Skip to Content

colchicine

Pronunciation

Generic Name: colchicine (KOL chi seen)
Brand Name: Colcrys, Mitigare

What is colchicine?

Colchicine affects the way the body responds to uric acid crystals, which reduces swelling and pain.

Because colchicine was developed prior to federal regulations requiring FDA review of all marketed drug products, not all uses for colchicine have been approved by the FDA.

The Colcrys brand of colchicine is FDA-approved to treat or prevent gout in adults, and to treat a genetic condition called Familial Mediterranean Fever in adults and children who are at least 4 years old.

The Mitigare brand of colchicine is FDA-approved to prevent gout flares in adults.

Generic forms of colchicine have been used to treat or prevent attacks of gout, or to treat symptoms of Behcets syndrome (such as swelling, redness, warmth, and pain).

Colchicine is not a cure for gouty arthritis or Behcets syndrome, and it will not prevent these diseases from progressing. Colchicine should not be used as a routine pain medication for other conditions.

Colchicine may also be used for purposes not listed in this medication guide.

What is the most important information I should know about colchicine?

Serious drug interactions can occur when certain medicines are used together with colchicine. Tell each of your healthcare providers about all medicines you use now, and any medicine you start or stop using.

What should I discuss with my healthcare provider before taking colchicine?

You should not use colchicine if you are allergic to it.

Some medicines can cause unwanted or dangerous effects when used with colchicine, especially if you have liver or kidney disease. Your doctor may need to change your treatment plan if you use any of the following drugs:

  • cyclosporine;

  • nefazodone;

  • tipranavir;

  • clarithromycin or telithromycin;

  • itraconazole or ketoconazole; or

  • HIV or AIDS medicine--atazanavir, darunavir, fosamprenavir, indinavir, lopinavir, nelfinavir, ritonavir, or saquinavir.

To make sure colchicine is safe for you, tell your doctor if you have:

  • liver disease;

  • kidney disease; or

  • if you take digoxin, or cholesterol-lowering medications.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Colchicine can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

How should I take colchicine?

Do not purchase colchicine on the Internet or from vendors outside of the United States. Using this medication improperly or without the advice of a doctor can result in serious side effects or death.

Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Colchicine can be taken with or without food.

To treat a gout attack, for best results take colchicine at the first sign of the attack. The longer you wait to start taking the medication, the less effective it may be.

You may need to take a second lower dose of colchicine 1 hour after the first dose if you still have gout pain. Follow your doctor's instructions.

Your dose will depend on the reason you are taking this medicine. Colchicine doses for gout and Mediterranean fever are different.

Do not stop using colchicine unless your doctor tells you to, even if you feel fine.

Call your doctor if your symptoms do not improve, or if they get worse.

If you use this medicine long-term, you may need frequent medical tests.

Store at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of colchicine can be fatal.

Overdose symptoms may include diarrhea, nausea, vomiting, stomach pain, muscle weakness, little or no urinating, numbness or tingling, weak pulse, slow heart rate, weak or shallow breathing, or fainting.

What should I avoid while taking colchicine?

Grapefruit and grapefruit juice may interact with colchicine and lead to unwanted side effects. Avoid the use of grapefruit products while taking colchicine.

Colchicine side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • muscle pain or weakness;

  • numbness or tingly feeling in your fingers or toes;

  • pale or gray appearance of your lips, tongue, or hands;

  • severe or ongoing vomiting or diarrhea;

  • fever, chills, body aches, flu symptoms; or

  • easy bruising, unusual bleeding, feeling weak or tired.

Common side effects may include:

  • nausea, vomiting, stomach pain; or

  • diarrhea.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Colchicine dosing information

Usual Adult Dose for Acute Gout:

Initial: 1.2 mg orally at first sign of gout flare followed by 0.6 mg 1 hour later
Maximum dose: 1.8 mg orally over a 1 hour period; higher doses have not been found to be more effective

Comments:
-Dose adjustments may be required based on renal function, hepatic function, and use of concomitant medications.
-The safety and effectiveness of repeat treatment in gout flares has not been evaluated.

Use: For the treatment of acute gout flares when taken at the first sign of a flare.

Usual Adult Dose for Familial Mediterranean Fever:

Usual dose: 1.2 mg to 2.4 mg orally daily, administered in 1 or 2 divided doses
-Dose increases should be made in increments of 0.3 mg/day as needed and tolerated to control disease; if intolerable side effects develop, the dose should be decreased in increments of 0.3 mg/day
Maximum dose: 2.4 mg/day

Comments:
-Dose adjustments may be required based on renal function, hepatic function, and use of concomitant medications.

Use: For the treatment of familial Mediterranean fever.

Usual Adult Dose for Gout -- Prophylaxis:

0.6 mg orally once or twice a day
Maximum dose: 1.2 mg/day

Comments:
-Dose adjustments may be required based on renal function, hepatic function, and use of concomitant medications.
-The safety and effectiveness for the acute treatment of gout flares during prophylaxis has not been studied.

Use: For the prophylaxis of gout flares.

Usual Geriatric Dose for Acute Gout:

Use caution; dose selection should reflect the greater frequency of decreased renal function, concomitant disease, and/or concomitant drug therapy.

Usual Geriatric Dose for Familial Mediterranean Fever:

Use caution; dose selection should reflect the greater frequency of decreased renal function, concomitant disease, and/or concomitant drug therapy.

Usual Geriatric Dose for Gout -- Prophylaxis:

Use caution; dose selection should reflect the greater frequency of decreased renal function, concomitant disease, and/or concomitant drug therapy.

Usual Pediatric Dose for Familial Mediterranean Fever:

Age: 4 to 6 years: 0.3 to 1.8 mg orally daily, administered in 1 or 2 divided doses

Age: 6 to 12 years: 0.9 to 1.8 mg orally daily, administered in 1 or 2 divided doses

Age: Older than 12 years: 1.2 to 2.4 mg orally daily, administered in 1 or 2 divided doses

-Dose increases should be made in increments of 0.3 mg/day as needed and tolerated to control disease; if intolerable side effects develop, the dose should be decreased in increments of 0.3 mg/day
Maximum dose: 2.4 mg/day

Comments:
-Dose adjustments may be required based on renal function, hepatic function, and use of concomitant medications.

Use: For the treatment of familial Mediterranean fever in pediatric patients 4 years of age and older.

What other drugs will affect colchicine?

Many drugs can interact with colchicine, and some drugs should not be used together. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. Tell your doctor about all medicines you use, and those you start or stop using during your treatment with colchicine. Give a list of all your medicines to any healthcare provider who treats you.

Where can I get more information?

  • Your pharmacist can provide more information about colchicine.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 7.02. Revision Date: 2016-03-24, 2:52:23 PM.

Hide