What is the best and quickest medicine to take when uric acid is high

Uric acid can be controlled by adjusting dietary structure, increasing water intake, and taking uric acid lowering drugs. Commonly used drugs include allopurinol, febuxostat, and benzbromarone. Elevated uric acid is mainly related to abnormal purine metabolism, reduced renal excretion, high purine diet, and other factors.

1. Dietary adjustment:

Reducing the intake of high purine foods is a basic measure, and it is necessary to avoid animal organs, thick meat soup, seafood and other foods. It is recommended to choose low purine dairy products, eggs, fresh vegetables, and fruits such as cherries and lemons that have auxiliary uric acid lowering effects. Daily water intake should be maintained at 2000 milliliters or more to promote uric acid excretion.

2. Drug intervention:

Drugs that inhibit uric acid synthesis include allopurinol and febuxostat, which are suitable for patients with hyperuricemia. The drug that promotes uric acid excretion is benzbromarone, which is suitable for patients with renal excretion disorders. Medication must strictly follow the doctor's advice and regularly monitor liver and kidney function as well as blood uric acid levels.

3. Weight management:

Obesity can exacerbate insulin resistance and affect uric acid metabolism. By exercising regularly and controlling daily calorie intake, maintain a body mass index within the range of 18.5-23.9. It is recommended to engage in 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking, swimming, etc.

4. Alcohol restriction:

Alcohol metabolism can inhibit uric acid excretion, and beer is particularly rich in purines. During the acute attack of gout, strict abstinence from alcohol is required, and the daily alcohol intake during the remission period should not exceed 25 grams. The purine content of red wine is relatively low, but it is still necessary to control the amount consumed. 5. Alkalinization of urine: Taking sodium bicarbonate appropriately can maintain the pH value of urine at 6.2-6.9 and increase the solubility of uric acid. However, long-term extensive use may cause electrolyte imbalance and should be used under the guidance of a doctor. Daily consumption of alkaline foods such as soda crackers, potatoes, etc. Patients with high uric acid levels need to establish long-term management awareness and regularly check their blood uric acid levels. Maintain a regular schedule and avoid strenuous exercise and joint catching cold. During the acute phase, local cold compress can relieve pain, while during the chronic phase, joint function exercise is recommended. When combined with chronic diseases such as hypertension and diabetes, basic diseases need to be controlled simultaneously. Some antihypertensive drugs, such as losartan, also have mild uric acid lowering effect. If gout symptoms such as joint redness, swelling, heat, and pain occur, timely medical attention should be sought for standardized treatment.