Articles By Brian Jaros, MD
Colchicine & Statins: A significant interaction?
Current ACR guidelines for the management of gout support anti-inflammatory prophylaxis, including colchicine, during urate lowering therapy initiation and uptitration. Aside from diarrhea, colchicine use is generally well tolerated, but its metabolism via the CYP3A4 cytochrome P450 enzyme pathway poses a potential risk of medication interaction. Statins are one of the most widely prescribed medication classes also metabolized by this pathway thus positing question of additive risk when colchicine and a statin are prescribed concurrently. To further understand this relationship, Meidan et al. conducted a retrospective review of a national database.
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