Product image of Kolkisin Tiofarma (Colchicine) supplied by GNH India

Kolkisin Tiofarma

Active Ingredient:
Colchicine
Origin:
EU

Kolkisin Tiofarma (Colchicine)

Colchicine, the active ingredient in Kolkisin Tiofarma, is an alkaloid (microtubule inhibitor) presented as an oral formulation for oral use. It treats acute gout flares and helps prevent attacks in adults with gout or familial Mediterranean fever.

GNH India supplies Kolkisin Tiofarma as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Tiofarma B.V.

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Indications & Clinical Uses

Colchicine is used to manage conditions involving inflammatory crystal deposition and hereditary autoinflammatory episodes.

  • Acute gout flares: rapidly reduces pain, swelling and inflammation during an attack.
  • Prophylaxis of gout attacks: lowers the frequency of recurrent gout episodes when taken regularly.
  • Familial Mediterranean fever: prevents febrile attacks and associated serosal inflammation.

How It Works

  • Colchicine binds to tubulin proteins, preventing their polymerization into microtubules. This disruption impairs neutrophil motility, adhesion, and degranulation, thereby reducing the inflammatory response triggered by urate crystals in gout and by innate immune activation in familial Mediterranean fever.

Side Effects

Colchicine may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Gastrointestinal upset: nausea, abdominal pain, or cramping.
  • Diarrhea: frequent loose stools.
  • Vomiting: occasional episodes of emesis.
  • Loss of appetite: reduced desire to eat.

Serious or Rare Side Effects

  • Bone marrow suppression: leading to neutropenia or aplastic anemia.
  • Severe muscle toxicity: rhabdomyolysis or myopathy.
  • Hepatotoxicity: elevated liver enzymes or liver injury.
  • Severe allergic reactions: rash, angioedema, or anaphylaxis.
  • Multi‑organ failure: in cases of extreme overdose.

Precautions & Warnings

When prescribing colchicine, clinicians should consider several safety measures.

  • Dose adjustment in renal impairment: reduce dose or increase monitoring frequency.
  • Avoid in severe hepatic dysfunction: contraindicated due to impaired metabolism.
  • Monitor blood counts regularly: watch for neutropenia or anemia.
  • Use caution with concomitant CYP3A4 inhibitors: may increase colchicine exposure.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Colchicine interacts with several drug classes that can alter its safety profile.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., clarithromycin, itraconazole): risk of toxic accumulation.
  • P‑glycoprotein inhibitors (e.g., cyclosporine, verapamil): increase systemic exposure.
  • High‑dose statins (e.g., simvastatin): heightened risk of myopathy.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., diltiazem, erythromycin): may require dose adjustment.
  • Diuretics (e.g., furosemide): can affect renal clearance of colchicine.
  • Macrolide antibiotics (e.g., azithromycin): monitor for signs of toxicity.

Frequently Asked Questions

Kolkisin Tiofarma contains colchicine and is indicated for the treatment of acute gout flares, the prophylaxis of recurrent gout attacks, and the prevention of febrile episodes in patients with familial Mediterranean fever. It works by reducing inflammation associated with these conditions.

Colchicine binds to tubulin, preventing the formation of microtubules. This blocks neutrophil migration, adhesion, and degranulation, which are key steps in the inflammatory cascade triggered by urate crystals in gout and by innate immune activation in familial Mediterranean fever.

The specific dose of Kolkisin Tiofarma is determined by the prescribing clinician based on the patient’s condition, renal and hepatic function, and other individual factors. Healthcare professionals should follow current clinical guidelines and adjust the regimen as needed.

Colchicine is classified as a pregnancy‑category drug with limited safety data. It should only be used if the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should consult their physician, as colchicine may be excreted in breast milk.

To place an order, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with NSAIDs or corticosteroids, colchicine offers a non‑steroidal anti‑inflammatory option that can be used for both acute attacks and long‑term prophylaxis. Unlike newer urate‑lowering agents such as febuxostat, colchicine does not reduce serum uric acid but directly suppresses the inflammatory response.

Kolkisin Tiofarma should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from moisture, excessive heat and direct sunlight to maintain its stability and potency.

The medication is taken orally, usually with a full glass of water. It may be taken with or without food, depending on the prescriber’s instructions. Patients should follow the dosing schedule provided by their healthcare professional.

The most serious risks include bone‑marrow suppression leading to neutropenia or aplastic anemia, severe muscle toxicity such as rhabdomyolysis, and life‑threatening organ failure in cases of overdose. Prompt medical attention is required if these symptoms appear.

Colchicine should be avoided in patients with severe hepatic impairment, advanced renal failure (eGFR < 30 mL/min), known hypersensitivity to colchicine, and in individuals taking contraindicated strong CYP3A4 or P‑glycoprotein inhibitors. Clinicians must assess each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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