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Herbs & Botanicals · Deadly poisonous plant

Colchicum

Colchicum autumnale · also called Autumn crocus, meadow saffron, colchicum

Colchicum, or autumn crocus, is a deadly poisonous plant. Eating its corm or leaves has caused organ failure and deaths, often after it was mistaken for wild garlic. It is the source of colchicine, a prescription drug for gout, familial Mediterranean fever and pericarditis, and trials back the drug, not the plant. Do not eat or self-treat with it; if anyone may have, call Poison Control at 1-800-222-1222 (US) or emergency services.

General information, not medical advice. Last substantive update · Not medically reviewed. A named clinician has not signed off on this page. How this page is made

About Colchicum

Colchicum autumnale (autumn crocus, meadow saffron) contains colchicine, which is both a useful prescription drug and a poison. The plant has caused deadly poisonings, often when its leaves were mistaken for wild garlic. Trials support the purified drug for pericarditis (moderate certainty), gout flares and familial Mediterranean fever (low), not the plant. Interactions with clarithromycin, statins and grapefruit make the drug risky too. Ask a doctor or pharmacist.

The danger comes first

Eating autumn crocus corm or leaves has caused severe, multi-organ poisoning. In a fatal case report, a 76-year-old with liver and kidney disease ate it instead of wild garlic, vomited, developed heart and breathing failure, and died on day 3. A 58-year-old with the same mix-up survived after a week of intensive care.

There is no specific antidote; care is supportive. A review says there is no clear boundary between non-toxic, toxic and lethal amounts. If anyone may have eaten it, call Poison Control at 1-800-222-1222 (US) or emergency services right away, even if they feel fine.

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What it is

Colchicum autumnale is a meadow plant in the family Colchicaceae. Its corm and leaves contain colchicine. It is not the saffron crocus (Crocus sativus), which is a different plant, and it is not an onion or garlic relative.

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Look-alikes: wild garlic and lily of the valley

Without flowers, the leaves resemble wild garlic (ramsons), and they share habitats. Confusion has repeatedly poisoned people. In a French poison centre review of 2,197 plant-for-food mix-ups, Colchicum was 3.3% of cases. Lily of the valley is another toxic look-alike. A folk 'garlic smell' test is something we could not verify, so do not rely on it.

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What makes it distinctive

Colchicine binds tubulin and disrupts cell division. That is why the drug calms inflammation and why the poison harms many organs. The gap between helpful and harmful is narrow, and a plant has no fixed colchicine amount.

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What the research shows

All the evidence is for the purified drug. For pericarditis, the ICAP trial of 240 people found recurrence in 16.7% on colchicine vs 37.5% on placebo, and a Cochrane review of 4 trials agreed (moderate certainty). For an acute gout flare, a Cochrane review found low-quality evidence it may help. In familial Mediterranean fever the Cochrane review found tiny old trials (low to very low certainty). Side effects are mainly diarrhea.

Statements about the plant are limited to case reports, poison-centre data and a livestock report.

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At a glance

Traditional uses history, not proof

  • Painful, swollen joints (the source of the colchicine drug)
  • The corm and seed in older European medicine; no safe preparation is described in the sources we read
  • Not a food: leaves look like wild garlic but are deadly

Studied for research

  • Gout flares (purified colchicine drug): low certainty
  • Familial Mediterranean fever (drug): low certainty
  • Pericarditis (drug added to a pain medicine): moderate certainty
  • The plant itself: no trials; rated against as a self-treatment

Main compounds

  • Colchicine (the toxic and drug alkaloid)

Common forms

  • Purified colchicine tablets (prescription medicine, not the plant)
  • Raw corm, leaf or seed (dangerous)
  • Hay or forage contaminated with the plant (poisons livestock)

Research links: PubMed: Colchicum autumnale · Cochrane: colchicine for acute gout (2021) · Cochrane: colchicine for pericarditis (2014) · Review: colchicine poisoning (Clin Toxicol 2010) · Case report: fatal autumn crocus poisoning (Crit Care 2004) · Research Library · Genes & Biomarkers Library

The plant and its history

Accepted scientific name
Colchicum autumnale L.
Naming authority
L.
Common names
autumn crocus (en); meadow saffron (en); naked ladies (en); colchicum (en)
Botanical family
Colchicaceae (the meadow saffron family). The class is added for completeness and was not verified in a source.
Classification
Plantae > Tracheophyta > Liliopsida > Liliales > Colchicaceae > Colchicum > Colchicum autumnale
Native range
Not verified in the sources read (the Swiss and Hungarian reports place it in European meadows).
Habitat
Meadows and pastures; it can grow in hay and forage.
What the plant looks like
Roots: Corm (underground storage organ).; Stems: Not verified.; Leaves: Spring leaves look like wild garlic (ramsons).; Flowers: Not verified in the sources read (flowers in autumn, hence the name).; Fruit: Not verified.
Cultivation
Not verified.
Harvest and processing
Not described; we do not describe any preparation.
Look-alikes and adulterants
Name: Wild garlic / ramsons (Allium ursinum); Note: Leaves mistaken for each other in spring; fatal cases documented. Not the same as garlic or onion.; Name: Lily of the valley (Convallaria majalis); Note: Another toxic plant with similar leaves; see /herbs-botanicals/lily-of-the-valley.; Name: Saffron crocus (Crocus sativus); Note: Different plant and family (Iridaceae); the culinary spice. Not the same as meadow saffron. See /herbs-botanicals/saffron.; Name: Glory lily (Gloriosa superba); Note: Another colchicine-containing plant; the sources we read did not cover it (NOT verified).
Sustainability and conservation
Not assessed.

Traditional use and history history, not clinical proof

Tradition or eraDocumented useSource
Medieval and modern EuropeA 2026 UK paediatric paper states colchicine from autumn crocus has been used for centuries to treat arthritis; no other history source was read.p41663238
Modern medicineThe purified drug is licensed in the UK for gout and familial Mediterranean fever; pericarditis is off-label.p41663238

Traditional use shows how a plant was used. It does not show that a supplement works or is safe today.

What is inside, and how it may work

What the plant contains and how those compounds act in cells and animals. Laboratory and animal mechanisms are not proven effects in people.

Main compounds

CompoundFamilyWhere it is concentratedActivity studiedLevel of evidence
Colchicine
PubChem 6167
tropolone alkaloidcorm and leaves (documented in poisonings)
not reported
Binds tubulin, disrupting cell division and the cell skeleton; the basis of both the drug's anti-inflammatory action and its toxicity. 4 14Review

Mechanisms, receptors and pathways

Target or pathwayGene or receptorWhat was foundLevel
Tubulin / microtubulestubulinColchicine binds tubulin, impairing protein assembly, endocytosis, exocytosis, cell movement and mitosis, and interrupts heart muscle conduction and contraction. Toxicity is an extension of the mechanism. 4Review

Absorption, metabolism and elimination

Absorption
Readily absorbed by mouth, with extensive first-pass metabolism (drug).
Distribution
Widely distributed; binds intracellular elements.
Metabolism
Mainly liver; CYP3A4 and P-glycoprotein are involved.
Elimination
Enterohepatic recirculation and kidney excretion.
Bioavailability
Not given.

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Isolated compounds versus whole extracts

All the human trial evidence is for purified colchicine tablets, in measured form under medical care. The plant has unknown, variable colchicine content and has caused deaths. Drug results must not be applied to the plant.

Nutritional composition

No nutrient content applies; this is a poisonous plant and a prescription drug source.

5benefits and uses looked at
22studies and sources checked
Moderate certaintybest evidence rating found
3lab markers tracked in trials

1 moderate certainty2 low certainty2 evidence against

What was looked at

The 5 benefits and uses checked for Colchicum, each with how strong the evidence is. Tap one to open it.

Lab markers tracked in the studies

Pain relief at 24 to 36 hours in an acute gout flareNumber of people with FMF attacksRecurrence of pericarditis

Benefits, one by one

Each card is a research question, not a promise. Tap a goal to filter. Open a card to see the studies, doses and limits.

Gout flares (purified colchicine drug)

Low certainty

For an acute gout flare, a Cochrane review found low-quality evidence that low-dose purified colchicine may help more than placebo. This is the drug, prescribed by a doctor. It is not a reason to use the plant.

2 studiesPurified prescription tablets only. No amounts are given here. A doct…

Studies, doses and limits

What the trials found

The 2021 Cochrane review included 4 trials (803 people). One placebo-controlled trial found more people had a good pain response with low-dose colchicine than placebo. The AGREE trial (184 people) found 37.8% vs 15.5% responders at 24 hours, and a higher-dose arm caused much more diarrhea and vomiting without better results than the low dose.

Results

Treatment success at 32 to 36 hours 418 vs 172 per 1000 (low-dose colchicine vs placebo). In AGREE, 37.8% vs 15.5% reached 50% pain relief at 24 hours without rescue medicine.

Effect sizes as reported

RR 2.43 (95% CI 1.05 to 5.64) in the Cochrane review's main comparison.

Why this rating

The Cochrane authors rated the main comparison low quality because it rests on one small trial and has bias and imprecision problems. No trial compared colchicine with steroids.

Form and dose studied

Purified prescription tablets only. No amounts are given here. A doctor sets any dose.

Who was studied

Adults with an acute gout flare, ages about 51 to 70 in the reviewed trials.

Limits

Only 4 trials; short; the larger trial funding is not stated in the abstract we read.

Why researchers looked

Colchicine is a long-used first-line drug for gout flares, but the trial evidence is smaller than most people assume.

Traditional use

Colchicum has been used in medicine since antiquity for painful joints; the purified drug came from that plant (history is in the science file).

Proposed mechanism Pharmacological theory

Colchicine binds tubulin and disrupts the cell skeleton, which dampens the white blood cells that drive a gout flare.

A proposed mechanism does not show that the effect happens in people.

Colchicum autumnale is a deadly poisonous plant. The evidence below is for the purified prescription drug colchicine, not for the plant. Never eat, brew or self-treat with autumn crocus. Poison Control (US) 1-800-222-1222.

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Familial Mediterranean fever (purified colchicine drug)

Low certainty

Colchicine is the standard drug for familial Mediterranean fever (FMF), an inherited cause of repeated fevers. Yet the Cochrane review found only tiny, old trials, rated low or very low certainty. Newer guidance concerns people who do not respond to colchicine.

2 studiesPurified prescription tablets, under specialist care. No amounts are …

Studies, doses and limits

What the trials found

The 2022 Cochrane review of FMF found 10 trials in 312 people; six used colchicine. In one crossover study of 10 people, fewer people had attacks on colchicine than on placebo; a second study of 20 people found no clear difference. No trial reported on amyloidosis, the serious long-term complication. A 2025 systematic review for EULAR/PReS recommendations found that a once-daily and a twice-daily schedule were equivalent, and that biologic drugs (especially IL-1 blockers) work for people who do not respond to colchicine.

Results

RR 0.21 for attacks at 3 months in one 10-person study; no difference in another 20-person study. Certainty low to very low.

Effect sizes as reported

RR 0.21 (95% CI 0.05 to 0.95) in the 10-person study.

Why this rating

Cochrane rated the evidence low or very low; old, small, poorly designed trials. Colchicine's role in FMF is nevertheless established clinical practice.

Form and dose studied

Purified prescription tablets, under specialist care. No amounts are given here.

Who was studied

Children and adults with FMF (ages 3 to 53 in the Cochrane review).

Limits

Tiny crossover trials; amyloid prevention not tested in RCTs.

Why researchers looked

FMF is a genetic condition; colchicine is the first-line preventive drug in practice.

Traditional use

The disease and the drug are modern medicine; there is no traditional plant use for FMF.

Proposed mechanism Pharmacological theory

Colchicine dampens inflammatory white blood cell activity; the exact FMF mechanism was not covered by the sources we read.

A proposed mechanism does not show that the effect happens in people.

Colchicum autumnale is a deadly poisonous plant. The evidence below is for the purified prescription drug colchicine, not for the plant. Never eat, brew or self-treat with autumn crocus. Poison Control (US) 1-800-222-1222.

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The autumn crocus plant itself (any use)

Evidence against

No trial tested the plant, corm, leaf or seed for any condition. The drug's evidence cannot be carried over, because the amount of colchicine in a plant is unpredictable and the gap between a helpful and a deadly amount is small.

1 studiesNone. We do not describe any way to use the plant.

Studies, doses and limits

What the trials found

No controlled study of the plant was found. Reviews of colchicine poisoning describe a narrow therapeutic index and no clear boundary between non-toxic, toxic and lethal amounts, with multi-organ failure when it goes wrong.

Results

No human efficacy data for the plant.

Why this rating

Deaths and organ failure from eating the plant are documented; no benefit is documented. We rate the plant 'against' as a self-treatment.

Why researchers looked

People sometimes assume the plant works like the drug.

Traditional use

Corm and seed were used in older European medicine; no source we read gives a safe preparation.

Proposed mechanism Pharmacological theory

The plant contains colchicine, which is why it is poisonous.

A proposed mechanism does not show that the effect happens in people.

Colchicum autumnale is a deadly poisonous plant. The evidence below is for the purified prescription drug colchicine, not for the plant. Never eat, brew or self-treat with autumn crocus. Poison Control (US) 1-800-222-1222.

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Pericarditis (inflammation around the heart; purified colchicine drug)

Moderate certainty

For acute and recurrent pericarditis, colchicine added to a standard anti-inflammatory medicine cut repeat episodes in trials. This is the strongest drug evidence on the page, and it is for the prescription tablet, not the plant.

2 studiesPurified prescription tablets added to an NSAID, under a doctor's car…

Studies, doses and limits

What the trials found

The 2014 Cochrane review pooled 4 RCTs (564 people): added to an NSAID, colchicine cut recurrences over 18 months in recurrent pericarditis (HR 0.37) and in acute pericarditis (HR 0.40), with moderate-quality evidence and a number needed to treat of about 4. The ICAP trial (240 people, NEJM 2013) found incessant or recurrent pericarditis in 16.7% on colchicine vs 37.5% on placebo. More people on colchicine stopped treatment because of side effects in the Cochrane pooled data (RR 1.87).

Results

ICAP: 16.7% vs 37.5% (relative risk reduction 0.56; NNT 4). Symptoms still present at 72 hours: 19.2% vs 40.0%.

Effect sizes as reported

Cochrane: HR 0.37 (0.24 to 0.58) recurrent; HR 0.40 (0.27 to 0.61) acute.

Why this rating

The Cochrane authors rated the main outcomes moderate quality; the evidence is from a limited number of small trials, and ICAP had partial company funding (Acarpia).

Form and dose studied

Purified prescription tablets added to an NSAID, under a doctor's care. No amounts given here.

Who was studied

Adults with a first or repeated episode of pericarditis. People with many resistant recurrences were not in the trials.

Limits

Few small trials; follow-up 18 months; 2014 review.

Why researchers looked

Pericarditis often comes back; colchicine was tested to stop recurrences.

Traditional use

No traditional use of the plant for pericarditis was found in the sources read.

Proposed mechanism Pharmacological theory

Colchicine reduces inflammatory cell activity; the exact pericardial mechanism was not covered in the sources read.

A proposed mechanism does not show that the effect happens in people.

Colchicum autumnale is a deadly poisonous plant. The evidence below is for the purified prescription drug colchicine, not for the plant. Never eat, brew or self-treat with autumn crocus. Poison Control (US) 1-800-222-1222.

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The autumn crocus plant and the heart

Evidence against

Eating the plant is dangerous for the heart: documented fatal cases involved heart damage and cardiac arrest. Nothing supports using the plant for heart or circulation.

2 studiesNone.

Studies, doses and limits

What the trials found

A fatal case report of a 76-year-old who ate autumn crocus in place of wild garlic described heart dilatation and cardiac arrest on day 3.

Results

No effect sizes; a single fatal case.

Why this rating

Harm documented, no benefit documented.

Limits

Case report.

Why researchers looked

Safety question, not a benefit.

Proposed mechanism Pharmacological theory

Colchicine disrupts heart muscle cell conduction and contraction at toxic amounts.

A proposed mechanism does not show that the effect happens in people.

Colchicum autumnale is a deadly poisonous plant. The evidence below is for the purified prescription drug colchicine, not for the plant. Never eat, brew or self-treat with autumn crocus. Poison Control (US) 1-800-222-1222.

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Connections to the rest of health

How Colchicum connects to the rest of our health knowledge graph. Every link says what kind of connection it is. A safety link (for example to the liver) is a warning, not a benefit. A study that merely mentions a topic never creates a benefit link.

Explore every connection: goals, body systems, organs, symptoms, genes

A. Wellness goals

Connected toKind of connectionEvidence statusContextStudies
Joint Support Demonstrated clinical effect Low certainty Gout flares (purified colchicine drug): For an acute gout flare, a Cochrane review found low-quality evidence that low-dose purified colchicine may help more than placebo. This is the drug, prescribed by a doctor. It is not a reason to use the plant. 12 19
Inflammation Balance Demonstrated clinical effect Low certainty Gout flares (purified colchicine drug): For an acute gout flare, a Cochrane review found low-quality evidence that low-dose purified colchicine may help more than placebo. This is the drug, prescribed by a doctor. It is not a reason to use the plant. Familial Mediterranean fever (purified colchicine drug): Colchicine is the standard drug for familial Mediterranean fever (FMF), an inherited cause of repeated fevers. Yet the Cochrane review found only tiny, old trials, rated low or very low certainty. Newer guidance concerns people who do not respond to colchicine. 12 19 21 16 1 7
Heart Health Demonstrated clinical effect Moderate certainty Pericarditis (inflammation around the heart; purified colchicine drug): For acute and recurrent pericarditis, colchicine added to a standard anti-inflammatory medicine cut repeat episodes in trials. This is the strongest drug evidence on the page, and it is for the prescription tablet, not the plant. 1 7

B. Body systems

Connected toKind of connectionEvidence statusContextStudies
Musculoskeletal System Biological association Low certainty Studied for: Gout flares (purified colchicine drug) 12 19
Immune System Biological association Low certainty Studied for: Familial Mediterranean fever (purified colchicine drug) 21 16
Cardiovascular System Biological association Moderate certainty Studied for: Pericarditis (inflammation around the heart; purified colchicine drug) 1 7

E. Health conditions

Connected toKind of connectionEvidence statusContextStudies
Plant poisoning Documented Documented deaths and organ failure. Corm and leaves; look-alike with wild garlic.
Preparation or compound: Colchicum autumnale corm and leaves
3 10
Gout Low certainty Prescription medicine; plant not shown safe.
Preparation or compound: Purified colchicine (drug)
12
Pericarditis Moderate certainty Prescription medicine. Purified colchicine tablets plus a pain medicine; not the plant.
Preparation or compound: Purified colchicine (drug)
1 7

I. Biomarkers

Connected toKind of connectionEvidence statusContextStudies
Pain relief at 24 to 36 hours in an acute gout flare Biological association Low certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 19 12
Number of people with FMF attacks Biological association Low certainty Measured in trials: mixed. A lab change is not the same as a health benefit. 21
Recurrence of pericarditis Biological association Moderate certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 7 1

J. Genes, receptors and enzymes

Connected toKind of connectionEvidence statusContextStudies
CYP3A4 Preliminary mechanism Review Metabolises colchicine; inhibitors raise levels. 4 6

K. Biological pathways

Connected toKind of connectionEvidence statusContextStudies
Tubulin Preliminary mechanism Review Colchicine's main target. 4
P-glycoprotein Preliminary mechanism Review Moves colchicine out of cells; inhibitors raise levels. 4 6

L. Active compounds

Connected toKind of connectionEvidence statusContextStudies
Colchicine Biological association Review Binds tubulin, disrupting cell division and the cell skeleton; the basis of both the drug's anti-inflammatory action and its toxicity.
Preparation or compound: corm and leaves (documented in poisonings)
4 14

Each connection is stored with the ingredient, the connected record, the kind of connection, the evidence status, the supporting studies, the preparation or compound involved, and a review date (last reviewed October 25, 2026).

