Take Your Prescription Drugs
If you’ve had a gout attack before, your physician may have prescribed drugs to treat attacks. This may be your first line of defense or you may decide to use them only when NSAIDs fail to relieve your pain.
Prescription medications to treat gout include:
- Prednisolone oral tablets, which has been shown to work as well as NSAIDs and often doesnt cause the same stomach upset. Prednisolone is a type of corticosteroid and does carry other potential side effects, particularly if it is taken for longer than the recommended 5 days.4
- Colchicine, which has been shown effective in reducing pain and inflammation if taken in the first 24 hours of an attack. Always follow your physicians instructions regarding dosing to decrease your risk for potential complications and side effects.
Opioid painkillers, such as codeine, hydrocodone, and oxycodone, are not recommended to treat the pain caused by gout.
See Pain Medications for Arthritis Pain Relief
Checkthe Third Party Lab Test Results
Top CBD brands get their CBD productstested by third-party labs and provide the results either on the product labelor on their website. The labs test the CBD topical for heavy metals, harmfulchemicals, and other toxins. In addition to that the percentage of CBD, theconcentrations of THC, other cannabinoids, terpenes, etc are tested by thelabs.
Unless the test results come across assatisfactory, going ahead with the purchase of a CBD topical is not a gooddecision.
Who Gets Gout Gout Risk Factors
Gout happens when too much uric acid builds up in the body. Uric acid is a normal waste product in the blood resulting from the breakdown of certain foods. Uric acid usually passes through the kidneys and is eliminated from the body in urine. But it can build up in the blood and form painful, spiky crystals in your joints. This may happen if the body is making too much uric acid or if the kidneys are having a hard time filtering it out.
Having too much uric acid in the blood is a condition called hyperuricemia. Certain foods, medicines, and lifestyle factors can cause high uric acid levels in the blood, triggering a gout attack.
Your risk of gout goes up when your diet is high in naturally occurring compounds called purines. When purines break down in the body, they cause uric acid to form. Purines are found in certain high-protein foods and some drinks. It used to be thought that gout was caused only by lifestyle and diet, but new research has found that’s not true instead, gout is thought to have a genetic link. Diet, however, does play a role in the disease.
Other risk factors for gout include:
- Being a man
- Type 2 diabetes
- Health conditions that cause rapid turnover of cells
- KelleySeegmiller syndrome or LeschNyhan syndrome
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Also Check: Kidney Disease And Gout Diet
How To Prevent Gout
Most people can avoid gout by introducing simple changes to their lifestyle. Dietary changes that can decrease your risk of developing gout include cutting out high-purine foods, such as high-sugar processed food, alcohol, and trans fats. Also, increasing the intake of antioxidant-rich foods such as vegetables or grass-fed meat may help prevent the condition. Doctors recommend limiting alcohols and drinks sweetened with fructose on top of increasing water intake to help the kidneys flush out the excess uric acid.
Some people are at a higher risk of developing gout, especially those with a family history of gout attacks or an underlying health issue such as kidney underperformance. In these cases, doctors may prescribe medications that decrease the concentrations of uric acid in the blood, such as Allopurinol.
Cbd Oil Dosage For Gout
Finding the right amount of CBD for your individual situation may be challenging, as theres no one-size-fits-all dosage for specific conditions. Everybody is different, and so will be their response to different doses of CBD. What works for one person may not necessarily work for you some people benefit from doses as small as 1015 mg daily, whereas for others, the optimal dosage ranges between 50100 mg.
The optimal amount of CBD for each individual depends on factors such as age, gender, weight, diet, metabolism, physical activity, the severity of pain, and previous history with CBD products.
The best approach to dosing CBD for gout is to start low and gradually increase the dosage until you reach the amount that provides the desired relief. If you dont notice any changes in your symptoms after a week, you may add another 5-10 mg to your dosage and test it out for another week. Once youve found an effective dose, you can stick to it, as people dont build a tolerance to CBD.
Similar rules apply to using CBD topically for gout. When you apply a CBD cream for the first time, wait for up to 1 hour and evaluate the effects. If you dont get relief from your gout pain, you can rub another dose of the cream into the affected area.
Also Check: Colchicine 0.6 Mg Dosage For Gout
Avoid Sweetened Foods And Drinks
Foods and drinks sweetened with artificial fructose increase the risk of getting gout. These are contained in fizzy drinks and fruit drinks and are usually seen on food labels as corn syrup or glucose-fructose syrup. Other examples of foods sweetened with fructose are bread, cereal and jam. Fructose is found occurs naturally fruit and vegetables. Do not completely avoid these without advice from your doctor or dietitian.
Treating Gout Pain With Compounded Pain Creams
Gout is a complicated medical condition that usually affects the feet. It begins with too little uric acid being eliminated out of the body. Excess uric acid in the body builds up and forms crystals in the joints, causing swelling and pain. The pain that typically accompanies sudden gout attacks is intense and can feel as though the foot or joint is on fire. The small joint at the base of the big toe is the most common site for a gout attack. Other joints that can be affected include the ankles, knees, wrists, fingers, and elbows.
