Is medication required for high uric acid levels?

Jul 25, 2025 Source: Cainiu Health

Dr. Yang Tiesheng

Introduction

In general, whether hyperuricemia requires pharmacological treatment depends on the specific uric acid levels and the presence of symptoms. When uric acid is only mildly elevated and there are no obvious symptoms, medication is usually not necessary. However, when uric acid levels are significantly elevated or symptoms are present, drug treatment becomes necessary. To maintain stable uric acid levels, it is important to follow a low-purine diet in daily life and avoid foods such as organ meats, seafood, and alcohol.

Generally, whether hyperuricemia requires pharmacological treatment depends on the specific uric acid levels and associated symptoms. When uric acid levels are mildly elevated without obvious symptoms, drug treatment is usually unnecessary. However, when uric acid levels are significantly elevated or accompanied by symptoms, medication is required. Detailed analysis is as follows:

If uric acid levels are only mildly elevated and there are no symptoms such as joint pain or swelling, adjusting diet and lifestyle habits may be sufficient to control uric acid levels. For example, reducing intake of high-purine foods, increasing water consumption, and engaging in regular exercise can promote uric acid excretion and gradually bring uric acid levels back to the normal range.

When uric acid levels are significantly elevated, or symptoms such as gouty arthritis or uric acid stones occur, lifestyle modifications alone may not effectively control the condition. In such cases, uric acid-lowering medications should be used under a doctor's guidance. These medications can lower uric acid levels by inhibiting uric acid production or promoting its excretion, thereby alleviating symptoms and preventing complications.

To maintain stable uric acid levels, it is important to adhere to a low-purine diet in daily life, avoiding foods such as animal offal, seafood, and alcohol, while consuming more vegetables, fruits, and whole grains. Additionally, maintaining regular sleep patterns, avoiding excessive fatigue and staying up late, and regularly monitoring uric acid levels to promptly adjust interventions are essential for maintaining metabolic balance.

View All

What does it mean if blood uric acid levels are high?

In general, elevated blood uric acid levels may be caused by excessive intake of high-purine foods, excessive alcohol consumption, hyperuricemia, gout, chronic kidney disease, or other factors. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. In daily life, maintain a regular作息 (routine), avoid overexertion, and engage in low-intensity exercises such as walking or jogging to improve overall physical health.

View Full Answer

High Uric Acid: Which Foods Should Be Avoided?

Under normal circumstances, there are no absolute dietary restrictions for individuals with high uric acid levels. However, it is not recommended to consume foods such as anchovies, pork kidneys, concentrated meat broths, dried scallops, and yellow rice wine. Detailed analysis is as follows: Additionally, individuals with high uric acid should also try to avoid eating sardines, hot pot broth, and similar foods. At the same time, they should pay attention to drinking plenty of plain water in daily life.

View Full Answer

What foods should not be consumed with high uric acid levels?

Under normal circumstances, individuals with high uric acid levels are advised not to consume foods such as sardines, goose liver, strong meat broths, anchovies, and beer. Sardines are high in purines, which are metabolized into uric acid in the human body. Excessive intake of sardines by individuals with high uric acid levels can significantly increase uric acid production, exceeding the excretion capacity of the kidneys and potentially leading to uric acid accumulation in the body.

View Full Answer

What should not be eaten when uric acid levels are high?

Under normal circumstances, individuals with high uric acid levels should avoid consuming foods such as goose liver, pork rib soup, sardines, goose meat, and beer. They should also avoid self-administering medications including aspirin enteric-coated tablets, hydrochlorothiazide tablets, nifedipine sustained-release tablets (II), pyrazinamide tablets, and levodopa tablets, to prevent adverse effects on uric acid levels. A detailed analysis is as follows: