Herb and medicine interaction

Shilajit and uric acid medicines (gout)

Shilajit (shilajatu) (mineral pitch, not a plant) with uric acid medicines such as allopurinol and febuxostat.

No interaction studies foundPending review

The short answer

No studies found. We searched for research on shilajit taken with allopurinol, febuxostat or probenecid and found none. So there is no evidence either way on whether shilajit changes how these uric acid medicines work.

The concern we can point to is the product itself. A 2025 lab analysis found thallium, a toxic metal, in raw shilajit from five countries and in supplements bought in Poland, Russia and Kyrgyzstan. No Indian brand was among them. If you take a medicine for gout or high uric acid, tell your prescribing doctor before you start shilajit, and show them the pack.

Allopurinol is sold in India as Zyloric, and febuxostat as Feburic.

At a glance

What was seenHow it may workDirectionEvidence
Thallium in raw shilajit and in shilajit supplements[1]Contamination, not an interactionExposure to a toxic metal; no effect on uric acid medicines shownIn vitro

No listing is not a clearance. A missing interaction here never means a combination is safe.

The evidence, study by study

Lab analysis of shilajit products, Iran, Slovakia and Poland, 2025 In vitro

The chemists measured thallium in 13 raw shilajit samples from Iran, India, Nepal, Russia and Kyrgyzstan, and in supplements bought in Poland, Russia and Kyrgyzstan. Levels reached 0.226 micrograms per gram in the raw material and 0.5 micrograms per gram in supplements, and some supplements held more than the raw resin. Nobody took anything in this study, and no Indian brand was tested. The authors also cite earlier reports of arsenic, lead and mercury in shilajit.[1]

What your doctor may watch for

  • Uric acid and kidney and liver tests, which your doctor already uses to manage allopurinol. The label lists serum uric acid among the baseline tests.[2]

What to tell your prescribing doctor

You can read this out, or show them this page:

“I am taking, or planning to take, shilajit (name of product, batch, dose) along with my uric acid medicine. I could not find any study of the two together. Is there a reason to avoid it, and should my uric acid or kidney tests be checked?”

Withheld until review

Dose adjustments and any “no known interaction” clearance appear only after a vaidya on our medical board has reviewed this page. Why we hold these back

Questions people ask

Does shilajit raise or lower uric acid?

None of the studies we reviewed for this page measured shilajit's effect on uric acid, so we cannot say.[1]

What about colchicine for gout attacks?

This page covers medicines that lower uric acid over time. Colchicine, used for flares, is a separate question that this research did not cover.[2]

Related

Sources

  1. Kamgar E, Zembrzuska J, Zembrzuski W, Kaykhaii M. Quantifying of thallium in Shilajit and its supplements to unveil the potential risk of consumption of this popular traditional medicine. BMC Chem. 2025;19:20. PMID 39827344.
  2. Allopurinol tablets, US prescribing information, Dosage and Administration (DailyMed).

Updated 4 November 2026

Taking shilajit with other medicines? A vaidya can check your full list.

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