What are the names of common anesthesia medications?… by Murray
I believe remesentam… is part of the medication
Best Answer:
I'm an anesthesiologist. The drug you list is not familiar to me. The closest I can think of is remifentanil (a narcotic). or romazicon (reversal agent)
We use different drugs for different things.
For general anesthesia, we use a drug to get people off to sleep (induction) - common induction agents are propofol, etomidate, pentothal, ketamine. To keep people asleep, we usually use inhalation anesthetics, such as isoflurane, desflurane, sevoflurane, possibly with nitrous oxide. We may also use a paralyzing agent such as succinylcholine, rocuronium, vecuronium, atracurium, cisatracurium or pancuronium. For pain relief, we typically use a narcotic such as fentanyl, morphine, hydrocodone, alfentanil, or sufentanil. Many patients also get midazolam, which is a sedative and amnestic.
For neuraxial (spinal/epidural) regional (nerve blocks) or local anesthetics, we use drugs called “local anesthetics”. Common local anesthetics are lidocaine, procaine, bupivicaine, tetracaine, chloroprocaine (pretty much anything that ends in “caine” is a local anesthetic)
Patients may also get drugs to prevent nausea, reverse the paralyzing agents, raise or lower blood pressure or heart rate, or treat anything else that might come up.
Hope that helps.
(Many of the drugs listed by “The Nurse” are not anesthetic drugs, but may be given in the perioperative period; some of the anesthetic drugs that are listed are no longer used)
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What types of side effects have you had from Geodon?… by timcurryr
I just started on this medication after trying others but, the side effects I read about really scare me. I would like to hear the pros and cons from others who have taken it. Thanks!
Best Answer:
Most important fact about this drug:
In some people with heart problems or a slow heartbeat, Geodon can cause serious and potentially fatal heartbeat irregularities. The chance of a problem is greater if you are taking a water pill (diuretic) or a medication that prolongs a part of the heartbeat known as the QT interval. Many of the drugs prescribed for heartbeat irregularities prolong the QT interval and should never be combined with Geodon. Other drugs to avoid when taking Geodon include Anzemet, Avelox, Halfan, Inapsine, Lariam, Mellaril, Nebupent, Orap, Orlaam, Pentam, Probucol, Prograf, Serentil, Tequin, Thorazine, Trisenox, and Zagam. If you're uncertain about the risks of any drug you're taking, be sure to check with your doctor before combining it with Geodon.
Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Geodon.
More common side effects may include:
Accidental injury, cold symptoms, constipation, cough, diarrhea, dizziness, drowsiness, dry mouth, indigestion, muscle tightness, nausea, rash, stuffy and runny nose, upper respiratory infection, vision problems, weakness
Other side effects may include:
Abdominal pain, abnormal body movements, abnormal ejaculation, abnormal secretion of milk, abnormal walk, abnormally low cholesterol, agitation, amnesia, anemia, bleeding gums, bleeding in the eye, blood clots, blood disorders, blood in urine, body spasms, breast development in males, bruising or purple spots, cataracts, chest pain, chills, clogged bowels, confusion, conjunctivitis (pinkeye), coordination problems, decreased blood flow to the heart, delirium, difficulty breathing, difficulty swallowing, difficulty with orgasm, double vision, dry eyes, enlarged heart, eyelid inflammation, female sexual problems, fever, flank pain, flu-like symptoms, fungal infections, gout, hair loss, heavy menstruation, heavy uterine or vaginal bleeding, high blood pressure, high blood sugar, hives, hostility, impotence, increased reflexes, increased sensitivity to touch or sound, inflammation of the cornea, inflammation of the heart, involuntary or jerky movements, irregular heartbeat, liver problems, lockjaw, loss of appetite, loss of menstruation, low blood sugar, low blood pressure, low body temperature, lymph disorders, male sexual problems, muscle disorders, muscle pain, muscle weakness, nighttime urination, nosebleed, pneumonia, prickling or tingling sensation, rapid heartbeat, rectal bleeding, rigid muscle movement, ringing in ears, rolling of the eyeballs, sensitivity to sunlight, skin problems, slow heartbeat, slowed movement, speech problems, stroke, sudden drop in blood pressure upon standing up, swelling in the arms and legs, swelling in the face, swollen lymph nodes, swollen tongue, tarry stools, tendon inflammation, thirst, throat spasms, thyroid disorders, tremor, twitching, uncontrolled eye movement, urination decrease or increase, vaginal bleeding, vein inflammation, vertigo, vision disorders, vomiting, vomiting or spitting blood, yellowed skin and eyes, weight gain, white spots in the mouth.