Evidence at a glance: what changed in 3 lab markers

Tap a number to show only those markers. Counts are markers, not people.

The evidence

The research centre for Colchicum. Every record here was checked against PubMed or the publisher's page; we never list a study we have not verified.

Evidence by outcome

Bars show how many studies we found for each outcome, not how well it works. People are added up across trials only (reviews are not added, to avoid double counting).

How we rate evidence

High certainty

Several well-run trials or reviews agree; further research is unlikely to change the picture much.

Moderate certainty

Good trials point the same way, but some doubt remains.

Low certainty

Small, short or inconsistent trials. The finding could change with better research.

Very low certainty

Very little or very weak human data. Treat as a possibility only.

Mixed findings

Trials or reviews disagree with each other.

Not enough evidence

Not enough human research to say either way.

Evidence against

Good research found no benefit, or found harm.

We take the reviewers' own risk-of-bias and GRADE statements where they exist, and otherwise judge from study size, design, consistency, directness and whether a product matches what is sold. Many publications do not make evidence high. Method note: We started from our earlier summary and checked PubMed records, GBIF and PubChem. Most sources were read as abstracts; the Medsafe bulletin was not re-opened. Regulators other than those named were not opened and are marked unverified. No study is cited that we could not verify.

Study library: every study we checked 22
StudyDesignPeopleProduct, dose, lengthResult
Alabed 2014
Colchicine for pericarditis
Cochrane Database Syst Rev · PMID 25164988 · DOI
Systematic review
564
Adults with acute or recurrent pericarditis; 4 RCTs
purified colchicine tablets (prescription medicine, not the plant), added to an anti-inflammatory pain medicine (NSAID)
not given here (prescription medicine) 18 months follow-up · vs NSAID alone
Moderate-quality evidence that colchicine added to an NSAID cut recurrences over 18 months in recurrent pericarditis (HR 0.37) and acute pericarditis (HR 0.40). Symptom relief at 72 hours was more likely (low quality). Side effects were mainly stomach upset; more people stopped treatment because of side effects.
HR 0.37 recurrent; HR 0.40 acute; RR 1.87 stopping for side effects (0.24 to 0.58 (recurrent); 0.27 to 0.61 (acute))
Methods, limits and funding

Limitations: Few small trials; people with many resistant recurrences were not studied.

Funding and conflicts: None known (as stated in the record)

Read: abstract

Barmettler 2025
Colchicum autumnale poisoning in a dairy farm in Switzerland: a glimpse at the milk safety aspect
Ital J Food Saf · PMID 40905265 · DOI
Case report
animal
Dairy cattle fed hay or grass containing autumn crocus, Switzerland Colchicum autumnale in forage
leaf (in forage) not given here (prescription medicine) not given here
Cattle became ill. Colchicine was found in bulk milk 2 weeks after the incident and not at 5 weeks. There are no legal limits or withdrawal times for colchicine in milk.
Positive at 2 weeks, negative at 5 weeks
Methods, limits and funding

Limitations: One farm; animal and food-safety report, not human health data.

Read: abstract

Brvar 2004
Case report: fatal poisoning with Colchicum autumnale
Crit Care · PMID 14975056 · DOI
Case report
1
76-year-old man with liver and kidney disease who ate autumn crocus instead of wild garlic
Colchicum autumnale plant
leaf (eaten) not given here (prescription medicine) not given here
Nausea, vomiting and diarrhea after 12 hours, then breathing failure, heart damage, muscle breakdown, clotting problems, and worsening kidney and liver function. Treatment was supportive. He died on day 3. Pre-existing liver and kidney disease probably made it worse.
One death
Methods, limits and funding

Limitations: Single case.

Read: abstract

Finkelstein 2010
Colchicine poisoning: the dark side of an ancient drug
Clin Toxicol (Phila) · PMID 20586571 · DOI
Systematic review
Published literature on colchicine poisoning to January 2010 colchicine (drug and overdose)
drug; plant exposure not the focus not given here (prescription medicine) not given here
Narrow therapeutic index with no clear line between non-toxic, toxic and lethal. Toxicity is an extension of how the drug works (it disrupts cell division and the cell skeleton), leading to multi-organ failure. CYP3A4 and P-glycoprotein inhibitors (clarithromycin, erythromycin, ketoconazole, ciclosporin, grapefruit juice) can raise levels; statins may raise muscle risk. Crosses the placenta without evidence of fetal toxicity; in breast milk, considered compatible with lactation.
No effect size
Methods, limits and funding

Limitations: 2010 review; literature search to January 2010.

Read: abstract

GBIF 2026
Colchicum autumnale L. (species match)
GBIF API · Source
Database record

Accepted name Colchicum autumnale L.; family Colchicaceae; order Liliales (API call 2026-10-25).
Methods, limits and funding

Read: api

Hung 2005
Fatal interaction between clarithromycin and colchicine in patients with renal insufficiency: a retrospective study
Clin Infect Dis · PMID 16007523 · DOI
Cohort study
116
116 hospital patients given clarithromycin and colchicine
colchicine (drug) with clarithromycin
drug not given here (prescription medicine) not given here · vs sequential rather than overlapping use
10.2% (9 of 88) who received both at the same time died, versus 3.6% (1 of 28) who received them one after another. Longer overlap, kidney impairment and low blood counts were linked to death. The authors advise not prescribing the two together.
Death 10.2% vs 3.6%; kidney impairment RR 9.1 (1.75 to 47.06 (kidney impairment))
Methods, limits and funding

Limitations: Retrospective, one hospital system.

Read: abstract

Imazio 2013
A randomized trial of colchicine for acute pericarditis (ICAP)
N Engl J Med · PMID 23992557 · DOI
RCT
240
Adults with a first episode of acute pericarditis
purified colchicine tablets (prescription medicine, not the plant) added to aspirin or ibuprofen
not given here (prescription medicine) 3 months · vs placebo
Incessant or recurrent pericarditis occurred in 16.7% on colchicine vs 37.5% on placebo (number needed to treat 4). Symptoms persisting at 72 hours: 19.2% vs 40.0%. No serious adverse events were seen.
RRR 0.56; NNT 4 (0.30 to 0.72)
Methods, limits and funding

Limitations: One trial of 240 people; partly funded by a company (Acarpia).

Funding and conflicts: Acarpia and a regional health authority funded the trial

Read: abstract

Indraratna 2018
Use of colchicine in pregnancy: a systematic review and meta-analysis
Rheumatology (Oxford) · PMID 29029311 · DOI
Meta-analysis
Pregnant women taking colchicine, 4 studies in the meta-analysis colchicine (drug)
drug not given here (prescription medicine) not given here · vs women not taking colchicine
No increase in miscarriage or major malformation. In FMF, no difference in birthweight or gestation; outside FMF, colchicine was linked to lower birthweight and earlier birth. Authors say FMF treatment should not be withheld in pregnancy on this basis.
No increase in malformations
Methods, limits and funding

Limitations: Four studies, mostly FMF; the findings apply to a prescribed drug under supervision, not to the plant.

