Dermatology Made Easy is based on the most popular topics from DermNet NZ's vast array of material. The book combines the essential focus of the ‘Made Easy’ book series with the authority and knowledge base of DermNet NZ's unparalleled resources.
Author: Vanessa Ngan, Staff Writer, 2005.
Colchicine is a very old drug and is made from the Autumn Crocus, Colchicum autumnale (a poisonous European flowering plant). It has been primarily used in the treatment of gout. Although it is not formally indicated or approved for the treatment of dermatological diseases, colchicine has been prescribed for some skin conditions with good results. Its effectiveness is due to several immunological and anti-inflammatory properties.
In New Zealand colchicine is available as 0.5 mg (or 500 micrograms) tablets (previously 0.6 mg).
Because of its potential toxicity, colchicine is used as a secondline agent when safer drugs have been unsuccessful.
Colchicine is used for a number of dermatological diseases. Its effectiveness has only been shown through the treatment of small and mostly uncontrolled study groups.
|Recurrent aphthous ulcers||1.5-1.8mg/day||
More controlled and double-blind studies are needed to prove the usefulness of colchicine in dermatological diseases.
Colchicine should not be used under the following circumstances:
Colchicine can be fatal in overdose. Treatment with colchicine should be stopped immediately when abdominal pain, diarrhoea, nausea or vomiting occur. These are the first signs of toxicity and usually occur between 0–24 hours after taking the medicine.
If you are taking any other medicines, particularly antibiotics and pain killers, do not take colchicine before you have checked with your doctor or pharmacist that it is safe to do so.
The most common side effects are abdominal pain, diarrhoea, nausea or vomiting, which occur in up to 80% of patients receiving a maximal dose. Gastrointestinal symptoms are worse at higher dosages. These symptoms indicate toxicity and the medicine should be stopped.
Toxicity results in:
Colchicine, when used in low doses, has a low rate of side effects. Beneficial effects without the side effects is possible by reducing the dosage. However, there is no antidote if an excessive dose is taken. Seek medical help immediately.
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