Why does alcohol trigger gout?
Alcohol triggers gout through two mechanisms: it increases uric acid production in the liver and reduces uric acid excretion through the kidneys. Beer is the worst offender due to its high purine content from brewer's yeast. The ACR 2020 guidelines recommend limiting or avoiding all alcohol during gout flares.
Is any alcohol safe for gout?
No alcohol is completely safe for gout, but some are lower risk than others. Among 22 rated beverages, a small number are classified as MODERATE or SAFE in strict moderation. However, the ACR advises gout patients to avoid alcohol entirely during flares and limit intake otherwise.