Read: abstract

Kazi 2026
Paediatric colchicine poisoning in the UK: a 10-year retrospective case series from the National Poisons Information Service
Arch Dis Child · PMID 41663238 · DOI
Case series
57
Children under 18 with colchicine exposure, UK 2011 to 2021
colchicine (drug)
drug not given here (prescription medicine) not given here
57 cases; about half had symptoms at presentation; 12 (21.1%) developed systemic toxicity, 7 multiple organ failure, 4 died (all mixed overdoses). Children can look well at first and then get worse.
4 deaths in 57
Methods, limits and funding

Limitations: Telephone enquiries only; outcome known in 13 of 57.

Read: abstract

Kovacs-Abraham 2026
Successful management of accidental colchicine intoxication after ingestion of Colchicum autumnale: a case report
Toxics · PMID 42043136 · DOI
Case report
1
58-year-old man who mistook autumn crocus for wild garlic
Colchicum autumnale plant
leaf (eaten) not given here (prescription medicine) not given here
Moderate kidney and liver impairment after eating the plant; intensive care, lipid emulsion, vitamin K and N-acetylcysteine; discharged well after 7 days. Early recognition mattered.
Recovered
Methods, limits and funding

Limitations: Single case; this one survived.

Read: abstract

M-Hamvas 2025
Histological features detected for separation of the edible leaves of Allium ursinum L. from the poisonous leaves of Convallaria majalis L. and Colchicum autumnale L.
Plants (Basel) · PMID 40805725 · DOI
Lab botany
plant
Leaves of three species grown in one garden in Hungary leaf anatomy
leaf not given here (prescription medicine) not given here
The leaves look similar without flowers and have repeatedly led to serious human and animal poisonings. Microscope features separate them (for example, wild garlic leaves have pores only on the underside), but this is a lab method, not a field test.
No numbers
Methods, limits and funding

Limitations: Needs a microscope; not usable for foragers.

Read: abstract

McKenzie 2021
Colchicine for acute gout
Cochrane Database Syst Rev · PMID 34438469 · DOI
Systematic review
803
Adults with acute gout; 4 trials
purified colchicine tablets (prescription medicine, not the plant)
not given here (prescription medicine) not given here · vs placebo, NSAID, or a Chinese herbal mixture
Low-quality evidence from one trial: low-dose colchicine may improve treatment success versus placebo. Success at 32 to 36 hours: 418 vs 172 per 1000. Higher doses may also help but with more side effects. No trial compared colchicine with steroids.
RR 2.43 for treatment success (low-dose vs placebo) (1.05 to 5.64)
Methods, limits and funding

Limitations: Few, small trials; low-quality evidence for the main comparison.

Read: abstract

Medsafe (New Zealand) 2011
Colchicine: Prescriber Update 32(1)
Medsafe (New Zealand) · Source
Authoritative guidance

Regulator bulletin: treatment of colchicine poisoning is supportive; higher risk with kidney or liver impairment and with interacting medicines. Cited from our earlier summary; not re-opened.
Methods, limits and funding

Limitations: 2011 bulletin; summary-only

Read: summary-only

PubChem 2026
Colchicine, PubChem CID 6167
PubChem · Source
Database record
n/a

Formula C22H25NO6 (API call 2026-10-25).
Methods, limits and funding

Read: api

Rousseau 2022
[Colchicum poisoning by confusion with wild garlic (Allium ursinum)]
Rev Med Interne · PMID 35597736 · DOI
Case report
1
Adult poisoned after mistaking autumn crocus for wild garlic (French emergency department)
Colchicum autumnale plant
leaf (eaten) not given here (prescription medicine) not given here
Presentation matches colchicine drug poisoning; can be fatal after a large ingestion. The plants grow near each other and look alike in spring. Doctors should ask about recent wild plants in anyone with severe diarrhoea and abnormal blood tests.
No numbers
Methods, limits and funding

Limitations: Single case; read in the abstract only (French).

Read: abstract

Sag 2025
Efficacy and safety of treatments in familial Mediterranean fever and its complications: a systematic review informing the EULAR/PReS recommendations for familial Mediterranean fever
Ann Rheum Dis · PMID 40562663 · DOI
Systematic review
1798
Children and adults with FMF; 42 studies on efficacy and safety
colchicine and biologic drugs
not given here (prescription medicine) not given here · vs various
Reviews biologic drugs for people who do not respond to colchicine. An RCT showed once-daily and twice-daily colchicine schedules were equivalent. Evidence on amyloidosis was entirely observational. Results were combined in words, not numbers.
No pooled effect size
Methods, limits and funding

Limitations: Heterogeneous studies; qualitative synthesis.

Funding and conflicts: Some authors disclose drug-company consulting (not colchicine specific)

Read: abstract

Schwier 2022
A systematic review of the drug-drug interaction between statins and colchicine: patient characteristics, etiologies, and clinical management strategies
Pharmacotherapy · PMID 35175631 · DOI
Systematic review
38
21 articles, mostly case reports; 38 patients with adverse events
colchicine (drug) with statins
drug not given here (prescription medicine) not given here
Of 38 patients, 66% developed muscle disease (myopathy), 26% rhabdomyolysis; most were on simvastatin or atorvastatin; 62% of case-report patients had kidney disease. Risk factors in one case-control study: kidney disease or cirrhosis, higher colchicine intake, other interacting drugs.
66% myopathy; 26% rhabdomyolysis
Methods, limits and funding

Limitations: Mostly case reports, which cannot give how often it happens.

Read: abstract

Stewart 2020
Adverse events during oral colchicine use: a systematic review and meta-analysis of randomised controlled trials
Arthritis Res Ther · PMID 32054504 · DOI
Meta-analysis
8659
Adults in 35 double-blind trials, mostly gout, cirrhosis and pericarditis
oral colchicine
not given here (prescription medicine) not given here · vs placebo or active drug
Diarrhoea 17.9% vs 13.1%; any stomach or bowel event 17.6% vs 13.1%. Liver, muscle and blood events were not clearly higher in these trials (small, imprecise).
Diarrhoea RR 2.4; any GI event RR 1.7 (1.6 to 3.7; 1.3 to 2.3)
Methods, limits and funding

Limitations: Trial populations exclude very sick people; rare serious harms need big numbers.

