Gout is an arthritic condition that derives from the inflammation brought by the crystallization of too much uric acid that builds up in the joints. Once inflamed, the joints become swollen, red, tender, and cause serious physical discomfort.
Gout causes disturbing pain in the feet, but what can spur its onset?
According to research, risk factors of gout include a Western diet — foods rich in uric acid and low in essential nutrients — alcohol consumption, and lack of physical activity.
It is no longer a secret that cannabis compounds like CBD are effective in reducing inflammation and pain. People turn to CBD oil to relieve a wide range of ailments, mostly because of how safe it is compared with traditional treatments.
But is CBD really helpful when it comes to gout pain?
Can it address the underlying cause — or is it only good for symptom relief?
Let’s explore the subject in detail.
What is Gout a.k.a. The Disease of Kings?
As a type of inflammatory arthritis, gout affects joints — one particular joint, to be precise. It typically shows up in the big toe and can cause chronic pain. The development of gout is triggered by high concentrations of uric acid crystals in the joints, whose sharpness can damage the joint, causing disturbing pain when pressured.
When it comes to excess concentrations of uric acid in the blood, the breakdown of purines is to blame. Or, should we say, purine-rich food that causes your body to produce more uric acid than it can get rid of.
The vast majority of gout cases — around 90% — appear when the kidney cannot excrete uric acid properly.
What Causes Purine Buildup in People with Gout?
Did you know that gout is often called the “disease of kings?”
The source of this name is simple. Kings were known for their poor-quality diet that consisted of rich meals and alcoholic drinks. Today, the disease has become more inclusive because the standard Western diet includes high-purine food.
Here’s what can cause gout besides a high-purine diet:
- Kidney disease
- Hereditary factors
- Recent trauma to a joint
- Recent feet surgery
- Medications such as diuretics for high blood pressure
- Being male
Symptoms of Gout
People diagnosed with gout usually experience several symptoms, including:
- Red, swollen, and warm joints
- Pain in the big toe that deteriorates with physical activity
Most of the time, doctors prescribe medications for pain management, such as Ibuprofen or Naproxen. More severe cases of gout may require the intervention of corticosteroids in order to reduce inflammation.
Unfortunately, the said painkillers have dangerous side effects like liver damage, heartburn, addiction, and lethal overdose.
Since these two are common symptoms of gout, it would be safe to assume that CBD can help, at least, manage the condition.
Below we share a summary of the current research into the use of CBD for inflammatory conditions, including gout.
Can CBD Help for Gout Relief?
Cannabis has been a popular remedy for joint pain and gout among the Chinese and other civilizations. The plant is actually mentioned in pharmacopeias on all continents for its high effectiveness and the lack of dangerous side effects.
Although modern science has yet to explore the reason behind the health benefits of CBD for gout, some studies have suggested that the ingredients of cannabis can serve as a viable treatment for joint pain and inflammation associated with this pesky form of arthritis.
CBD is a plant-based cannabinoid that modulates the functioning of the endocannabinoid system (ECS) — the major neurochemical network that keeps all biological processes in the body in a state of complete harmony.
The ECS controls functions like memory, emotional processing, body temperature, reproduction, immune response, mood, sleep cycles, pain, and more.
Whenever the balance between these functions is disturbed, the ECS increases the production of its endogenous cannabinoids that either modulate or bind to cannabinoid receptors to bring the body back to homeostasis.
Taking CBD empowers the endocannabinoid system in the sense that it can produce more of its natural cannabinoids. It can also slow their breakdown by inhibiting the enzyme that metabolizes them.
When more cannabinoids circulate in the body, the ECS can restore the homeostasis more effectively.
The above interaction triggers anti-inflammatory responses and mitigates pain signals.
CBD also has over 65 molecular targets, which would explain why people take it to manage so many conditions.
Research Into CBD and Gout
A 2015 study from the European Journal of Team assessed the effects of a CBD cream in rats with arthritis. According to the authors, this route administration had long-lasting therapeutic effects without intoxication (1). Therefore, using CBD topicals like creams and gels can help in the management of inflammation and pain caused by gout.
Despite coming from a rat model of arthritis, these results indicate the need for similar studies, but on human subjects. It’s also worth noting that studies on rats show high relevance to human studies, as all mammals have the same cannabinoid system that responds to phytocannabinoids.
