Colchicine

Acute gout attacks and prevention of gout flares during initiation of uric acid-lowering therapy (like allopurinol).

Colchicine disrupts the inflammatory response to uric acid crystals. It inhibits neutrophil migration and the release of inflammatory mediators, effectively calming the intense inflammation that causes gout pain. It does not lower uric acid itself.

Adults with acute gout, or as prophylaxis during initiation of allopurinol or febuxostat. Not suitable in severe kidney or liver disease. Dose reduction needed in moderate kidney impairment.

Order online and we review your request. A prescriber checks your consultation form for clinical appropriateness and contacts you if anything else is needed. Once approved, your medication is dispensed and delivered to your door.

Tracked: Tracked delivery, arrives in two working days - Free

When it arrives: Every order is sent tracked. Where this page says in post today, it goes out today. Where it says in post tomorrow, it goes out the next working day. On the rare occasions a medicine is unavailable, we will contact you to talk about timing and alternatives.

We dispense clinically equivalent generic medications where available. Prices shown are for the generic version. If you prefer the branded version, let us know in your order form and we will confirm any price difference.

Colchicine from £20.99 per pack.

Side effects vary. Common effects may include nausea, headache, and gastrointestinal disturbances. Please refer to the patient information leaflet supplied with your medication for a complete list. Report any unexpected or severe side effects to your prescriber or pharmacist.

Do not take this medicine if you are allergic to any of its ingredients. Inform your prescriber of all medical conditions, particularly liver or kidney disease, heart conditions, and any current medications. Always read the patient information leaflet.

This medicine may interact with other medications. Always inform your prescriber and pharmacist of all medicines you are taking, including over-the-counter medicines, supplements, and herbal remedies.

Consult your prescriber before taking this medicine if you are pregnant, planning pregnancy, or breastfeeding. Many medicines require careful assessment of risks and benefits during pregnancy.

For acute gout: 500mcg two to four times daily. Current guidelines recommend lower doses than historically used. The most common side effects are diarrhoea, nausea and abdominal pain -- if you get diarrhoea, stop taking it. Serious toxicity is rare at low doses but can be fatal in overdose. Do not exceed the recommended dose.