Colchicine: old and new
- PMID: 25554368
- PMCID: PMC4684410
- DOI: 10.1016/j.amjmed.2014.12.010
Colchicine: old and new
Abstract
Although colchicine has been a focus of research, debate, and controversy for thousands of years, the US Food and Drug Administration just approved it in 2009. Over the past decade, advances in the knowledge of colchicine pharmacology, drug safety, and mechanisms of action have led to changes in colchicine dosing and to potential new uses for this very old drug. In this review, we discuss the pharmacologic properties of colchicine and summarize what is currently known about its mechanisms of action. We then discuss and update the use of colchicine in a variety of illnesses, including rheumatic and, most recently, cardiovascular diseases.
Keywords: Cardiovascular disease; Colchicine; Gout; Inflammation.
Published by Elsevier Inc.
Conflict of interest statement
Conflict of interest: AS: None. SK: None. MHP is the recipient of an investigator-initiated grant and also serves as a study site investigator for a trial supported by Takeda, Inc; is the recipient of an investigator-initiated grant from Savient, Inc; is the recipient of an investigator-initiated grant and has served as a consultant for Crealta, Inc; and has served as a consultant for Astra-Zeneca, Inc. BS is the recipient of an investigator-initiated grant (drug and placebo only) from Takeda, Inc.
Comment in
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Colchicine toxicity: an exaggerated reality?Am J Med. 2015 Aug;128(8):e11. doi: 10.1016/j.amjmed.2015.02.020. Am J Med. 2015. PMID: 26210455 No abstract available.
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The reply.Am J Med. 2015 Aug;128(8):e13. doi: 10.1016/j.amjmed.2015.03.014. Am J Med. 2015. PMID: 26210456 No abstract available.
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References
-
- Research C for DE. [Accessed May 28, 2014];Drug Safety Information for Healthcare Professionals - Information for Healthcare Professionals: New Safety Information for Colchicine (marketed as Colcrys) Available at: http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPa....
-
- Sabouraud A, Chappey O, Dupin T, Scherrmann JM. Binding of colchicine and thiocolchicoside to human serum proteins and blood cells. [Accessed May 28, 2014];Int J Clin Pharmacol Ther. 1994 32(8):429–32. Available at: http://www.ncbi.nlm.nih.gov/pubmed/7981928. - PubMed
-
- Chappey ON, Niel E, Wautier JL, et al. Colchicine disposition in human leukocytes after single and multiple oral administration. [Accessed May 28, 2014];Clin Pharmacol Ther. 1993 54(4):360–7. Available at: http://www.ncbi.nlm.nih.gov/pubmed/8222477. - PubMed
-
- Chappey O, Niel E, Dervichian M, Wautier JL, Scherrmann JM, Cattan D. Colchicine concentration in leukocytes of patients with familial Mediterranean fever. [Accessed January 13, 2014];Br J Clin Pharmacol. 1994 38(1):87–9. Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1364844&tool=p.... - PMC - PubMed
-
- Niel E, Scherrmann J-M. Colchicine today. [Accessed January 13, 2014];Joint Bone Spine. 2006 73(6):672–8. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17067838. - PubMed
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