Whether blood uric acid 470μmol/L needs to take uric acid medicine depends on the patient’s condition. If the patient does not have gout, the need for uric acid-lowering drugs can be temporarily eliminated. If the patient is combined with gout, and the number of gout attacks ≥ 2 times / year, gout stone and other conditions, need to take uric acid-lowering drugs.
Hyperuricemia is diagnosed by fasting blood uric acid levels >420µmol/L on two occasions not on the same day with daily diet. Uric acid 470µmol/L meets the criteria for hyperuricemia.
If the patient is not combined with hypertension, abnormal lipid metabolism and other comorbidities, blood uric acid needs to be ≥540µmol/L to take uric acid-lowering drugs. However, if the patient is combined with hypertension, abnormal lipid metabolism and other comorbidities, uric acid ≥ 480 μmol / L to start medication. Therefore, if the blood uric acid 470μmol / L patients without gout, you can temporarily do not need to use uric acid-lowering drugs.
If the patient is gouty and combined with the number of gouty attacks ≥2 times/year and gouty stones, the medication should be started if the uric acid reaches 420 μmol/L, and the blood uric acid level should be maintained at <300 μmol/L.
It is recommended that patients with blood uric acid 470μmol/L should go to the rheumatology and immunology department, endocrinology department and other related departments in regular hospitals for detailed consultation, and follow the doctor's instructions to standardize the treatment, and do not use medication on their own.