Uric acid 435.5 μmol/L is usually not very serious, just a little higher than the upper limit of the normal range. If it is simply elevated, no medication is needed. If there are recurrent episodes of gouty arthritis, medication and other methods of treatment are needed in a timely manner. Normal adult male uric acid range is 150~416 μmol/L, normal adult female uric acid range is 89~357 μmol/L, if it is simply elevated uric acid, uric acid 435.5 μmol/L generally do not need to take medication, you can control the diet to reduce the blood uric acid level. If there is gouty arthritis, uric acid 435.5μmol/L will need drug intervention. In addition to dietary control, acute attacks of gout can be treated with non-steroidal anti-inflammatory drugs such as celecoxib, colchicine or glucocorticoids such as prednisolone as prescribed by the doctor to alleviate symptoms. In addition, just once blood uric acid 435.5μmol / L also need to rule out laboratory error and hydrochlorothiazide and other drugs, patients are advised to go to the hospital to review the blood uric acid level again.