Can patients with gout take mecobalamin tablets?

Generally, mecobalamin tablets refer to a formulation of vitamin B12, commonly used in the treatment of neuropathy, anemia, or vitamin B12 deficiency. Whether patients with gout can take mecobalamin tablets needs to be determined based on their specific medical conditions. If experiencing any discomfort, timely medical consultation is recommended. Detailed analysis is as follows:

If a patient with gout also has peripheral neuropathy—for example, symptoms such as limb numbness, pain, or abnormal sensations—mecobalamin tablets may generally be taken after evaluation by a physician. Mecobalamin tablets nourish nerves and improve neural conduction function, helping to alleviate discomfort associated with peripheral neuropathy. Currently, there is no clear evidence indicating that mecobalamin tablets directly affect uric acid levels or trigger gout attacks.

If a patient with gout does not have peripheral neuropathy or other conditions requiring mecobalamin treatment, taking the medication is generally not recommended. This is because mecobalamin has no therapeutic effect on gout itself; taking it blindly will not improve the condition and may unnecessarily increase the risk of adverse reactions, such as gastrointestinal discomfort.

Patients with gout should continue to adhere to a low-purine diet, drink plenty of water, regularly monitor uric acid levels, and follow medical advice for standardized gout treatment.