limits. When diagnosed 4 years my eGFR was 39 and it was 57 last week. My creatinine has also improved the same amount. SO diet is very important as far as I'm concerned and most experts agree. Best wishes.

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Thank you very much....this is most encouraging. Thank God I have my late husband's Merk Manual and the Mayo Clinic to refer to....Looking forward to hearing what my GP will have to suggest in Sept. take care.x

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@gingerw

@fromthehill If you wander over to the kidney and bladder support group, you will find several discussions about renal/kidney diets.

We all seem to agree that diet and the foods we consume play a mjor factor in our kidney health. Many of us, myself included, heard from our doctors telling us not to worry, not to go towards a renal diet, etc. Wrong! is all I gotta say about that! Watching intake of sodium, potassium, calcium, phosphorous, protein and redmeat are all very important.

Do yourself a great favor by taking control of what you eat!
https://connect.mayoclinic.org/group/kidney-conditions/
Ginger

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Thank you Ginger...This helped a whole ton! Xxx

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I suffer from gout (18 years post kidney transplant) and have taken Allopurinol for at least 10+ years to control urticaria acid level (as well as watching intake of triggering foods). I also have Colchicine if I have a flare-up. Fortunately the Allopurinol evidently does its job and I haven't had any issue in a few years. My script were originally ordered through the Specialty Pharmacy and always refilled without any issue. Now suddenly they won't fill it and want me to have my local GP to deal with it. He doesn't know transplant patients (and I was told gout can be a side effect of my transplant meds) and I am really confused why my transplant team suddenly is washing their hands as far as refilling a med the originally prescribed and refilled for years. Boo.

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@charlie5454s

I suffer from gout (18 years post kidney transplant) and have taken Allopurinol for at least 10+ years to control urticaria acid level (as well as watching intake of triggering foods). I also have Colchicine if I have a flare-up. Fortunately the Allopurinol evidently does its job and I haven't had any issue in a few years. My script were originally ordered through the Specialty Pharmacy and always refilled without any issue. Now suddenly they won't fill it and want me to have my local GP to deal with it. He doesn't know transplant patients (and I was told gout can be a side effect of my transplant meds) and I am really confused why my transplant team suddenly is washing their hands as far as refilling a med the originally prescribed and refilled for years. Boo.

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@charlie5454s You might want to ask your transplant center if they are aware of this dilemma you face. Perhaps they are not. Perhaps something changed and you never got any notice. It has happened before!

Have you spoken to your GP and get his input for working with you on the Allopurinol? I have been on it for over 10 years due to gout issues, also. But, I still watch my diet carefully. It has been years since anyone checked my uric acid level, so I had to insist on a face-to-face with my GP this December to get certain testing done!
Ginger

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