Read: abstract

Terkeltaub 2010
High versus low dosing of oral colchicine for early acute gout flare: twenty-four-hour outcome of the first multicenter, randomized, double-blind, placebo-controlled, parallel-group, dose-comparison colchicine study
Arthritis Rheum · PMID 20131255 · DOI
RCT
184
Adults with an early gout flare
purified colchicine tablets (prescription medicine, not the plant)
not given here (prescription medicine) 24 hours · vs placebo
Responders (50% or more pain relief at 24 hours without rescue medicine): 37.8% low-dose, 32.7% high-dose, 15.5% placebo. The higher-dose arm had much more diarrhea and vomiting; the low-dose arm looked like placebo for side effects.
37.8% vs 15.5% responders (low-dose vs placebo), P = 0.005
Methods, limits and funding

Limitations: Short (24-hour) primary outcome; funding not stated in the abstract.

Funding and conflicts: funding and conflicts of interest not stated in the abstract

Read: abstract

Torrents 2024
Food confusion between edible and poisonous plants: a 22-year retrospective of the Southeastern France Poison Control Center
Toxins (Basel) · PMID 39728810 · DOI
Case series
2197
2,197 plant-for-food mix-ups in southeastern France, 2002 to 2023
various plants including Colchicum autumnale
various not given here (prescription medicine) not given here
Colchicum autumnale was 3.3% of mix-ups (third most common named plant). Most cases were mild (0.5% severe, one death overall, involving aconite), but the authors say deaths and serious harm can occur.
3.3% of mix-ups
Methods, limits and funding

Limitations: One regional poison centre; most cases mild, so it does not describe worst cases.

Read: abstract

Yin 2022
Interventions for reducing inflammation in familial Mediterranean fever
Cochrane Database Syst Rev · PMID 35349164 · DOI
Systematic review
312
People aged 3 to 53 with familial Mediterranean fever; 10 RCTs
purified colchicine tablets (prescription medicine, not the plant)
not given here (prescription medicine) not given here · vs placebo or other drugs
Six of 10 trials used colchicine. Older colchicine trials were small and had design problems. One crossover study (10 people) found fewer people with attacks on colchicine; another (20 people) found no clear difference. Certainty low to very low. No trial reported on amyloidosis.
RR 0.21 for attacks at 3 months in one 10-person study (0.05 to 0.95)
Methods, limits and funding

Limitations: Tiny, old trials; low and very-low certainty.

Read: abstract

none 2026
EMA/HMPC, NCCIH, LiverTox, LactMed, FDA label: not opened
none
Gap note

Not opened or not found in this round; regulatory wording is therefore marked NOT verified.
Methods, limits and funding

Read: none

What we do not know yet

  • No trial of the plant, corm or seed for any use.
  • Gout and FMF trials are few and small.
  • Seed use and toxicity are not described in the sources read.
  • EMA/HMPC, FDA, NCCIH, LiverTox and LactMed were not opened.
  • Grapefruit and statin interactions are case-report or mechanism level.

How new research is added

New studies are found by a saved PubMed search and placed in a review queue. A person reads each one before it changes any rating or safety wording.

Lab markers

What changed in blood or saliva tests during trials. A changed number is not the same as feeling or being healthier, and we give no "normal ranges".

Other 3

▼

Pain relief at 24 to 36 hours in an acute gout flare

Lowered in trials

The share of people reporting at least half their pain gone at one day.

Low certainty
Results and what it means

Why it was measured

The main outcome in the colchicine gout trials.

Statistical vs. clinical meaning

A self-reported symptom, not a lab marker; short follow-up.

Safety implication

Higher-dose arms had far more diarrhea and vomiting.

StudyResultPeopleProduct
19Responders: 37.8% (low-dose), 32.7% (high-dose), 15.5% (placebo).184 adults with an early gout flarepurified colchicine tablets
12Treatment success 418 vs 172 per 1000 (RR 2.43).103 people in one Cochrane-included trialpurified low-dose colchicine

19 12

↕

Number of people with FMF attacks

Mixed results in trials

How many people had at least one attack during the trial.

Low certainty
Results and what it means

Why it was measured

The main way colchicine has been judged in FMF.

Statistical vs. clinical meaning

Very small studies; results disagree.

Safety implication

Loose stools and diarrhea were reported.

StudyResultPeopleProduct
21RR 0.21 in one 10-person study; RR 0.78 (no clear difference) in a second 20-person study.People with FMForal colchicine tablets vs placebo

21

▼

Recurrence of pericarditis

Lowered in trials

Pericarditis returning or never settling after the first episode.

Moderate certainty
Results and what it means

Why it was measured

The main outcome in the pericarditis trials.

Statistical vs. clinical meaning

Clinical outcome, not a lab number.

Safety implication

More stopped treatment for side effects in pooled data (RR 1.87).

StudyResultPeopleProduct
716.7% vs 37.5% (colchicine vs placebo).240 adults with acute pericarditispurified colchicine added to aspirin or ibuprofen
1HR 0.37 recurrent; HR 0.40 acute at 18 months.564 adults, 4 RCTspurified colchicine plus NSAID

7 1

Safety

What studies and official sources say about side effects, medicines and who should check first. Each point shows what kind of evidence it comes from.

Main points to know 4
  • Deadly poisonous plant: do not eat any part. Colchicum autumnale (autumn crocus, meadow saffron) contains colchicine. Eating the corm or leaves has caused severe, multi-organ poisoning and deaths. There is no specific antidote; treatment is supportive. If anyone may have eaten it, call Poison Control (US 1-800-222-1222) or emergency services right away, even if they feel well. Case report 3 10 4 13
  • Mistaken for wild garlic (ramsons) or onion. Without flowers, the spring leaves look like wild garlic and have caused real poisonings, including a fatal one. The garlic-smell test is a folk idea we could not verify. Never eat a foraged plant you cannot identify with certainty. Case report 3 15 10 11 20
  • Narrow gap between helpful and harmful. A review of colchicine poisoning says there is no clear line between non-toxic, toxic and lethal amounts. With a plant, the amount of colchicine is unknown. Systematic review 4
  • Colchicine tablets are a prescription drug. Purified colchicine is a regulated medicine for gout, familial Mediterranean fever and (off-label in many places) pericarditis. It must be used only as prescribed. This page gives no dosing. Authoritative guidance 9 4
Side effects 5
EffectHow oftenSeverity and recoveryEvidence
Diarrhoea, nausea, vomiting, stomach pain
Often the first sign of toxicity too; early plant poisoning looks like a stomach bug.
Diarrhoea 17.9% vs 13.1% on placebo or comparator in 35 trials (drug)mild to severe
usually reversible
Meta-analysis 18
Multi-organ failure (heart, lungs, kidney, liver, blood)
Fatal case: heart damage, breathing failure, muscle breakdown, clotting problems, then cardiac arrest on day 3.
Not quantified for the plantlife-threatening
may be fatal
Case report 3 10 4
Low blood counts (bone marrow suppression) and infection
Leukopenia with infection was a cause of death in the case report.
Haematology events 0.6% vs 0.4% in trials of the drugserious
variable
Meta-analysis 18 3
Muscle damage
Statin interaction raises the risk.
Muscle events 4.2% vs 3.3% in trials; much higher with statins in case reportsmoderate to severe
usually reversible
Meta-analysis 18 17
Poisoning in children
Children can look well at first and then worsen.
57 UK paediatric cases over 10 years, 4 deaths (all mixed overdoses)severe
may be fatal
Case series 9
Liver

Moderate liver impairment occurred in a patient who recovered after eating autumn crocus, and liver function worsened in a fatal case with pre-existing liver disease. Trial pooling found adverse liver events in 1.9% of colchicine users vs 1.1% of comparators, a difference that was not clear (RR 1.6, CI 0.9 to 3.0). LiverTox was not opened in this round. 10 3 18

How often. Not established for the plant.

