ScrewdriverUnsafeSuggest an editEditsA Screwdriver (vodka mixed with orange juice) is unsafe for gout due to alcohol and fructose despite low purines.GoodContains very low purine levels from distilled vodka and orange juice.BadAlcohol impairs kidney uric acid excretion while fructose in the juice boosts production, increasing flare risk.AI-researched information — not medical advice. Ask a qualified clinician before changing your diet or treatment.