Manhattan

With moderation

The Manhattan cocktail has low purine content from its whiskey base but still poses gout risks due to alcohol's effects on uric acid excretion.

Good

Distilled spirits like whiskey contain very low purines compared to beer, and the drink lacks high-fructose sweeteners that can raise uric acid.

Bad

Alcohol impairs kidney excretion of uric acid, promotes dehydration, and increases flare risk with regular intake, though less severely than beer.

AI-researched information — not medical advice. Ask a qualified clinician before changing your diet or treatment.