Special warnings about this medication:
Remember that Geodon can cause dangerous–even fatal–heartbeat irregularities. Warning signs include dizziness, palpitations, and fainting. Tell your doctor immediately if you experience any of these symptoms. Be careful to avoid drugs that prolong the QT interval of the heartbeat. Check with your doctor before combining any other medication with Geodon.
Particularly during the first few days of therapy, Geodon can cause low blood pressure, with accompanying dizziness, fainting, and rapid heartbeat. Tell your doctor if you experience any of these side effects. To minimize such problems, your doctor will increase your dose gradually. If you are prone to low blood pressure, take blood pressure medicine, become dehydrated, or have heart disease or poor circulation in the brain, use Geodon with caution.
Geodon may cause drowsiness and can impair your judgment, thinking, and motor skills. Use caution while driving and don't operate potentially dangerous machinery until you know how this drug affects you.
Geodon poses a very slight risk of seizures, especially if you are over age 65, have a history of seizures, or have Alzheimer's disease.
Drugs such as Geodon sometimes cause a condition called Neuroleptic Malignant Syndrome. Symptoms include high fever, muscle rigidity, irregular pulse or blood pressure, rapid heartbeat, excessive perspiration, and changes in heart rhythm. If these symptoms appear, tell your doctor immediately. You'll need to stop taking Geodon while the condition is under treatment.
There also is the risk of developing tardive dyskinesia, a condition marked by slow, rhythmical, involuntary movements. This problem is more likely to occur in mature adults, especially older women. When it does, use of Geodon is usually stopped.
Geodon can suppress the cough reflex; you may have trouble clearing your airway. Some people taking Geodon also develop a rash. Tell your doctor when this happens. If the rash doesn't clear up with treatment, you may have to discontinue the drug.
Other antipsychotic medications have been known to interfere with the body's temperature-regulating mechanism, causing the body to overheat. Although this problem has not occurred with Geodon, caution is still advisable. Avoid exposure to extreme heat, strenuous exercise, and dehydration. There also is a remote chance that this medication may cause abnormal, prolonged and painful erections.
Remember that you must never combine Geodon with any drug that prolongs the part of the heartbeat known as the QT interval (see “Most important fact about this drug”). Check with your doctor or pharmacist if you have any doubts about a drug you're taking.
If Geodon is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Geodon with the following:
Carbamazepine (Tegretol)
Certain blood pressure medications
Drugs that boost the effects of dopamine such as Mirapex, Parlodel, Permax, and Requip
Drugs that affect the brain and nervous system, such as sedatives, tranquilizers, and antidepressants
Ketoconazole (Nizoral)
Levodopa (Larodopa, Sinemet)
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What is the best prescription medication for weight loss?… by Rebec
How overweight do you have to be to have a doctor prescribe it to you? Anyone had any experiences and how much weight did you lose? How much exercise? Did you still have to diet?
Yeah, thanks Krista, but that's not the question I asked…
But I am not really that overweight, I need to lose like 35 pounds. I think it's from a past drug addiction- it messed with my metabolism and no matter what I do I can't lose any weight.
Best Answer:
i HATE it when you ask a question about diet pills and all you get are people that say how bad they are. you ask a question for a reason - an answer.
so to answer your question, i think the best prescription medication for weight loss is phentermine. last february i weighed 246 pounds. my 'fat doctor' put me on s-phen. it's a combination pill with phentermine and serotonin (or something like that). and also t-c which was also a combination pill of topomax and chitosin. topamax is a drug for migranes, but has a side effect of weight loss. the chitosin is a fat blocker. the first week i was on that plan (s-phen in the morning and t-c at night) i lost 9 pounds. over the next year, my scripts were changed to meridia (didn't think it worked that well for me) and then just phentermine (no combo pills) and topamax (no combo). in less than a year, i lost 70 pounds. i exercised maybe 3 times and ate like i wanted (just a lot less). the thing was that the phentermine gave you energy and made you not hungry and the topamax just made you lose weight as a side effect. it sounds horrible and the easy way out, but it worked for me. yes i gained some when i quit, but not that much. i've been off for about 5 months and have only gained back 10 pounds. it's not something you can rely on the rest of your life, so you DO have to make lifestyle changes. like not overeating and just eating in moderation. but if you want quick results (like most of us do), you want phentermine and/or topamax. yes, fen-phen was banned, but phentermine was the part that's not banned. you'll have to call around and ask in your area who will prescribe that. and also, most insurance plans don't pay for diet pills. the brand for phentermine is adipex. you can find it on the internet. topamax is the brand and topimirate is the generic (i think that's how you spell it.)
