Low in purines but ethanol impairs uric acid excretion, increasing gout flare risk at higher intakes.
Good
Spirits have negligible purine content. In very small amounts, some evidence suggests no acute rise in uric acid and may even increase excretion temporarily.
Bad
Ethanol reduces kidney clearance of uric acid, raising serum urate. The 2025 meta-analysis shows a 39% higher gout risk overall, and mixers often add fructose.
AI-researched information — not medical advice. Ask a qualified clinician before changing your diet or treatment.