COLCHICINE

85/100 · Critical

Manufactured by Takeda Pharmaceuticals America, Inc.

Colchicine Adverse Events: High Serious Reaction Rate and Diverse Safety Profile

65,499 FDA adverse event reports analyzed

Last updated: 2026-05-12

About COLCHICINE

COLCHICINE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Takeda Pharmaceuticals America, Inc.. Based on analysis of 65,499 FDA adverse event reports, COLCHICINE has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for COLCHICINE include DIARRHOEA, OFF LABEL USE, DRUG INEFFECTIVE, NAUSEA, FATIGUE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for COLCHICINE.

AI Safety Analysis

Colchicine has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 65,499 adverse event reports for this medication, which is primarily manufactured by Takeda Pharmaceuticals America, Inc..

The most commonly reported adverse events include Diarrhoea, Off Label Use, Drug Ineffective. Of classified reports, 77.9% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. High rate of serious adverse events, particularly renal and cardiovascular issues.

Diverse range of reactions, including gastrointestinal, respiratory, and neurological symptoms. Significant number of drug interactions and contraindications reported.

Patients taking Colchicine should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Colchicine can interact with various drugs, including those affecting renal function and cardiac health, necessitating careful monitoring. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Colchicine received a safety concern score of 85/100 (high concern). This is based on a 77.9% serious event ratio across 28,486 classified reports. The score accounts for 65,499 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DIARRHOEA2,660 reports
OFF LABEL USE2,268 reports
DRUG INEFFECTIVE2,213 reports
NAUSEA1,940 reports
FATIGUE1,745 reports
DYSPNOEA1,466 reports
ACUTE KIDNEY INJURY1,436 reports
ARTHRALGIA1,432 reports
HEADACHE1,322 reports
GOUT1,274 reports
VOMITING1,257 reports
PAIN1,229 reports
TOXICITY TO VARIOUS AGENTS1,151 reports
DRUG INTERACTION1,113 reports
RENAL FAILURE1,039 reports
RASH1,031 reports
PYREXIA933 reports
ASTHENIA931 reports
CONDITION AGGRAVATED894 reports
CHRONIC KIDNEY DISEASE890 reports
MALAISE882 reports
DIZZINESS871 reports
DEATH854 reports
PNEUMONIA807 reports
ABDOMINAL PAIN796 reports
PAIN IN EXTREMITY742 reports
COUGH721 reports
DRUG HYPERSENSITIVITY707 reports
HYPOTENSION707 reports
DRUG INTOLERANCE699 reports
WEIGHT DECREASED686 reports
FALL680 reports
CHEST PAIN648 reports
HYPERTENSION638 reports
PRURITUS625 reports
PERIPHERAL SWELLING592 reports
ANAEMIA591 reports
BACK PAIN587 reports
DECREASED APPETITE573 reports
ERYTHEMA550 reports
MYALGIA546 reports
ABDOMINAL DISCOMFORT531 reports
RHABDOMYOLYSIS523 reports
OVERDOSE512 reports
OEDEMA PERIPHERAL493 reports
THROMBOCYTOPENIA483 reports
DEHYDRATION466 reports
ABDOMINAL PAIN UPPER465 reports
INSOMNIA465 reports
RHEUMATOID ARTHRITIS460 reports
CARDIAC FAILURE CONGESTIVE457 reports
PRODUCT USE IN UNAPPROVED INDICATION457 reports
WEIGHT INCREASED452 reports
ASPARTATE AMINOTRANSFERASE INCREASED451 reports
JOINT SWELLING451 reports
ALANINE AMINOTRANSFERASE INCREASED441 reports
CONSTIPATION435 reports
ATRIAL FIBRILLATION423 reports
PRODUCT USE ISSUE421 reports
HYPERSENSITIVITY419 reports
TREATMENT FAILURE418 reports
PERICARDITIS415 reports
PANCYTOPENIA399 reports
RENAL IMPAIRMENT399 reports
URINARY TRACT INFECTION395 reports
ANXIETY392 reports
GAIT DISTURBANCE387 reports
BLOOD PRESSURE INCREASED386 reports
BLOOD CREATININE INCREASED384 reports
ARTHRITIS382 reports
GENERAL PHYSICAL HEALTH DETERIORATION373 reports
URTICARIA367 reports
COVID 19366 reports
SEPSIS364 reports
MULTIPLE ORGAN DYSFUNCTION SYNDROME362 reports
MUSCULOSKELETAL STIFFNESS358 reports
INFECTION355 reports
RENAL FAILURE ACUTE353 reports
GASTROINTESTINAL HAEMORRHAGE347 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION343 reports
COMPLETED SUICIDE338 reports
CARDIAC FAILURE337 reports
DEPRESSION333 reports
HAEMOGLOBIN DECREASED333 reports
ALOPECIA330 reports
C REACTIVE PROTEIN INCREASED330 reports
END STAGE RENAL DISEASE330 reports
MUSCULAR WEAKNESS329 reports
CONTRAINDICATED PRODUCT ADMINISTERED327 reports
MYOCARDIAL INFARCTION325 reports
PRODUCT DOSE OMISSION ISSUE322 reports
NASOPHARYNGITIS319 reports
MUSCLE SPASMS315 reports
INFLAMMATION313 reports
INFUSION RELATED REACTION312 reports
HYPOAESTHESIA311 reports
GASTROINTESTINAL DISORDER309 reports
METABOLIC ACIDOSIS305 reports
NEUTROPENIA304 reports
FEELING ABNORMAL301 reports