Another study, published in Current Opinion in Pharmacology, concluded that cannabinoids such as CBD and THC could potentially relieve pain associated with osteoarthritis, the most common type of arthritis that causes the bones and cartilage to degrade. The research team also reported that the body’s endocannabinoid system influences pain signaling from the joints to the brain (2).
In a 2018 study, cannabis plants, especially those with high caryophyllene and myrcene content, were successful in treating headaches, migraines, arthritis, and other sources of pain (3). These two compounds belong to terpenes, a category of aromatic molecules that also modulate the activity of the major cannabinoids in cannabis. This interaction contributes to the entourage effect, which refers to the synergy achieved by all cannabis compounds.
While researchers haven’t investigated the therapeutic potential of CBD specifically for gout, it is true that the cannabinoid can be used in arthritis-related conditions, to which gout belongs.
Long story short, the above studies can be a good point of reference for further research to confirm anecdotal reports from patients.
Experts on Taking CBD for Gout
Doctors are positive about using cannabinoids to treat the arthritic pain. For example, Dr. Jason McDougall, a professor in the department of anesthesia at Dalhousie University in Halifax, Nova Scotia, says that cannabinoids may come in handy for the management of general arthritis pain.
Dr. McDougal has recently given an interview, where he talks about cannabis being able to improve the functioning of the nerve endings in arthritis patients.
“They’re all bare, they’re all raw and responsible for feeling a lot of pain. What we hypothesize is that by locally administering these cannabis-like molecules to those nerves, we’d actually be able to repair them and reduce the pain of arthritis.”
“It appears as though it is very safe. The treatment includes low doses of CBD in 5 to 10 milligrams twice daily and progressing to higher doses of 50 to 100 milligrams per day if necessary. If symptoms persist, patients may try a CBD product that contains a small amount of THC,” says Clauw in his interview with Arthritis.org.
Holistic healthcare experts, such as Debra Rose Wilson, Ph. D., also see the health benefits of CBD for gout. As she told Medical News Today, “At a time when we are trying to reduce the use of pain relievers, CBD oil can be an effective approach to managing the pain of arthritis. Researchers have also recognized the role that CBD could play in reducing the pain-causing inflammation of arthritis.”
How to Use CBD for Gout?
When it comes to taking CBD for gout, there are two ways to approach this condition. We generally recommend combining them in order to get the most out of your treatment.
CBD Oil for Gout
Studies investigating the efficacy of CBD for gout have shown that CBD oil is the most potent and effective when taken in a full-spectrum version. In simple terms, full-spectrum CBD is a product made from the whole hemp plant. As such, it contains all phytonutrients naturally occurring in hemp — including cannabinoids, terpenes, flavonoids, vitamins, essential fatty acids, and trace minerals.
These nutrients work together in a synergy known as the entourage effect. The proponents of the entourage effect claim that the compounds in cannabis have a better therapeutic profile when they are taken along with one another than when administered alone. Full-spectrum CBD products won’t get you high, as they only contain up to 0.3% THC — a concentration that can hardly cause intoxication.
Using CBD oil is what people call the sublingual method. You need to squeeze your dose of CBD using a dropper attached to your oil, transfer it under the tongue, and let it sit there for up to 60 seconds so that CBD can absorb into the bloodstream through the small capillaries in your mouth.
The effects of CBD oil usually take hold after around 15–30 minutes and last up to 6 hours. However, natural CBD oil has a very distinctive taste, which may not appeal to you if you have a delicate palate.
If you’d like to try an alternative form of CBD, you may choose from capsules or edibles such as CBD gummies or CBD honey sticks. These products contain a fixed amount of CBD per serving and are convenient to take.
With oral forms of CBD, you’ll need to wait anywhere around 40–90 minutes before they kick in, as edibles and capsules are processed in the digestive tract prior to being released into the bloodstream. This also causes them to lose some of their potency. But since the liver releases the CBD gradually, the effects last longer, up to 10 hours.
CBD Cream for Gout
Topical formulations target localized problems, such as gout-triggered flare-ups on top of providing overall improvements in pain markers and inflammation. Recent clinical trials have proven what people have already known for decades, if not centuries — that cannabis plants have strong anti-inflammatory properties.
