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- Recognize that consumption of ethanol may increase the frequency of acute gout attacks.
- Consider prescribing a low-purine diet in patients with gout and hyperuricemia.
- Recognize that significant consumption of fructose-sweetened beverages may elevate uric acid levels and lead to increased frequency of gout attacks.
- Review medications used for concomitant diseases.
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Recognize that consumption of ethanol may increase the frequency of acute gout attacks.  |
- Advise patients with gout that they should not consume ethanol.
| Background | Back to top
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Consider prescribing a low-purine diet in patients with gout and hyperuricemia.  |
- Recognize that adherence to low-purine diets can be difficult and that such diets are only moderately effective in decreasing serum uric acid levels over long periods.
- Consider alterations in diet to eliminate most high-purine foods from an animal source, including:
- Organ meats, such as brain, kidney, liver, and pancreas (sweetbreads)
- Red meat
- Gravies, consommé, and broth
- Scallops, anchovies, sardines, and herring
- Milk and eggs
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Recognize that significant consumption of fructose-sweetened beverages may elevate uric acid levels and lead to increased frequency of gout attacks. |
- Consider alterations in diet to minimize consumption of beverages containing high levels of fructose, such as soft drinks, which are usually sweetened with high-fructose corn syrup, and many fruit juices, which naturally contain fructose.
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Review medications used for concomitant diseases. |
| Background | Back to top
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| Grace P. Teal, MD (deceased) has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Howard A. Fuchs, MD, is a consultant for TAP Pharmaceuticals.
Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott. |
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The information included herein should never be used as a substitute
for clinical judgment and does not represent an official position of
ACP. Because all PIER modules are updated regularly, printed web pages
or PDFs may rapidly become obsolete. Therefore, PIER users should
compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
available.
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PIER is copyrighted (c) 2009 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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Gout