good luck!
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How can I stop my hives from itching?… by iluvdancingshel
I have hives from an allergic reaction. The doctor gave me a prescription (xantac) to get rid of them, but they are still very itchy. What can I do to stop the itching?
Best Answer:
Welcome to my itchy world - I have chronic hives, have been covered in them to some degree for most of my life. Controlling the itch is the hardest part, I know.
Are you sure your prescription is for Xantac? I'm very familiar with all the antihistamines on the market, and I'm wondering if you didn't mean Zyrtec. If so, it's the best of the non-drowsy formulas out there for hives. The only other drugs which comes close to the name Xantac are Xanax, which is an anti-anxiety med, and “Zantac” which is an H2 blocker, in which case you need to be on an H1 blocker as well.
Some suggestions:
Ask your doctor if you can also try taking either Benadryl (OTC) or Atarax (rx); both will cause drowsiness, so best to take them at night. They will help you sleep. Atarax is generally considered the best for hives of the old, drowsy-causing formulas. Also, skin contains histamine receptors for two types of histamine, called H1 and H2 (histamine is what causes hives and itch). Blocking only one of the receptor types doesn't always do the trick for relief; typical antihistamines only block H1. Adding an H2 blocker may give you better relief. The H2 blockers are more commonly thought of as upset stomach or ulcer meds - Tagamet, Zantac, and Pepcid are the most common - but they are actually H2 antihistamines. They work on stomach woes because histamine in the gut causes an increase in stomach acid; block that histamine, and you lessen acid….
As others have suggested, oatmeal baths can be helpful. Aveeno is the best known brand, it is a special oatmeal preparation designed to dissolve in water; you won't get the same effect from regular oatmeal that is in your pantry. Best to use tepid water, since hot water can make the itching worse, even cause more histamine to be released.
Try to stay as cool as you can, avoid tight clothing, and natural fabrics tend to be more comfortable (silk, cotton) when you have hives.
Some have also suggested cortisone cream… This can help for some people, but use it very sparingly. Cortisone cream contains corticosteroids, which can cause thinning of the skin when used topically. Some other lotions/creams which many find helpful are any containing menthol, such as Sarna lotion. Benadryl cream may help unless the itching is severe.
You've probably been told this already, but try very hard to not scratch. Scratching causes further release of histamine, making the cycle worse.
One thing many chronic hivers find helpful is a cromolyn based lotion which you can make yourself - the recipe can be found at www.chronichives.com. There are also other suggestions there to help you deal with the hives.
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What are the dangers of Rogaine and other hair loss treatments?… by Jefr
I want to use Rogaine or another hair regrowth product, but i am hesitant to do so because i personally think that there must be major long term side effects. Help me!
Best Answer:
Excellent Question. In short, Rogaine (Minoxidil) is topical and so it limits its potential risks. The mechanism of actions is that Minoxidil may either activate the hair follicle directly or stimulate the microcirculation surrounding the follicle, increasing cutaneous blood flow via its vasodilating effects. (Minoxidil also may alter the metabolism of androgens in the scalp.) However, when Minoxidil is taken systemically (in pill form), it has hypotensive effects (lowers blood pressure). Therefore, it would be dangerous if too much Rogaine is absorbed through the head into the bloodstream. Luckily, topical minoxidil is poorly absorbed through the skin. The systemic absorption of topical minoxidil averages 2% (range 0.3
I suffer from urticaria and angieodema (deep swelling in the tissues). Can anyone please help me find a cure?… by Only Aski
I am on daily antihisthamine (1 in morning & 2 at night) but still suffering. Despite Doctors and Skin Specialists, prescriptions, no relief. Have been screened for allergies - non! When the swellings are bad, my eyes swell and close up. My face swells, my lips and chin (I look like Desperate Dan or Elephant Man. I Also have to take steriods which reduce the symptoms but do not cure this long-term. When my throat or tongue swells it is
Epi-Pen injection and off to hospital.
