E Purine Diet

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PURINE RESTRICTED DIET

(For Patients with Gout)

1. Reduce intake of meats and seafood. Limit to 4-6 oz. daily.

2. Avoid shellfish (shrimp, clams, crab, lobster, mussels, scallops), sardines, mackerel, anchovies,
herring, meat broth, large amounts of meat, organ meats (brain, kidney, liver, sweetbreads, tongue).

3. The following may be consumed as desired:


cereal and grain products (rice porridge,
noodles, pasta, rice, crackers, bread),
vegetables, potato, taro, yam, fruits, eggs,
nuts, and low-fat or fat-free dairy products.

4. Avoid alcohol.

5. Drink 8 to 12 glasses of water daily (2-3 qts) to promote excretion of uric acid.
If you have high blood pressure, heart disease, or take a ‘water pill’ or diuretic,
talk with your doctor first.

6. Maintain ideal body weight. If overweight, a gradual weight reduction of 1-2 lbs. a week is
suggested. Limit foods high in fat and sugar to aid in weight maintenance.

P. 1 Copyright ã 1993-2022 Chinese Community Health Resource Center


Revised 10/2022
Purine Content of Foods

Food Group Low Purine Moderate Purine High Purine


(0-50 mg purine/100g) (50-150 mg purine/100g) (150-825 mg purine/100g)
Breads, Cereals • White Bread • Wheat Bread
& Grain Products • Cornbread • Oatmeal
• Noodles • Wheat Bran
• Macaroni • Wheat germ
• Spaghetti • Brown Rice
• White Rice • Barley
• Crackers
Fruit Most fruits • Banana
(Except those noted in • Dried fruit
the next column)
Vegetables Most vegetables • Asparagus
(Except those noted in • Broccoli
the next column) • Cauliflower
• Spinach
• Mushroom
• Green Peas
Meats, Poultry, Fish & • Eggs • Red meat (beef, • Sardines
Protein Foods • Peanut butter lamb, pork) • Mackerel
• Nuts (walnuts, • Poultry without skin • Anchovies
almonds, etc.) (chicken, duck) • Herring
• Rabbit • Organ meats (liver, kidney,
• Lunch meat brain, heart, sweetbread,
• Fish (cod, eel, tongue, etc.)
haddock, halibut) • Dried beans (red bean, mung
• Shellfish (shrimp, crab, bean, soybean, black-eyed
oysters, clams, lobster, peas, lentils, etc.)
mussels, scallops, etc.) • Goose
• Tofu • Turkey
• Peanuts
Milk & Milk Products All low-fat or fat-free milk
and dairy products
(cheese, yogurt, etc.)
Other Meat soups Gravies

Note: Too much purine can increase the uric acid level in the blood. Patients suffering from gout should limit
their intake of moderate and high purine foods. Beans, lentils, vegetables, and whole grains have not been
shown to increase the risk of gout or flare-ups. Please speak with a doctor and registered dietitian to determine
the best treatment for you.

Reference: Bowes & Church’s “Food Values of Portions Commonly Used”, 19th Edition, 2010.

P. 2 Copyright ã 2010-2022 Chinese Community Health Resource Center


Revised 10/2022

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