Also Check: Foods That May Cause Gout
Best Overall: Biofreeze Professional Pain Relief Spray
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Fragranced
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Extra-thick consistency, so it takes longer to rub in
Although you can certainly use Sportscreme in situations where exercise or movement wasnt involved, it is a good option for those with arthritis who may have overdone it on a particular day with walking, housework, gardening, or other activities. Or, if youre doing something that you anticipate will leave you sore, you can also use the product ahead of time. Sportscremes clean fresh scent is polarizing: some find it pleasant, while others would prefer a product with no scent at all.
Active Ingredients: Trolamine salicylate | Dose: Apply generously to the affected area. Massage into painful areas until thoroughly absorbed into skin. Repeat as necessary, but not more than 4 times daily. | Uses: Temporary relief of minor aches and pains
Intense Big Toe Pain From Gout: A Classic Symptom Of An Attack
While the big toe is the most common place for a gout attack to happen, gout can also affect surrounding joints in the foot, ankle, and knee.
People with gout typically experience flare-ups, or attacks, of symptoms followed by periods with no symptoms. The attacks typically last 3 to 10 days. Some people go months or even years without a gout attack after having one. In other people, attacks may become more frequent over time.
Gout can be difficult to diagnose. Once its diagnosed, it can be treated with medication and lifestyle changes.
Don’t Miss: Gout In The Foot Causes
Cbd Oil And Allopurinol: Which Is Better For Gout
CBD is known to interact with many prescription medications. CBD inhibits the activity of the cytochrome p450 system, which is a group of enzymes that metabolizes active ingredients in drugs. When you take CBD alongside some medications, it may cause a subtherapeutic effect or lead to the toxicity of those active ingredients depending on what type of interaction occurs.
Allopurinol, which is the most commonly prescribed pharmaceutical to increase the excretion of uric acid, happens to use the cytochrome p450 system, so theres a risk of CBD-drug interactions. In this case, CBD decreases allopurinols activity, resulting in the aforementioned subtherapeutic effect.
If you want to avoid potential CBD-drug interactions, we encourage you to visit a doctor experienced in cannabis therapies. A qualified physician should also be able to point you in the right direction when it comes to determining the right CBD dosage for gout.
Speaking of which
The Pros And Cons Of Cbd Oil For Gout
The Pros
- Animal and human studies have reported the benefits of CBD in treating symptoms of gout.
- CBD is safe for use because it has an excellent safety profile.
- CBD is non-addictive. Thus, gout patients may not have to worry about developing a dependence on it.
The Cons
- While there are studies on CBDs potential in alleviating gout symptoms, research on CBDs effectiveness in treating gout itself is lacking.
- The United States Food and Drug Administration has not approved CBD use aside from the treatment of epilepsy.
- There is no standard dosage for CBD when used for the treatment of gout.
- CBD products are unregulated, resulting in a proliferation of mislabeled CBD products online.
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How Does Terrafreeze Work
The formulation in TERRAFREEZE has been designed to deliver all beneficial ingredients quickly and safely to the skin providing deep penetration and powerful relief when applied to target area. This process delivers the anti-inflammatory and analgesic properties of ingredients directly into the joints that have become inflamed due to Gout. By helping reduce inflammation, TERRAFREEZE relieves pain and reduces inflammation.
Aside from their analgesic properties, the active ingredients of TERRAFREEZE also act as vasodilators. When applied to affected area it causes blood vessels to extend, which increases blood circulation in the area. This brings additional nutrients to the area and can help with cellular repair. Blood brings in new nutrients to repair the area and carries away toxic waste generated. Recuperating happens a lot faster because of this.***
Arnica is known for its anti-inflammatory and pain reduction properties. Arnica also contains thymol that also stimulates blood circulation and healing. Arnica works by breaking up trapped fluid on inflamed tissue and joints giving relief to those who suffer from Gout.***
These powerful ingredients of TERRAFREEZE are formulated to work synergistically to give you immediate relief from pain and to aid the recovery process. TERRAFREEZE improves the mobility and flexibility of the affected joint, nerves and muscles without side effects.
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Alternative And Complementary Therapies
Many complementary and alternative medicine approaches for managing gout focus on diet, weight loss, and exercise.
Your risk of gout goes up when your diet is high in naturally occurring compounds called purines. When purines break down in the body, they cause uric acid to form. In most cases, people who have gout will still need medication even when they follow a diet for gout. That said, tweaking your diet can be a powerful way to help manage gout and gout symptoms. Some research suggests that food changes alone can lower your uric acid levels by up to 15 percent, according to the Institute for Quality and Efficiency in Health Care.
The main principles of a gout diet are basically the same as those of any healthy diet: Reduce calorie consumption if you are overweight opt for unrefined carbohydrates like fruits, vegetables, and whole grains limit your intake of sugar, organ meats , and saturated fats.
