Allopurinol and gout treatment in cockatiel
I have a 26 year old cockatiel and about 4 weeks ago I noticed white lumps on his legs under the skin and his toe joints and feet are also swollen, the vet thinks it is gout and has given me allopurinol 0.15ml to be given twice a day as well as a pain killer. He now sleeps a lot but is still eating. He cannot fly and it is difficult for him to walk. I have read that allopurinol is not good for birds and that black cherry juice can be given as an alternative, but I don`t know how much cherry juice to give. I would be glad of your advice. Thank you, Elizabeth.
Hello Elizabeth, these types of questions are best directed towards your attending veterinarian. From your description, it sounds like your bird is in trouble, and needs more help. It is true that in some species, specifically red tailed hawks, allopurinol was shown to actually cause kidney problems.
For the most part, articular gout is often the result of underlying kidney functional disease issues, and you may want to ask your veterinarian about assessing kidney function to see if there are other diagnostic maneuvers or treatments that may have merit to consider. Articular gout, if present, is quite painful, and you may want to also speak with your veterinarian about using multimodal pain management strategies here.
There is much less clear science about the merits or harm that a treatment plan centered on the use of cherry juice has to offer, and for the most part, my best recommendations would be to continue working with your attending veterinarian to work towards the best evidence-based medical approach for diagnosis and management of your bird's problem.