I have Stg 4 CKD; a transplant is approx 4 months away. However, I have recently had bouts of gout in my lower extremities. Took prednisone, but it remains, and periodically flares up. Is it safe to take tart cherry and celery seed to bring Uric acid levels down? Those levels currently at 14.5 to 16. Watching diet doesn’t seem to help. Thanks.

There are medications such as Febuxostat (Uloric) and Allopurinol (Zyloprim) that lower the serum uric acid levels and effectively treat gout. Use of these agents with low dose colchicine can be very effective in patients with gout and chronic kidney disease (CKD). I have not found tart cherries or celery seed to be effective in CKD. I recommend that you discuss this with your nephrologist or primary care physician (PCP).

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