When you rub CBD infused topicals such as cream or salve into the skin, the CBD interacts with CB2 receptors in the skin’s epidermis layer. By doing so, they cause the immune system to produce an anti-inflammatory response that curbs the swelling and redness of gout, as well as the pain associated with the condition. The absorption rate of CBD topicals depends on their formula, but you should feel the first signs of relief within 30–60 minutes after use.
While doing your research on the best CBD creams for gout, make sure to carefully analyze the list of ingredients. While CBD is safe for all skin types, other ingredients — especially those synthetic — can actually make your symptoms worse. That’s why it’s of paramount importance to look for third-party lab reports for the product you’re looking at.
CBD Oil vs Allopurinol
CBD is the inhibitor of the group of enzymes that metabolizes active ingredients in many medications. In other words, taking CBD along with your meds may change their concentration in the blood and provide either subtherapeutic effects or cause toxicity and burden your liver. The group of affected enzymes is known as the cytochrome p450 system.
Allopurinol, the most commonly prescribed treatment for increased excretion of uric acid, unfortunately, uses the cytochrome p450 system, so there’s a chance that CBD will interact with it and thus decrease its activity.
The best way to avoid potential interactions between CBD and medications is to consult a knowledgeable doctor with experience in using cannabis to treat pain. A consultation with a qualified physician will also help you establish the right CBD dosage for gout.
How Much CBD to Take for Gout?
Whether a specific amount of CBD will work for you depends on a range of personal factors. People have different metabolisms, diets, lifestyles, and weight — all of which can affect the optimal dosage for each individual. Factors like age, gender, physical activity, and sensitivity of cannabinoid receptors also play an important role in how CBD will affect your body.
Some people benefit from small amounts of CBD — 10–15 mg daily — whereas others experience relief from gout after taking 50–100 mg. Once you’ve found the amount of CBD that works for you, you can stick to the dose, as it’s impossible to build a tolerance to CBD.
Using CBD topically for gout goes by the same token. When you rub a CBD cream into the skin, wait for up to 1 hour and assess the effects. If your gout isn’t getting better after that time, use another dose of the cream into the problematic area.
Is CBD Safe for Gout?
There are some mild side effects some people report after taking heavy doses of CBD, such as:
- Dry mouth
- Appetite fluctuation
It’s worth noting that CBD oil can interact with many prescription and OTC medications because it inhibits the system of enzymes (cytochrome p450) that breaks them down. If you want to make sure these interactions don’t occur, consult a doctor before purchasing any CBD product.
Other Natural Remedies for Gout
As people continue to explore the health benefits of complementary therapies, they are gaining more recognition as safe options for treating various sources of pain. Besides using CBD for gout, some people turn to essential oils for relief from pain and inflammation.
The following essential oils may help you alleviate the symptoms of gout:
Biota Orientalis Extract
Derived from a Chinese cypress tree and used in traditional Chinese folk medicine, this plant extract comes in handy for the prevention and treatment of gout. Some studies have found that it may help lower the concentrations of uric acid in the blood (4).
Celery Seed Oil
Some studies have mentioned Indian celery seed oil as a potential therapeutic agent for gout. It enhances the anti-inflammatory response in the body, reducing redness and swelling (5).
Ginger is a popular antioxidant, anti-inflammatory, and anti-gout spice. According to research, extracts from the ginger root may be able to reduce uric acid levels and prevent future gout flare-ups (6).
Olive Leaf Extract
The olive tree is the source of many great products, from olive oil to olive leaf extracts. Mediterranean medicine used olive leaf extracts to treat gout for centuries. Clinical studies mention olive leaf as an effective compound in easing the symptoms of gout, such as pain and inflammation. It may also stop gout attacks thanks to its potent antioxidant qualities (7).
Yarrow Oil Extract
Yarrow oil is extracted from the flowers of a plant known as achillea millefolium (yarrow). Traditional folk medicine touted the plant for its ability to treat indigestion, arthritis, and wounds. Yarrow oil extract is mentioned in scientific literature as a potent anti-inflammatory (8).
Gout can be simply avoided by introducing some easy lifestyle changes.