Read Also: What Is The Cause Of Gout In The Ankle
What Foods Are High In Purines And Why Should I Avoid Them
In your body, uric acid is made from the breakdown of chemicals called purines, which come from the foods we eat. Some foods have more purines than others. It’s important to eat a balanced diet and include a variety of healthy foods in your diet, but to avoid eating too many foods that are high in purines. Eating these foods can trigger an attack of gout.
Examples of foods that have high purine content are:
- seafood, such as mussels and other shellfish, crab, fish roe, whitebait and trout
- game such as venison and rabbit
- offal such as liver, kidneys, heart and sweetbreads
- meat and yeast extracts such as Marmite, Bovril and commercial gravy.
A number of vegetables such as such as asparagus, mushrooms, cauliflower and spinach are also rich in purines, but these appear less likely to trigger gout than shellfish and game meats.Most people taking medicines to reduce uric acid levels find they can still eat purine-rich foods without attacks of gout by being careful with how much they eat.
Test To Limit The Risk Of An Allergic Reaction To Medication
Some people have a genetic marker that can predict a severe drug rash called allopurinol hypersensitivity syndrome. In the 2012 guideline, Asian groups were recommended to be tested prior to starting allopurinol. Based on newer data, the 2020 guideline has added African American patients to that group.
Read Also: Are Raisins Bad For Gout
Immediate Gout Pain Relief: What Are Your Options
Generally, you can take simple steps to get the pain and swelling under control. Examples include ice, compression of the joint and rest from sport. Also, you need to keep well hydrated and avoid alcohol.
Medications from your doctor can help. Anti-inflammatory tablets such as ibuprofen can stop an acute attack if taken early. Similarly, a drug called colchicine can stop gout in its tracks if taken in the first 24 hours. Often, the dose of colchicine is one tablet three times a day decreasing to twice a day after a week as the pain settles.
For Growing Numbers Of Gout Patients Natural Ingredients And Technology May Bring Pain Relief
Once known as “the disease of kings,” gout is on the rise again due to the unhealthy lifestyles of many Americans. That’s why they may benefit from a review of causes, symptoms and recent medical research on gout pain treatments.
In the old days, privileged and wealthy people – think medieval European kings and other noblemen – were the only ones who had access to rich foods that abounded in fat, sugar and spices. However, many of them paid the price for such indulgence with recurrent acute inflammation of their joints, especially in the feet. It caused them to become red, tender and swollen, and resulted in sometimes excruciating pain. This would last for a few days and go away, sometimes for months, but invariably come back.
Modern medicine has discovered the reasons behind these symptoms. The immediate cause is an abnormally high level of uric acid in the blood, resulting in the formation of uric acid crystals that may accumulate in joints and other tissues causing symptoms such as swelling, tenderness, redness and pain. Some cases result from inherited predisposition. However, certain lifestyle factors – such as obesity, heavy alcohol consumption or a diet rich in fructose-sweetened products and animal fat – can lead to the onset of gout.
Typically, gout pain symptoms are treated with non-steroidal anti-inflammatory drugs for immediate relief, and a change of diet and regular exercise to reduce the recurrence of flare ups.
Also Check: How To Get Rid Of Gout In Toes
How Do I Know How Much Cbd Is Right For Me
If you have never taken CBD, opt for a low dose your first time. Once you know how your body responds, you can slowly increase the dose if needed.
Keep in mind that factors such as your age, weight, and metabolism can affect how quickly your body processes CBD. In addition, potency often varies from product to product or from brand to brand. The manufacturer should provide a recommended dose on the label.
Its a good idea to talk with your doctor or a healthcare professional before taking CBD for gout pain. They can help you use it safely, particularly if you are currently taking other medications, as CBD can cause drug interactions.
There are several ways to take CBD, including:
- Tinctures. CBD tinctures are liquids taken orally using a dropper. You can easily adjust the dose according to your needs.
- Topicals. These include creams, massage oils, and lotions applied to the skin. This is an option for localized pain, such as from a gout attack.
- Pills. Its possible to take CBD in a pill form or capsule. Some people may find getting an accurate consistent dosage is easier this way.
- Edibles. Gummies are the most common CBD edible. With gummies, you dont have to swallow a pill, and the taste is often better than that of a tincture.
Theres More Scientific Evidence Supporting Earlier Recommendations
These guidelines provide a stronger level of evidence for many prior and familiar recommendations, including reinforcing a treat-to-target strategy to achieve optimal outcomes for patients with gout. There has been better evidence in the last eight years to support our recommendations with greater certainty, says John FitzGerald, MD, a rheumatologist at UCLA Medical Center in Los Angeles and a coauthor of the guideline update. The most important changes are outlined below.
Recommended Reading: Apple Cider Vinegar For Gout
Gout And You Pain Relief Cream For Joint Flare
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