Monitoring. Any suspected ingestion needs emergency assessment. Liver tests are part of hospital care for poisoning.

  • p42043136
  • p14975056

This is a safety connection. It is not evidence that Colchicum supports liver health.

Medicines and supplements 4
WithWhy it mattersImportanceEvidenceWhat to do
Clarithromycin (and other macrolides such as erythromycin)
drug
These antibiotics block CYP3A4 and P-glycoprotein, which clear colchicine, so levels rise.In 88 hospital patients on both at the same time, 10.2% died vs 3.6% of those given them one after another; kidney impairment multiplied the risk.Observational cohort Moderate certainty 6 4The authors say the two should not be prescribed together. Tell the prescriber about every medicine.
Statins, especially simvastatin and atorvastatin
drug
Both are processed by CYP3A4 and P-glycoprotein; muscle damage can occur.Systematic review of mostly case reports: of 38 patients with problems, 66% had myopathy and 26% rhabdomyolysis; many had kidney disease.Case reports Low certainty 17 4Ask a doctor or pharmacist before combining. Report muscle pain or weakness.
Grapefruit juice
food
Named in a toxicology review as a CYP3A4 and P-glycoprotein inhibitor that can raise colchicine levels.No study of size was read; stated as a mechanism.Narrative review Not enough evidence 4Ask the prescriber about grapefruit while on colchicine.
Other CYP3A4 or P-glycoprotein inhibitors (ketoconazole, ciclosporin and others)
drug
Named in the same review as raising colchicine concentrations.Not quantified in the sources read.Narrative review Low certainty 4Check any new medicine against colchicine with a pharmacist.
Who should check first 5
SituationAdviceEvidence
Eating, brewing or tasting any part of autumn crocusNever. Documented poisonings and deaths.Case report 3 10
Kidney or liver impairment (even with the tablet)Higher risk of severe toxicity; only a specialist should decide.Case report 3 6 13
ChildrenColchicine tablets and the plant are dangerous for children; keep out of reach.Case series 9
Taking clarithromycin or other strong CYP3A4/P-gp inhibitorsSee interactions; prescriber decision only.Observational cohort 6
Pregnancy and breastfeeding (the plant)Avoid the plant entirely. The purified drug has been used in pregnancy for FMF under medical care (meta-analysis: no increase in miscarriage or major malformations; a toxicology review calls it compatible with breastfeeding; LactMed not opened, NOT verified). That does not apply to the plant.Meta-analysis 8 4
Overdose, product quality and regulators

Summary. Colchicine binds tubulin and disrupts cell division and the cell skeleton, so toxicity reaches nearly every organ. A review describes a narrow therapeutic index and no clear boundary between non-toxic, toxic and lethal amounts. Early signs are stomach upset, then organ failure over days.

Animal. Cattle poisoned by autumn crocus in forage: colchicine was found in bulk milk at 2 weeks and not at 5 weeks.

Human doses studied. We give no amounts. Reported lethal amounts vary and are not repeated here.

High dose or long term signals. Not established for long-term plant exposure.

Overdose response. Call Poison Control (US 1-800-222-1222) or emergency services. Care is supportive; the patient who survived received intensive care.

Genotoxicity. Colchicine stops cell division (antimitotic); the sources read did not rate genotoxicity.

Toxic plant parts. Corm and leaves are documented in human cases; seed was not described in any source read. Treat all parts as toxic.

The main hazard is mix-up, not adulteration: leaves can be taken for wild garlic and plant matter can contaminate hay.

Look-alike harvests. Leaves of Colchicum, lily of the valley and wild garlic share habitats and look alike before flowering; confusion has caused serious poisonings. 11 3 15

Hay, forage and milk. Autumn crocus in forage poisoned cattle; colchicine was detected in bulk milk after 2 weeks and not after 5. No legal limit or withdrawal time exists. 2

BodyActionDate
UK licensing (as described in a 2026 paediatric case series) (United Kingdom)Colchicine is licensed for gout and familial Mediterranean fever; pericarditis is off-label. source2026
When to get medical help
  • Nausea, vomiting or severe diarrhea within hours of eating any wild plant or suspected wild garlic
  • Burning in the mouth or throat, then abdominal pain and bloody diarrhea
  • Fever, breathing trouble, confusion, drowsiness or a very fast or slow heartbeat
  • Muscle pain, weakness or dark urine
  • Any suspected ingestion by a child or pet: call Poison Control (US 1-800-222-1222) or emergency services without waiting for symptoms

Stop the supplement and contact a clinician or emergency service. In the US, Poison Control is 1-800-222-1222.

General information only, not medical advice. Ask a clinician or pharmacist before use, especially with medicines, in pregnancy or with a health condition. See the Natural Remedy Safety guide.

Frequently asked questions

Is autumn crocus safe?

No. It is deadly poisonous. Eating the corm or leaves has caused organ failure and deaths. Do not use any part of it.

3 10 4

Is the plant the same as the colchicine drug?

No. The drug is purified and prescribed. The plant has unpredictable colchicine content and no safe use. Drug trial results do not apply to the plant.

4 12

Is it the same as saffron?

No. The saffron spice comes from Crocus sativus, a different plant. See the Saffron page. Autumn crocus is Colchicum autumnale and is poisonous.

5

Can it be mistaken for wild garlic?

Yes, and this has caused fatal poisonings. Leaves look alike before flowering. Never eat a foraged plant you cannot identify with certainty.

3 15 10 11

What should I do if someone may have eaten it?

Call Poison Control (US 1-800-222-1222) or emergency services immediately, even if they feel well. Early signs look like a stomach bug.

4 10

What are the signs of poisoning?

Nausea, vomiting and diarrhea first, then breathing trouble, heart and kidney problems, low blood counts and muscle damage over days.

3 4

Does colchicine help gout?

The purified drug may help a flare (low certainty). Trials are few and small, and higher amounts caused much more diarrhea. It is a prescription medicine.