This all began with a bereavement and although many years ago, these problems keep recurring with no apparent cause, other than stress or tiredness, or sometimes nothing at all. When at their worst, cannot go out and face the world, has affected my work and I am at the end of my tether. Please help if you can.
Best Answer:
Avoidance of triggers
Many patients with urticaria assume that a causative agent can be identified and avoidance of the trigger will cure their ailment. This may be possible in acute urticaria, but unfortunately it is not possible in the majority of chronic urticaria cases because of the idiopathic nature of the condition. General education about urticaria and avoidance of triggers can help patients understand their condition and come to terms with it.
In general, patients should avoid drugs known to either cause or exacerbate hives, such as aspirin, NSAIDs, opiates, and ACE inhibitors. (Alcohol should also be avoided.) Acetaminophen may be a substitute treatment to control pain. Several studies have shown that COX-2 inhibitors, such as rofecoxib and celecoxib, appear to be safely tolerated in these patients(7,8). The recent withdrawals of rofecoxib (Vioxx) and valdecoxib (Bextra) leave celecoxib (Celebrex) as the currently available COX-2 inhibitor in the United States. ACE inhibitors should be discontinued in anyone experiencing angioedema. Can angiotensin II receptor blockers (ARBs) be used in these patients? A recent study(10) showed that a small percentage of patients with angioedema that was induced by ACE inhibitor use continued to have symptoms when their treatment was switched to an ARB. Therefore, caution should be exercised(16).
Pharmacotherapy
Pharmacotherapeutic options for urticaria are listed in table 2. What is the first-line treatment? Antihistamines, antihistamines, antihistamines! Newer-generation H1 antihistamines are generally quite effective in controlling the condition and have a side effect profile of minimal or no sedation and dry mucous membranes. First-generation antihistamines, such as hydroxyzine (Atarax, Vistaril), diphenhydramine hydrochloride, and cyproheptadine hydrochloride, may be an add-on therapy. Cyproheptadine is the treatment of choice for both cold urticaria and cholinergic urticaria(3).
Taking antihistamines according to a schedule rather than on an as-needed basis is the key to attaining disease control. Doses may need to be adjusted upward, depending on the severity of the disease. The relative potency of these agents needs to be considered; for example, 10 mg of cetirizine (Zyrtec) is about equivalent to 30 mg of hydroxyzine(3,11). In a study of the central nervous system effects of higher doses of the nonsedating antihistamine fexofenadine, Hindmarch and colleagues(17) found that doses of up to 360 mg did not cause psychomotor or cognitive dysfunction.
If symptoms are not optimally controlled with H1 antihistamines, addition of an H2 blocker should be considered. Another option is to add doxepin hydrochloride (Sinequan), a tricyclic antidepressant with potent H1 and H2 antihistamine properties and strong antipruritic action. Unfortunately, the severe sedation and dry mouth associated with this medication tend to limit its use. Leukotriene receptor blockers used as add-on therapy to H1 antihistamines have been shown to provide some benefit(18,19). However, as solo therapy, they have not been found to be effective(20). Glucocorticoids are generally not necessary and should be avoided, if possible, because of their associated side effects and the tendency for lesions to recur after discontinuation of these drugs.
What are the options for patients with severe, unremitting urticaria who have had poor response to standard therapy? To ensure that the diagnosis is correct, a biopsy and a referral to an allergist should be considered. Nonstandard therapy, such as cyclosporine (Gengraf, Neoral, Sandimmune), has been used with some effectiveness(21). Other nonstandard therapies include intravenous immunoglobulin, plasmapheresis, methotrexate (Rheumatrex, Trexall), colchicine, dapsone, sulfasalazine (Azulfidine), hydroxychloroquine sulfate (Plaquenil), and warfarin sodium (Coumadin)(21).
