Gout is a form of arthritis that occurs when a waste product called uric acid forms fine, sharp needles in the joints. It usually only affects one joint, commonly the big toe, and is characterized by swelling, inflammation and excruciating pain. If you suffer from frequent gout attacks, your doctor may prescribe nonsteroidal anti-inflammatory drugs, and ask you to cut out alcohol and foods that trigger your condition. Some herbs have anti-inflammatory effects and may also help to reduce pain and inflammation, although scientific evidence to prove they can alleviate gout is limited. Get medical advice before using them, as they may not be suitable for everyone.
Examples
The University of Maryland Medical Center notes that several herbs may help to reduce gout-associated pain and inflammation, including cat's claw and bromelain. Cat's claw is a woody vine native to regions of Central and Southern America. It is sometimes used as alternative remedy for arthritis due to its anti-inflammatory effects. Bromelain is an enzyme that breaks down proteins and is sourced from the stem of the pineapple fruit. It too is used to alleviate inflammation associated with arthritic conditions.
Administration
Cat's claw and bromelain are usually taken in capsules or tablets, although you can also take cat's claw as an herbal tincture. You can also obtain bromelain by drinking pineapple juice, although it will be difficult to determine what dose of bromelain you are getting if you take this approach. The UMMC website suggests taking 20 mg of a standardized extract of cat's claw three times daily. Alternatively, you may wish to take 40 mg of a standardized extract of bromelain three times daily. Confirm with your doctor that these dosages are suitable for you.
Side Effects
Taking a bromelain supplement is likely safe, although the Memorial Sloan-Kettering Cancer Center notes that it may cause an allergic reaction in some people. It may also cause diarrhea and a stomach upset. Cat's claw is unlikely to cause significant side effects, says the National Center for Complementary and Alternative Medicine. However, some people may experience headaches and vomiting.
Contraindications
Don't take cat's claw if you are pregnant as it may have abortive effects. NCCAM adds that it may be unsuitable for people with an immune system disorder. Avoid cat's claw and bromelain if you are scheduled for surgery; cat's claw may affect your blood pressure during the procedure, while bromelain may increase the risk of bleeding. Bromelain may heighten the effects of other medicines you may be using, including anti-coagulants and antibiotics.


