Kamikaze

The Kamikaze is a cocktail made with equal parts vodka, triple sec, and lime juice . It's typically served as a chilled shot, with single servings ranging from about 131 calories up to 229 calories depending on pour size . For people with gout, the dominant concern is alcohol: vodka contains ethanol, which both promotes uric acid production and, more importantly, reduces the kidneys' ability to excrete uric acid, sharply increasing flare risk. The triple sec component adds a concentrated dose of fructose-rich sugar; fructose metabolism itself generates uric acid as a byproduct, compounding the problem. The lime juice is the one neutral-to-friendly element, supplying vitamin C that may modestly support uric acid excretion.

Practical guidance

If you choose to drink, a single Kamikaze on a special occasion carries far less risk than regular or heavy consumption. It is a better choice than beer, which adds an extra purine load, but it remains unfriendly to gout management. Stay well-hydrated before and after drinking, avoid it entirely during an acute flare, and be mindful that the easy-to-sip shot format often leads to multiple servings — each one adding more alcohol and sugar to the uric acid burden.