This page about Pantothenic acid and gout (Vitamin B5) was last reviewed, or updated, on 11 August 2016
When is a vitamin a gout vitamin? Answer - when it lowers someone's uric acid level. Pantothenic acid (Vitamin B5) has been reported to do this directly, although not by studies. And it might also do it indirectly by lowering triglycerides, LDL and total cholesterol, and raising HDL cholestrol, all of which it has been found to do very reliably in a number of studies.
Triglycerides and cholesterol are markers of insulin resistance. Insulin resistance can be a cause of gout, because excess insulin raises the uric acid level. Read more about this on our insulin resistance and gout page
So who has reported that Pantothenic acid for gout is a good idea? One person is none other than Dr.Robert Atkins of the Akins Diet. On this occasion, in his book, Dr.Atkins' Vita-Nutrient Solution (1)
He recommended 200 mg four times daily of Pantothenic acid in the form of Calcium Pantothenate. And Pantothenic acid was part of his beat gout protocol (formula) which he describes at the back of this book in his vita nutrients treatments chapter.
His Pantothenic acid section also explains other medical successes he had with it, (such as lowering triglycerides and cholestrol mentioned above. And he explains the difference between Pantothenic acid and Pantethine - Pantethine is converted in the body from Panthothenic acid.
But apart from Dr.Atkins' endorsement of Pantothenic acid for gout, it's hard to find another affidavit for Pantothenic acid to lower uric acid levels from a source as equally qualified as he was. There are no studies that I could find endorsing Dr.Atkins' comments.
However, there are some testimonials here and there on the Internet from gout sufferers saying it does lower uric acid levels. As far as we know, that's about it. Neither can we find out how Pantothenic acid (Vitamin B5) works to lower uric acid levels, nor by how much, nor how quickly.
So if you find yourself trying vitamin B5 for gout, having discussed it with a doctor, and you have something interesting to say, please put a submission into the form below.
If you use dietary supplements of Pantothenic acid you can also supplement them by eating the highest in Pantothenic acid foods, described below. Pantothenic acid is found in a wide variety of foods but in small or tiny amounts. These amounts are obviously not at the supplements' levels, but they would be a useful, and natural, addition.
Which foods are high in Pantothenic acid? Figures at the USDA National Nutrient database show that the most is found in certain cereals - around 10 mg of Pantothenic acid per 30 grams of cereals. Beef, chicken, turkey giblets, duck, certain mushrooms, sunflower seeds, couscous and white rice contain between 2 mg - 6 mg per portion size. Also find it it salmon, avocados, sun-dried tomatoes, corn (maize), and broccoli.
With the possible exception of some cereals, these amounts are small compared to dietary supplements and the recommended daily dose. So they can only be a useful addition. If you are on a low purine diet, check the purines levels of Pantothenic acid foods you'll eat.
Remember, Pantothenic acid is a B vitamin. B vitamins work best in the body when they are taken together. So if you do take Pantothenic acid in the hope of lowering your uric acid (UA) level, take it with another tablet of B complex vitamins. You won't need to count the amount of Panthothenic acid in this second tablet because it won't be much compared to the reported dose required to lower UA.
Pantethine is made in the body from Pantothenic acid. You can buy dietary supplements of Pantethine as well as Pantothenic acid. But Dr.Atkins recommended Pantothenic acid, and in the form of Calcium Pantothenate.
(1) Publishers: Simon & Schuster Inc., Fireside Edition, New York.1999.
READ WHAT OUR VISITORS SAY ABOUT PANTOTHENIC ACID FOR GOUT - VITAMIN B5
David C. Reynolds, San Francisco, California, United States
I have been a gout sufferer for over 20 years. My Doctor suggested steroids and stop eating the usual suspects (red meat, red wine, any alcohol, shellfish, etc). I tried EVERYTHING and stopped eating almost everything except white meat and potatoes. No alcohol. While gout subsided in intensity, I still got 3-4 attacks per year - often SUPER painful.
Then I (finally) read how STRESS can drain the natural antibodies attacking uric acid overload and I realized since I was in a very stressful work, perhaps it was STRESS causing my attacks. I also read that B-5 (Pantothenic Acid) helps reduce stress, thus freeing those other antibodies to help reduce uric acid.
After taking only one B-5 pill a day for months, I stopped getting attacks for over one year. And I went back to eating red meat and drinking beer and wine (one glass a day) and having cracked crab and still no attacks in over a year.
I did however eat asparagus last week in a period where I was working overnight (11pm-7am) 2 nights per week and 3 afternoons, which stressed me out plenty since my sleep was deprived and my eating habits went in the tank. Not surprisingly, I just had a moderate flare up, but it went away within 24 hours - not the usual 3-4 day episode.
While I cannot scientifically state it is the B-5 that pretty much stopped my attacks, I can think of no other reason why the attacks stopped being regular (every 2 month) events. So in short, I am a believer that it not only helps but (under my circumstances) can mostly eliminate gout attacks.
A www.best-gout-remedies.com visitor from the United States
I remember reading about B5 in the Rodale Press books...it specifically stated B5 helps dissolve uric acid and this was almost 30 years ago.
I tend to be gouty and whenever I feel that way I take 200 mg of B complex for a few days and I feel much better...I also read in that Rodale Press book that one symptom of being gouty is a weird sensation on the rim of your ears...I have experienced that as well and take the extra B vitamins....and it works.
Please use this form to tell us about your Pantothenic acid, or other B vitamins, to lower uric acid experiences.