First, it’s good to reconsider your eating habits, as high-sugar food, alcohol, and trans fats increase the uric acid levels in the blood. Instead, try to increase your intake of antioxidant-rich foods, such as organic grass-fed meat, leafy greens, and other vegetables. Cutting down on alcohol consumption may also help reduce the risk of gout; similar rules apply to fructose-rich drinks. If you want to control the excretion of uric acid from your body, increase water intake to help the kidneys flush it out.
Those with a family history of gout are at a higher risk of developing the condition. When a person suffers from kidney underperformance, doctors may prescribe medications decreasing the concentrations of uric acid in the bloodstream, such as the aforementioned Allopurinol.
Summarizing the use of CBD for Gout
Gout is an inflammatory disorder that involves inflammation in the joints, mostly in the area around the toe. The inflammation and pain get worse with movement, causing unpleasant flare-ups that can compromise a person’s daily functioning.
The condition stems from too high levels of uric acid in the body as a result of the kidney’s inability to flush out its excess amounts. There are certain dietary choices, such as the consumption of large amounts of high-sugar food, which may speed up the development of gout. Kidney health, genetic factors, and comorbid conditions are also common causes.
A growing body of evidence suggests that the compounds in CBD oil hold strong anti-inflammatory potential on top of their analgesic effects on different types of arthritis, such as rheumatoid arthritis and osteoarthritis. Although there’s not much research into the benefits of CBD oil specifically for gout sufferers, current findings indicate that CBD and cannabis, in general, maybe of assistance — to further prove that, we need more clinical trials conducted on humans.
Finding the right CBD product and dosage for gout may be challenging and takes some trial and error. However, remember that experimenting with CBD oil isn’t about throwing blind guesses. Research is an essential part of the purchase process; always make sure that the company you’re buying CBD from makes its products from organic hemp, uses CO2 extraction, and regularly test the oils in a third-party laboratory for potency and purity.
- Hammell, DC et al. “Transdermal cannabidiol reduce inflammation and pain-related behaviors in a rat model of arthritis.” European journal of pain (London, England) vol. 20,6 (2016): 936-48. doi:10.1002/ejp.818
- O’Brien, Melissa, and Jason J McDougall. “Cannabis and joints: scientific evidence for the alleviation of osteoarthritis pain by cannabinoids.” Current opinion in pharmacology vol. 40 (2018): 104-109. doi:10.1016/j.coph.2018.03.012
- Baron, Eric P et al. “Patterns of medicinal cannabis use, strain analysis, and substitution effect among patients with migraine, headache, arthritis, and chronic pain in a medicinal cannabis cohort.” The journal of headache and pain vol. 19,1 37. 24 May. 2018, doi:10.1186/s10194-018-0862-2
- Zhu, Ji Xiao et al. “Effects of Biota orientalis extract and its flavonoid constituents, quercetin and rutin on serum uric acid levels in oxonate-induced mice and xanthine dehydrogenase and xanthine oxidase activities in mouse liver.” Journal of ethnopharmacology vol. 93,1 (2004): 133-40. doi:10.1016/j.jep.2004.03.037
- Whitehouse, M W, and D E Butters. “Combination anti-inflammatory therapy: synergism in rats of NSAIDs/corticosteroids with some herbal/animal products.” Inflammopharmacology vol. 11,4 (2003): 453-64. doi:10.1163/156856003322699636
- Mashhadi, Nafiseh Shokri, et al. “Anti-oxidative and anti-inflammatory effects of ginger in health and physical activity: a review of current evidence.” International journal of preventive medicine vol. 4,Suppl 1 (2013): S36-42.
- Flemmig, J et al. “Olea europaea leaf (Ph.Eur.) extract as well as several of its isolated phenolics inhibit the gout-related enzyme xanthine oxidase.” Phytomedicine: international journal of phytotherapy and phytopharmacology vol. 18,7 (2011): 561-6. doi:10.1016/j.phymed.2010.10.021
- Tadić, Vanja et al. “The estimation of the traditionally used yarrow (Achillea millefolium L. Asteraceae) oil extracts with anti-inflammatory potential in topical application.” Journal of ethnopharmacology vol. 199 (2017): 138-148. doi:10.1016/j.jep.2017.02.002