Drug interactions
Colchicine + Rucaparib
Severity: Moderate
Colchicine and Rucaparib: moderate interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Rucaparib inhibits CYP3A4 and may increase colchicine concentrations. Increased exposure raises the risk of colchicine toxicity, particularly in renal or hepatic impairment.
What this interaction means in plain words
Colchicine and Rucaparib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Colchicine belongs to Genitourinary; Rucaparib belongs to Oncology.
Why it happens
Rucaparib inhibits CYP3A4, reducing colchicine clearance.
What to do
Monitor for signs of colchicine toxicity such as diarrhea, myopathy and cytopenias, and reduce the dose if they occur. Avoid in patients with significant renal or hepatic impairment.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Colchicine
- Clarithromycin + Colchicine Contraindicated
- Cobicistat + Colchicine Contraindicated
- Colchicine + Cyclosporine Contraindicated
- Colchicine + Ensitrelvir Contraindicated
- Colchicine + Levoketoconazole Contraindicated
- Colchicine + Nirmatrelvir Contraindicated
Other interactions of Rucaparib
- Cisapride + Rucaparib Major
- Ergotamine + Rucaparib Major
- Pimozide + Rucaparib Major
- Alfuzosin + Rucaparib Moderate
- Aripiprazole + Rucaparib Moderate
- Atorvastatin + Rucaparib Moderate
Frequently asked questions
Can I take Colchicine with Rucaparib?
MediHelp rates the interaction as moderate. Colchicine and Rucaparib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Rucaparib inhibits CYP3A4 and may increase colchicine concentrations. Increased exposure raises the risk of colchicine toxicity, particularly in renal or hepatic impairment.
How serious is the interaction between Colchicine and Rucaparib?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for signs of colchicine toxicity such as diarrhea, myopathy and cytopenias, and reduce the dose if they occur. Avoid in patients with significant renal or hepatic impairment.
What other medicines interact with Colchicine?
MediHelp also lists interactions of Colchicine with, for example, Clarithromycin, Cobicistat, Cyclosporine. The full list is on the Colchicine page.
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