Management of angioedema
Management of angioedema is more difficult than that of urticaria because angioedema tends to take its own time to resolve, regardless of what treatment is initiated. Although treatment with antihistamines, epinephrine (Adrenalin Chloride, EpiPen), and corticosteroids is common practice in urgent care and emergency departments, there are no controlled studies showing the efficacy of these treatments in angioedema. However, they may reduce the duration of swelling minimally.
Without a doubt, an EpiPen should be prescribed for any patient who has a history suggestive of anaphylaxis or angioedema involving the tongue, pharynx, or larynx. Supportive care and airway maintenance in the urgent care or emergency department are the mainstays of treatment during an acute epi- sode of this type.
Conclusion
If a cause of acute urticaria is identified by in-depth history taking, resolution may follow avoidance of the trigger. Chronic urticaria remains a challenge, however, because the majority of cases are idiopathic. Nevertheless, evaluation for an associated underlying medical condition should be part of the workup. Excellent disease control can be achieved with appropriate use of antihistamines until the disease spontaneously resolves over time. Referral to an allergist is appropriate when skin testing is needed to identify a cause or confirm a suspected causative agent or when the lesions become chronic or refractory to standard treatment.
The prognosis is variable with chronic urticaria. Although the average duration is 3 to 5 years, 20% of patients still have the disease after 20 years.(2) Patients should be made aware that their disease can wax and wane over time and exacerbations often develop after exposure to various triggers. They should also be informed that these characteristics require that their medications be adjusted accordingly to maintain disease control.
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What r your experiences with Depo Provera shot? wanted to try it but now scared…?… by CrazySexyCo
Is anyone out there who actually had a good experience with the shot??? i didn't do it this month (even tho got the prescription) just cuz after doing some research on the internet I got all freaked out about all the side-effects like weight gain and whatnot. Too many people saying that they have a negative experience with the shot…Plus loosing periods - is it even natural? It can't be good for u can it??? Anywayz please help me decide! Tell me about ur experiences whatever they are!
Best Answer:
Depo-Provera
How it works:
Every three months, your doctor gives you and injection of progestin, a synthetic hormone that suppresses ovulation and interferes with implantation.
It is 97% effective. You only have to think about birth control 4 times a year. It contains no estrogen, so you don't have to worry about blood clots, and other risks associated with birth control pills. There is a new version called Depo-SubQ Provera104 that contains one-third less progestin than the original Depo, so side effects have been drastically reduced.
You may have irregular periods during the first three to six months of use, and it takes an average of 10 months for your periods to return after your last shot, so this method is not ideal if you want to become pregnant within a year or so after discontinuing use.
Weight gain:
Women put on an average of 5.5 pounds during the first year of use. (Which does not calculate to “massive weight gain”)
The shot is also associated with bone loss because it shuts down ovulation, resulting in low levels of estrogen, a hormone that protects bone. As a result, the FDA has restricted the use of Depo to no more than two years at a time.
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What are the effects of combining ketamine with haloperidol?… by Angelfiren
I want to know if the use of both in a medical setting would cause adverse effects in the patient.
Best Answer:
You have to search: ketamine and haloperidol interaction
For example:
Interactive effects of subanesthetic ketamine and haloperidol in healthy humans.
http://www.springerlink.com/(sulmbu555mhjuv55hu1nvr45)/app/home/contribution.asp?referrer=parent&backto=issue,10,15;journal,156,710;linkingpublicationresults,1:100390,1
Chronic Administration of Haloperidol and Olanzapine Attenuates Ketamine-Induced Brain Metabolic Activation
http://jpet.aspetjournals.org/cgi/content/full/305/3/999
Other examples:
http://peyote.com/jonstef/ketamine.htm
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what you can eat when sufering from Gaout?… by trombo
Does anyone have a list of what you can and cannot eat when you suffer from Gaout ?
Best Answer:
Dietary alterations are recommended, such as avoiding a purine-rich diet. Other preventive measures include maintaining adequate fluid intake, weight reduction, reduction in alcohol consumption, and medications to reduce hyperuricemia.
Medications for gout include:
non-steroidal anti-inflammatory drugs (NSAIDS)
colchicine
corticosteroids
adrenocorticotropic hormone (ACTH)
allopurinol
probenecid
sulfinpyrazone
NSAIDS, specifically indomethacin, are commonly the first medication prescribed to treat acute gout. Other NSAIDS may be equally effective. NSAIDS are initially prescribed at maximum dosage and reduced as symptoms subside. The medication should be continued until pain and inflammation are non-existent for at least 48 hours. NSAIDS which are COX-2 inhibitors may be useful for patients with gastrointestinal concerns but their use for acute gout has not been specifically reported yet.
