Gout - Caution
There can be some interactions or potential interactions between conventional medicines and herbal treatments and food supplements. The types of interactions vary. As many conventional treatments for Gout are taken for life, any effects that lower the absorption of minerals or vitamins can lead to deficiencies. Other substances can also interact with the uptake of the medication. It is important to discuss with your coordinating therapist which supplements, herbals or medications might be of benefit in your personal strategy.
Colchicine is known to affect the intestinal absorption of Vitamin B12. It is important to monitor Vitamin B12 levels regularly and supplement if they are low.
Xanthine Oxidase inhibitors such as Allopurinol can lead to depletion of iron and long term use requires regular monitoring for plasma levels of iron. High doses of Vitamin C taken with Xanthine Oxidase inhibitors can lead to kidney stones. There is some evidence to suggest that use of Allopurinol could increase anticoagulant effects of some herbs such as angelica, arnica, danshen, fenugreek, feverfew, garlic, ginger, ginko, ginseng, horse chestnut, licorice, meadowsweet, prickly ash, passionflower, poplar, red turmeric and willow.
Glucocorticoids such as prednisolone have been clinically proven to impair calcium absorption and bone formation and some doctors advise taking calcium and vitamin D supplements.
NSAIDs can interact with Lithium by inhibiting the excretion of lithium from the body, resulting in higher blood levels of the mineral and the potential for toxicity. Aspirin is known to interact with White willow bark which contains the anti inflammatory, salicin which is closely related to Aspirin.
The Gout - Caution pages is regularly updated as more evidence is published in medical journals