Conversation: The conversation between human and AI assistant.
[|Human|] hi doctor, my was advised steroid pills .she was continously given medrol. 16 ,then 8, 4mg doses for 7 months . now she has problems like high bp, water retention, but more painful is high uric acid . and initially her jaw joints pained enormously. after one month by taking medicine her uric level decreased from 7.2 to 6.2. suggest some remedy
[|AI|]  Hello, All the symptoms you have described are because of long term side effects of steroids. However maybe the necessity of steroids would have present to treat your condition and hence your doctor must have weighted the risk benefit. Considering you are already on me Chat Doctor.  First would be to slowing decrease the steroid to 4 mg on alternate day or 4 mg and 2 mg on alternate day depending on how she tolerates under strict observation of her doctor. Till than specific medication to treat hypertension.  Ace inhibitors plus diuretic (However many diuretics can increase uric acid, so select accordingly) combination would be best for her. Uric acid is already within range and so continue the same medication. Regards