FOOD GUIDE FOR GOUT
NOTES
HIGH PURINE
(150-825mg purine/
100g food)
MODERATE PURINE
(50-100mg purine/
100g food)
LOW PURINE
(0-50mg purine/
100g food)
AV O I D
LIMIT
F R E E T O E AT
C E R E A L S / C E R E A L S P RO D U C T S
Wholemeal bread,
oatmeal and wheat
bran
*Limit to 2/3 cup/day
Breads , rice , noodles ,
rice noodles , kuey
teow, biscuits
FRUITS
All types
of fruits
& juices
V E G E TA B L E S
Asparagus , lentils ,
beans , mushroom,
spinach, cauliflower
*Limit to 1/2 cup/day
Almost all types of
vegetables
P ROT E I N F O O D
Anchovies , sardines ,
liver, beef kidneys ,
herring, mackerel
Fish, poultr y, meat,
seafoods , bean, lentils ,
*Take 2-3 ser ving/day
Milk & milk product,
eggs , cheese
References
F AT & O I L
Any type , take
moderately
SOUP
Meat extract
Meat soup
Brought to you by:
IMU Pharmacy students BP116
in collaboration with AM PM Pharmacy
Vegetable soup
!
To save your joints and enable you to
manage your condition effectively it is
impor tant that you follow the advices given
1. Clinical Pr actice Guidelines: Management of gout.
Malaysian Society of Rheumatology; 2008.
2. Khanna D, Fitzgerald J, Khanna P, Bae S, Singh M,
Neogi T et al. 2012 American College of Rheumatology
guidelines for management of gout. Par t 1: Systematic
nonphar macologic and pharmacologic ther apeutic
approaches to hyper ur icemia. Ar thr itis Care & Research.
2012;64(10):1431-1446.
3. Badlissi F. Gout. BMJ Publishing Group; 2018.
4. Saleh Hudin R, Raib J, Khamison F. Diet Management For
Gout - PORTAL MyHEALTH [Inter net]. PORTAL
MyHEALTH. 2012 [cited 1 November 2018].
Available from: http://www.myhealth.gov.my/
en/diet-management-for-gout/
WHAT IS
GOUT
?
WHAT CAUSES GOUT?
WHY DO I GET GOUT?
Factors that increase your risk of getting gout:
inflamed
joint
uric acid
cr ystals
Taking Diuretics (tablets that
drain water from the body) or
Chemotherapy Drugs (for
cancer treatment)
Eating High Purine Food
Male
Needle-like cr ystals will be formed in and
around your joints, known as tophi, especially
in the big toe.
Consuming Excessive Alcohol
HOW DO I KNOW
IF I HAVE GOUT?
!
Rest & elevate the affected joint
Apply cold packs wrapped in towels to the
affected joints for not more than 20 minutes
several times per day
See your doctor if you don’t get any better
after 24 hours
TYPES OF MEDICINES
Gout is a painful condition that happens
when uric acid buids up in your body.
High level of uric acid does not indicate
gout, however, patients that are suffering
from gout attack will have high uric acid
level.
WHAT CAN I DO
DURING GOUT ATTACK?
Medical conditions that increase your
risk of getting gout:
Medicines to help relieve pain of a gout attack.
These medicines will not prevent joint damage
1. Non-steroidal anti-inflammator y drugs
(NSAIDs) - diclofenac & naproxen
2. Colchicines - use if a cor ticosteroid or an
NSAID is not suitable for you.
3. Cor ticosteroids - prednisone , triamcinolone .
methylprednisolone
High Blood Cholesterol
High Blood Sugar
HOW DO I PREVENT
GOUT ATTACKS?
Maintain BMI between 18.5-24.9 kg/m 2
High Blood Pressure
Drink plenty of water (2-3 Litres/day)
Limit intake of purine rich food
Sudden, severe attacks of pain, swelling,
redness and tenderness in the joints , often
the joint at the base of the big toe , ankle ,
wrist, knee and finger
Kidney Problems
Being Overweight
Fever
Take vitamin C supplements (500mg/day)
Restrict alcohol consumption to
<21 units/week (men) or
<14 units/week (women)