Colchicine is used to treat acute flares of gouty arthritis and to prevent recurrent acute attacks. Colchicine does not cure gout or take the place of other medicines that lower the amount of uric acid in the body. It prevents or relieves gout attacks by reducing inflammation. Colchicine may be used in 2 ways: some people take small amounts of it regularly for months or years, while others take large amounts of colchicine during a short period of time (several hours).
Corticosteroids or adrenocorticotropic hormone can be used for patients who cannot take NSAIDS or colchicine. Patients with acute gout typically receive daily doses of prednisone (20-40mg) or its equivalent for 3 to 4 days, then it is tapered gradually over one to two weeks. ACTH is administered as an intramuscular injection (an initial dose and subsequent doses over several days as needed).
Allopurinol (brand name - Zyloprim) is prescribed for chronic gout or gouty arthritis and works by affecting the system that manufactures uric acid in the body. It is used to prevent gout attacks, not to treat them once they occur.
Probenecid (brand names - Benemid, Probalan) is prescribed for chronic gout and gouty arthritis. It is used to prevent attacks related to gout, not treat them once they occur. It acts on the kidneys to help the body eliminate uric acid. Probenecid is known as a uricosuric agent.
ColBenemid (other brand names are Col-Probenecid and Proben-C) is a gout medication that contains Probenecid, which is a uricosuric agent, and Colchicine, which has anti-gout properties.
Sulfinpyrazone (brand name - Anturane) is also known as a uricosuric agent and is used to treat gouty arthritis. It works by lowering the amount of uric acid in your blood, preventing gout attacks. The drug helps prevent attacks but is not used to treat an attack once it has started.
Losartan, (brand names - Cozaar and Hyzaar), is not specifically a gout medication but is an angiotensin II receptor antagonist, antihypertensive drug that may help control uric acid levels. Fenofibrate, (brand name - Tricor), is not a specific gout medication but it a lipid-lowering drug that may help uric acid levels.
Analgesic painkillers are also used to relieve the intense pain of gout. All of the aforementioned drugs can be used in combination, to control symptoms, prevent future attacks, and maintain healthy uric acid levels.
http://arthritis.about.com/od/gout/ht/treatgout.htm
People with gout are advised to:
*Avoid alcohol or drink alcohol in moderation
*Drink plenty of water and other fluids
*Maintain an ideal body weight
*Lose weight if overweight but avoid fasting or quick weight loss schemes
*Avoid eating foods high in purines
Dietary restrictions suggest what people should not eat, but what should people eat? What foods will help control gout attacks? The American Medical Association recommends the following dietary guidelines for people with gout, advising them to eat a diet:
high in complex carbohydrates (fiber-rich whole grains, fruits, and vegetables)
low in protein (15% of calories and sources should be soy, lean meats, or poultry)
no more than 30% of calories in fat (with only 10% animal fats)
Recommended Foods To Eat
Fresh cherries, strawberries, blueberries, and other red-blue berries
Bananas
Celery
Tomatoes
Vegetables including kale, cabbage, parsley, green-leafy vegetables
Foods high in bromelain (pineapple)
Foods high in vitamin C (red cabbage, red bell peppers, tangerines, mandarins, oranges, potatoes)
Drink fruit juices and purified water (8 glasses of water per day)
Low-fat dairy products
Complex carbohydrates (breads, cereals, pasta, rice, as well as aforementioned vegetables and fruits)
Chocolate, cocoa
Coffee, tea
Carbonated beverages
Essential fatty acids (tuna and salmon, flaxseed, nuts, seeds)
Tofu, although a legume and made from soybeans, may be a better choice than meat
Foods considered moderately high in purines but which may not raise the risk of gout include: asparagus, cauliflower, mushrooms, peas, spinach, whole grain breads and cereals, chicken, duck, ham, turkey, kidney and lima beans. It is important to remember that purines are found in all protein foods. All sources of purines should not be eliminated.
http://arthritis.about.com/od/gout/a/foodstoeat.htm
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