The need for medication for high uric acid depends on the specific situation. For example, if the uric acid level is not too high and there are no gout attacks, the patient will be advised to first carry out lifestyle interventions such as a low purine diet, drinking more water, losing weight, quitting smoking and alcohol, etc. If the uric acid level is very high, for example, over 540 μmol/L or if gouty arthritis has developed, with more than two attacks per year or has involved the kidneys and caused renal insufficiency, or if stones have developed in the urinary system and gout stones have formed, then uric acid-lowering treatment will be needed at this time. Lifestyle interventions do not control uric acid to normal levels, and medications are needed to help control uric acid in the blood to normal levels. When choosing medication, doctors will consider the specific situation, such as kidney function, urinary system stones, liver function, etc., and choose which medication is more appropriate to lower uric acid. Currently, there are two main types of drugs: drugs that inhibit the synthesis of uric acid and drugs that promote the excretion of uric acid, and it is best to find a professional doctor to choose which drug to use.