Although colchicine can be used safely, it has a very narrow therapeutic index. Therefore, patients must be carefully counseled about the early warning signs of toxicity (nausea, abdominal pain or diarrhea). Such patients require drug dosing interruption or, at least, dose reductions or they may run into more serious toxicity, which includes multi-organ failure and death.
A hospitalist in Northwest Arkansas opining on clinical topics, the interface between medicine and politics and whatever else grabs my attention. This content does not constitute medical advice (consult your physician) nor is it authoritative (check primary sources).
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Although colchicine can be used safely, it has a very narrow therapeutic index. Therefore, patients must be carefully counseled about the early warning signs of toxicity (nausea, abdominal pain or diarrhea). Such patients require drug dosing interruption or, at least, dose reductions or they may run into more serious toxicity, which includes multi-organ failure and death.
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