TY - JOUR PY - 2023// TI - Colchicine: the good, the bad, the ugly, and how to minimise the risks JO - Rheumatology (Oxford) A1 - Stamp, Lisa K. A1 - Horsley, Carl A1 - Karu, Leanne Te A1 - Dalbeth, Nicola A1 - Barclay, Murray SP - ePub EP - ePub VL - ePub IS - ePub N2 - Colchicine has an important role in managing various conditions, including gout, familial Mediterranean fever, amyloidosis, Behcet's syndrome, recurrent pericarditis, and calcium pyrophosphate deposition disease. The adverse effect profile of colchicine is well understood. However, due to its narrow therapeutic index, colchicine has been associated with overdose and fatalities. When ingested in toxic amounts, the mainstay of management is supportive care. Strategies to minimise the risk of colchicine poisoning can focus on three broad causes: unauthorised access, intentional overdose, and inappropriate dosing. Culturally safe and appropriate education about storage and appropriate use of colchicine is essential to minimise the risk of overdose.
Language: en
LA - en SN - 1462-0324 UR - http://dx.doi.org/10.1093/rheumatology/kead625 ID - ref1 ER -