Colchicine helps to relieve the pain of a sudden gout attack. It is also given with other gout medicine to prevent these gout attacks.
This medicine may be used to treat other conditions as decided by your doctor.
Take Colchicine exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
You may take this medicine with or without food.
You should keep some Colchicine tablets with you so that you can take it at the first sign of a gout attack. The effect of this medicine is improved when taken as close as possible at the first sign of a sudden gout attack.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Alert your doctor if you have the following conditions:
- severe kidney disease or undergoing dialysis
- history of blood disorders
- severe liver disease
as Colchicine may not be suitable for you.
Do not take this medicine if you are pregnant or planning to have a baby soon. If you become pregnant while being treated with this medicine, alert your doctor immediately. This medicine may cause harm to your unborn child. You must use proven birth control methods while taking this medicine.
Do not take this medicine if you are breastfeeding.
Do not take Colchicine with medicines used in organ transplant or certain immune disorder, certain antibiotic or antifungal, and certain medicines for high blood pressure. Please see the section “Can I take this with other medicines?” below for more information.
Inform your doctor if you have heart disease or digestive system disease.
Colchicine may cause nausea, stomach discomfort or pain, vomiting and diarrhoea.
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- bruising or skin problems
- prolonged bleeding
- rashes or ulcers in your mouth and throat
- sore throat
Do not take Colchicine with the following medicines:
- medicines used in organ transplant or certain immune disorder e.g. ciclosporin
- certain antibiotics e.g. clarithromycin
- medicines for fungal infections e.g. itraconazole, ketoconazole
- medicines for high blood pressure or heart disease e.g. diltiazem, verapamil
Inform your doctor and pharmacist if you are taking any of the following medicines:
- medicines for viral infections e.g. ritonavir, atazanivir
- medicines for high cholesterol levels e.g. fluvastatin, simvastatin
This list does not include all medicines that may interact with Colchicine.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
In order to prevent future gout attacks, it is important to be mindful of your diet:
Avoid excessive alcohol intake. Drink plenty of water to keep hydrated.
Avoid foods high in purine, such as organ meat, seafood and oily fish. Other foods with purine content, such as meat, poultry, fish, may be eaten in moderation.
Eat a healthy, balanced diet low in highly processed foods and refined sugar (sugar that is commonly found in processed foods including soft drinks, candies, canned fruits).
Avoid excessive consumption of grapefruit or grapefruit juice (more than 1 litre a day).
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.