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What the FDA labels say about taking them together

Colchicine and pegloticase

Pegloticase's FDA label of July 9, 2026 names colchicine in its warnings and precautions section; the colchicine labels PlainMeds reads (4) do not name pegloticase. The pegloticase label: “Gout flare prophylaxis with a non-steroidal anti-inflammatory drug (NSAID) or colchicine is recommended starting at least 1 week before initiation of KRYSTEXXA therapy and lasting at least 6 months, unless medically …”

Check it at the source: the colchicine FDA label on DailyMed (effective July 22, 2025, Aurobindo Pharma Limited); the pegloticase FDA label on DailyMed (effective July 9, 2026, Horizon Therapeutics USA, Inc.).

What does the colchicine label say about pegloticase?

Colchicine's label (effective July 22, 2025) and its 3 other brand-application labels do not name pegloticase in these sections. A label lists what its studies and reports found; it is not a complete list.

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 pegloticase label say about colchicine?

Pegloticase label, warnings and precautions

Gout flare prophylaxis with a non-steroidal anti-inflammatory drug (NSAID) or colchicine is recommended starting at least 1 week before initiation of KRYSTEXXA therapy and lasting at least 6 months, unless medically contraindicated or not tolerated.

Source: FDA drug label (Krystexxa), Horizon Therapeutics USA, Inc., effective July 9, 2026 (SPL set 6e566303-d93a-4130-b764-25749829aa95), 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
0Pegloticase generic labelers
ColchicinePegloticase
Labeled forGoutGout
Boxed warningNoYes
Pharmacy cost (NADAC)$0.122 per tablet 0.6 mg tabletn/a
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?