• Intern Emerg Med · Oct 2022

    Review

    Progress in the management of acute colchicine poisoning in adults.

    • Jiacheng Wu and Zhenning Liu.
    • Department of Emergency Medicine, Shengjing Hospital of China Medical University, No. 36, Sanhao Street, Heping District, Shenyang, 110004, Liaoning, China.
    • Intern Emerg Med. 2022 Oct 1; 17 (7): 206920812069-2081.

    AbstractColchicine is a tricyclic, lipid-soluble alkaloid which has long been used to treat gout and many immunological diseases. Due to its narrow therapeutic window and long half-life of elimination, colchicine overdose occurs occasionally. Unfortunately, some patients lost their lives because of colchicine overdose or suicide. Acute colchicine poisoning can lead to original gastrointestinal disorders, shock, progressive multiple organ failure, and myelosuppression. Although many researchers in the world performed lots of research, there are currently no specific antidotes for colchicine poisoning. Meanwhile, there are no management guidelines to treat patients with acute colchicine poisoning until now. Herein, we systematically elaborate on the clinical features and progress in the management of acute colchicine poisoning in adults according to the previous literature. This paper will provide some valuable and available information for clinicians.© 2022. The Author(s), under exclusive licence to Società Italiana di Medicina Interna (SIMI).

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