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What the FDA labels say about taking them together

Colchicine and norethindrone

Colchicine's FDA label (Lodoco) of August 13, 2026 names norethindrone in its drug interactions section; the norethindrone labels PlainMeds reads (2) do not name colchicine. The colchicine label: “… concentrations are not affected. Colchicine can interact with oral contraceptives like norethindrone/ethinyl estradiol and can cause adverse events like diarrhea, nausea, upper abdominal pain, cold sweat etc.”

Check it at the source: the colchicine FDA label on DailyMed (effective July 22, 2025, Aurobindo Pharma Limited); the norethindrone FDA label on DailyMed (effective January 31, 2026, Glenmark Pharmaceuticals Inc., USA).

What does the colchicine label say about norethindrone?

Lodoco label (AGEPHA Pharma USA, LLC, August 13, 2026), drug interactions

Drug class: Oral contraceptives Ethinyl estradiol and norethindrone (Ortho-Novum 1/35); Outcome/effect: In healthy female volunteers given coadministered with 0.6 mg colchicine twice daily, hormone concentrations are not affected [see Clinical Pharmacology (12.3)]. Colchicine can interact with oral contraceptives like norethindrone/ethinyl estradiol and can cause adverse events like diarrhea, nausea, upper abdominal pain, cold sweat etc.; Clinical comment: Females using oral contraceptives should be prescribed LODOCO with caution and observed for adverse events.

Source: FDA drug label (Lodoco, NDA215727), AGEPHA Pharma USA, LLC, effective August 13, 2026 (SPL set ff06d68f-d65f-d097-e053-6294a90a7e5f), via openFDA

Source: FDA drug label (Colchicine), Aurobindo Pharma Limited, effective July 22, 2025 (SPL set dd93a40f-92ab-47ac-9083-b8a7a0b18ad6), via openFDA; the full label on DailyMed

What does the norethindrone label say about colchicine?

Norethindrone's label (effective January 31, 2026) and its 1 other brand-application label do not name colchicine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Norethindrone), Glenmark Pharmaceuticals Inc., USA, effective January 31, 2026 (SPL set 0d2f8fea-3675-40d2-afd9-9fcb148dbd4b), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

30Colchicine generic labelers
18Norethindrone generic labelers
ColchicineNorethindrone
Labeled forGoutBirth control
Boxed warningNoNo
Pharmacy cost (NADAC)$0.122 per tablet 0.6 mg tablet$0.290 per tablet 5 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?