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  • Q&A with Australian Health Practitioners

    Can I bring my uric acid levels down?

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    I understand that gout is caused by high levels of uric acid. Are there ways that I can reduce the amount of uric acid in my body to alleviate my gout symptoms and attacks?
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    Dr Irwin Lim

    Rheumatologist

    Irwin completed his Rheumatology training in 2003. The majority of his time is spent treating inflammatory arthritis and in particular rheumatoid arthritis and the spondyloarthritis. … View Profile

    The definitive treatment for gout is to reduce the uric acid level in the blood.

    Dietary modification, with reduced eating of foods such as shellfish and offal can be helpful in cases of mild hyperuricaemia, when the levels of uric acid are not too high. Often, a major culprit is heavy alcohol intake or excessive drinking of fructose-containing cola. Reducing consumption will help.If the uric acid level is significantly elevated, dietary modification alone is not enough.  

    The most commonly used medication to lower uric acid is allopurinol, also known as Progout or Zyloprim.  The dose of allopurinol needs to be increased to sufficiently suppress the level of uric acid for this to be effective.If the uric acid level is reduced sufficiently, future gout attacks can be prevented. 

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