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colchicine Side Effects

Also known as: Colcrys, Mitigare

Analysis of 28,502 adverse event reports submitted to the FDA from 2001 to 2025.

Total Reports

28,502

Death-Related

3,416

12.0% of reports

Hospitalizations

11,915

41.8% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DIARRHOEA
2,660
OFF LABEL USE
2,268
DRUG INEFFECTIVE
2,212
NAUSEA
1,940
FATIGUE
1,747
DYSPNOEA
1,467
ACUTE KIDNEY INJURY
1,436
ARTHRALGIA
1,432
HEADACHE
1,323
GOUT
1,275
VOMITING
1,257
PAIN
1,231
TOXICITY TO VARIOUS AGENTS
1,151
DRUG INTERACTION
1,113
RENAL FAILURE
1,040
RASH
1,031
PYREXIA
933
ASTHENIA
932
CONDITION AGGRAVATED
893
CHRONIC KIDNEY DISEASE
890

Who Reports Side Effects

Gender Distribution

Female 11,129 (42%)
Male 14,936 (57%)
Unknown 135

Age Distribution

0-17 943 (5%)
18-44 3,411 (17%)
45-64 6,405 (32%)
65-74 4,807 (24%)
75+ 4,436 (22%)

Reporting Trend by Year

2001 2025

Reactions in Death Reports

Top reactions reported in 3,416 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 852
TOXICITY TO VARIOUS AGENTS 455
COMPLETED SUICIDE 337
DIARRHOEA 299
RENAL FAILURE 267
VOMITING 267
MULTIPLE ORGAN DYSFUNCTION SYNDROME 254
CARDIAC ARREST 242
DRUG INTERACTION 241
OFF LABEL USE 210
ACUTE KIDNEY INJURY 206
HYPOTENSION 196
PNEUMONIA 187
OVERDOSE 184
NAUSEA 182
SEPSIS 174
DYSPNOEA 161
CARDIOGENIC SHOCK 141
INTENTIONAL OVERDOSE 136
CARDIAC FAILURE CONGESTIVE 122

Reactions in Hospitalization Reports

Top reactions in 11,915 reports where hospitalization was an outcome.

Reaction Reports
DIARRHOEA 1,322
NAUSEA 974
ACUTE KIDNEY INJURY 935
DYSPNOEA 882
OFF LABEL USE 871
VOMITING 832
TOXICITY TO VARIOUS AGENTS 812
FATIGUE 729
DRUG INEFFECTIVE 697
DRUG INTERACTION 681
ARTHRALGIA 649
PNEUMONIA 635
PYREXIA 614
HEADACHE 592
PAIN 571
HYPOTENSION 534
ASTHENIA 532
RENAL FAILURE 525
MALAISE 484
GOUT 480

Nearby — Related Medications

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What the FAERS Data Reveals About colchicine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 28,502 voluntary reports linked to colchicine and its brand equivalents (Colcrys, Mitigare), spanning 2001 through 2025. Of those, 3,416 (12.0%) listed death as an outcome and 11,915 (41.8%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 42% were female and 57% male; age distribution skews toward 45-64, with 6,405 reports in that bracket. The single most reported reaction is diarrhoea with 2,660 submissions, followed by off label use and drug ineffective.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.