When This Medicine Should Not Be Used:
This medicine is generally considered safe for most people. Talk to your doctor if you have concerns.

How to Use This Medicine:
Capsule, Tablet

• Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
• Keep using this medicine for the full treatment time, even if you feel better after the first few doses.
• This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.
• Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.
• Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Some medicines and foods can affect how colchicine works. Tell your doctor if you are using any of the following:
  
  • Aprepitant, cyclosporine, digoxin, diltiazem, nefazodone, ranolazine, verapamil
  • Medicine to treat HIV or AIDS
  • Medicine to treat an infection (such as clarithromycin, erythromycin, itraconazole, ketoconazole)
  • Medicine to lower cholesterol (such as atorvastatin, bezafibrate, fenofibrate, fenofibric acid, fluvastatin, gemfibrozil, lovastatin, pravastatin, simvastatin)
• Do not eat grapefruit or drink grapefruit juice while you are using this medicine.

Warnings While Using This Medicine:

• Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, anemia, bleeding problems, or muscle problems.
• This medicine may cause muscle problems.
• This medicine may make you bleed, bruise, or get infections more easily. Take precautions to prevent illness and injury. Wash your hands often.
• Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
• Keep all medicine out of the reach of children. Never share your medicine with anyone.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Bloody or black tarry stools, red or dark brown urine
• Fever, chills, cough, sore throat, body aches
• Muscle pain, tenderness, or weakness
• Numbness or tingling in your hands or feet
• Pale or gray lips, tongue, or palms
• Severe diarrhea or vomiting
• Unusual bleeding, bruising, or weakness

If you notice these less serious side effects, talk with your doctor:

• Mild diarrhea or vomiting, nausea, stomach pain or cramps

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088