Key Safety Signals

  • Acute kidney injury and renal failure are among the most serious reported reactions.
  • Cardiac failure and arrhythmias are also notable safety signals.
  • Over 20% of reports involve off-label use, highlighting potential misuse.

Patient Demographics

Adverse event reports by sex: Male: 14,937, Female: 11,127, Unknown: 135. The most frequently reported age groups are age 68 (561 reports), age 72 (512 reports), age 65 (494 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 28,486 classified reports for COLCHICINE:

  • Serious: 22,192 reports (77.9%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 6,294 reports (22.1%)
Serious 77.9%Non-Serious 22.1%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male14,937 (57.0%)
Female11,127 (42.5%)
Unknown135 (0.5%)

Reports by Age

Age 68561 reports
Age 72512 reports
Age 65494 reports
Age 60490 reports
Age 74489 reports
Age 66482 reports
Age 64473 reports
Age 73472 reports
Age 69470 reports
Age 75462 reports
Age 71455 reports
Age 76455 reports
Age 63447 reports
Age 67438 reports
Age 70436 reports
Age 61427 reports
Age 59421 reports
Age 77399 reports
Age 62379 reports
Age 58377 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Colchicine can interact with various drugs, including those affecting renal function and cardiac health, necessitating careful monitoring.

What You Should Know

If you are taking Colchicine, here are important things to know. The most commonly reported side effects include diarrhoea, off label use, drug ineffective, nausea, fatigue. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should strictly follow prescribed dosages and consult healthcare providers for any new symptoms. Inform healthcare providers of all medications and supplements being taken to avoid potential drug interactions. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

Regulatory oversight is ongoing, with frequent updates to safety information and warnings for specific patient populations.

Frequently Asked Questions

How many adverse event reports has the FDA received for Colchicine?

The FDA has received approximately 65,499 adverse event reports associated with Colchicine. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Colchicine?

The most frequently reported adverse events for Colchicine include Diarrhoea, Off Label Use, Drug Ineffective, Nausea, Fatigue. By volume, the top reported reactions are: Diarrhoea (2,660 reports), Off Label Use (2,268 reports), Drug Ineffective (2,213 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Colchicine.

What percentage of Colchicine adverse event reports are serious?

Out of 28,486 classified reports, 22,192 (77.9%) were classified as serious and 6,294 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Colchicine (by sex)?

Adverse event reports for Colchicine break down by patient sex as follows: Male: 14,937, Female: 11,127, Unknown: 135. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Colchicine?

The most frequently reported age groups for Colchicine adverse events are: age 68: 561 reports, age 72: 512 reports, age 65: 494 reports, age 60: 490 reports, age 74: 489 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Colchicine?

The primary manufacturer associated with Colchicine adverse event reports is Takeda Pharmaceuticals America, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Colchicine?

Beyond the most common reactions, other reported adverse events for Colchicine include: Dyspnoea, Acute Kidney Injury, Arthralgia, Headache, Gout. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Colchicine?

You can report adverse events from Colchicine to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Colchicine's safety score and what does it mean?

Colchicine has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. High rate of serious adverse events, particularly renal and cardiovascular issues.

What are the key safety signals for Colchicine?

Key safety signals identified in Colchicine's adverse event data include: Acute kidney injury and renal failure are among the most serious reported reactions.. Cardiac failure and arrhythmias are also notable safety signals.. Over 20% of reports involve off-label use, highlighting potential misuse.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Colchicine interact with other drugs?

Colchicine can interact with various drugs, including those affecting renal function and cardiac health, necessitating careful monitoring. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Colchicine.

What should patients know before taking Colchicine?

Patients should strictly follow prescribed dosages and consult healthcare providers for any new symptoms. Inform healthcare providers of all medications and supplements being taken to avoid potential drug interactions.

Are Colchicine side effects well-documented?

Colchicine has 65,499 adverse event reports on file with the FDA. Diverse range of reactions, including gastrointestinal, respiratory, and neurological symptoms. The volume of reports for Colchicine reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Colchicine?

Regulatory oversight is ongoing, with frequent updates to safety information and warnings for specific patient populations. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to COLCHICINE based on therapeutic use, drug class, or shared indications:

AllopurinolDigoxinLithium
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.