12 19

Does colchicine help pericarditis?

Yes, as an add-on to a standard pain medicine: fewer repeat episodes in trials (moderate certainty). Ask a cardiologist.

1 7

Does colchicine help familial Mediterranean fever?

It is standard care in practice, but the trial evidence is small and old (low to very low certainty).

21 16

Does colchicine interact with medicines?

Yes. Clarithromycin raised death risk in a hospital study; statins can cause muscle damage; grapefruit juice is named as a risk. Tell your prescriber about everything you take.

6 17 4

Is it safe in pregnancy or breastfeeding?

Not the plant. For the prescribed drug, a meta-analysis found no rise in miscarriage or major malformations and a review calls it compatible with breastfeeding; follow your doctor. LactMed was not opened.

8 4

Can it poison pets and milk?

Yes. Autumn crocus in hay poisoned cattle, and colchicine was found in milk two weeks later.

2

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Editorial transparency
Written by
AlternativeMed editorial team. Research compiled with AI assistance, then checked against PubMed records.
Medical review
None. This page has not been reviewed by a physician or pharmacist.
First published
2026-10-25
Last substantive update
2026-10-25
How we research
We started from our earlier summary and checked PubMed records, GBIF and PubChem. Most sources were read as abstracts; the Medsafe bulletin was not re-opened. Regulators other than those named were not opened and are marked unverified. No study is cited that we could not verify.
How we rate evidence
See "How we rate evidence" in the Evidence tab.
Independence
No product is promoted on this page. No affiliate links are shown.
Sources 22

Each source was opened and checked. Where we read only the abstract, it says so. The small numbers in the text point here.

  1. Alabed S, Cabello JB, Irving GJ et al.. Colchicine for pericarditis. Cochrane Database Syst Rev. 2014. PMID 25164988. DOI 10.1002/14651858.CD010652.pub2. (abstract)
  2. Barmettler K, Fah A, Naegeli H et al.. Colchicum autumnale poisoning in a dairy farm in Switzerland: a glimpse at the milk safety aspect. Ital J Food Saf. 2025. PMID 40905265. DOI 10.4081/ijfs.2025.13828. (abstract)
  3. Brvar M, Ploj T, Kozelj G et al.. Case report: fatal poisoning with Colchicum autumnale. Crit Care. 2004. PMID 14975056. DOI 10.1186/cc2427. (abstract)
  4. Finkelstein Y, Aks SE, Hutson JR et al.. Colchicine poisoning: the dark side of an ancient drug. Clin Toxicol (Phila). 2010. PMID 20586571. DOI 10.3109/15563650.2010.495348. (abstract)
  5. GBIF API. Colchicum autumnale L. (species match). GBIF API. 2026. (api)
  6. Hung IF, Wu AK, Cheng VC et al.. Fatal interaction between clarithromycin and colchicine in patients with renal insufficiency: a retrospective study. Clin Infect Dis. 2005. PMID 16007523. DOI 10.1086/431592. (abstract)
  7. Imazio M, Brucato A, Cemin R et al.. A randomized trial of colchicine for acute pericarditis (ICAP). N Engl J Med. 2013. PMID 23992557. DOI 10.1056/NEJMoa1208536. (abstract)
  8. Indraratna PL, Virk S, Gurram D et al.. Use of colchicine in pregnancy: a systematic review and meta-analysis. Rheumatology (Oxford). 2018. PMID 29029311. DOI 10.1093/rheumatology/kex353. (abstract)
  9. Kazi B, Gray L, Thanacoody HKR. Paediatric colchicine poisoning in the UK: a 10-year retrospective case series from the National Poisons Information Service. Arch Dis Child. 2026. PMID 41663238. DOI 10.1136/archdischild-2025-328646. (abstract)
  10. Kovacs-Abraham Z, Aczel T, Lakner B et al.. Successful management of accidental colchicine intoxication after ingestion of Colchicum autumnale: a case report. Toxics. 2026. PMID 42043136. DOI 10.3390/toxics14040309. (abstract)
  11. M-Hamvas M, Totik A, Freytag C et al.. Histological features detected for separation of the edible leaves of Allium ursinum L. from the poisonous leaves of Convallaria majalis L. and Colchicum autumnale L.. Plants (Basel). 2025. PMID 40805725. DOI 10.3390/plants14152377. (abstract)
  12. McKenzie BJ, Wechalekar MD, Johnston RV et al.. Colchicine for acute gout. Cochrane Database Syst Rev. 2021. PMID 34438469. DOI 10.1002/14651858.CD006190.pub3. (abstract)
  13. Medsafe (New Zealand). Colchicine: Prescriber Update 32(1). Medsafe (New Zealand). 2011. (summary-only)
  14. PubChem. Colchicine, PubChem CID 6167. PubChem. 2026. (api)
  15. Rousseau G, Clement J, Fezard JB et al.. [Colchicum poisoning by confusion with wild garlic (Allium ursinum)]. Rev Med Interne. 2022. PMID 35597736. DOI 10.1016/j.revmed.2022.04.022. (abstract)
  16. Sag E, Oton T, Carmona L, Ozen S. Efficacy and safety of treatments in familial Mediterranean fever and its complications: a systematic review informing the EULAR/PReS recommendations for familial Mediterranean fever. Ann Rheum Dis. 2025. PMID 40562663. DOI 10.1016/j.ard.2025.05.020. (abstract)
  17. Schwier NC, Cornelio CK, Boylan PM. A systematic review of the drug-drug interaction between statins and colchicine: patient characteristics, etiologies, and clinical management strategies. Pharmacotherapy. 2022. PMID 35175631. DOI 10.1002/phar.2674. (abstract)
  18. Stewart S, Yang KCK, Atkins K et al.. Adverse events during oral colchicine use: a systematic review and meta-analysis of randomised controlled trials. Arthritis Res Ther. 2020. PMID 32054504. DOI 10.1186/s13075-020-2120-7. (abstract)
  19. Terkeltaub RA, Furst DE, Bennett K et al.. High versus low dosing of oral colchicine for early acute gout flare: twenty-four-hour outcome of the first multicenter, randomized, double-blind, placebo-controlled, parallel-group, dose-comparison colchicine study. Arthritis Rheum. 2010. PMID 20131255. DOI 10.1002/art.27327. (abstract)
  20. Torrents R, Reynoard J, Glaizal M et al.. Food confusion between edible and poisonous plants: a 22-year retrospective of the Southeastern France Poison Control Center. Toxins (Basel). 2024. PMID 39728810. DOI 10.3390/toxins16120552. (abstract)
  21. Yin X, Tian F, Wu B, Xu T. Interventions for reducing inflammation in familial Mediterranean fever. Cochrane Database Syst Rev. 2022. PMID 35349164. DOI 10.1002/14651858.CD010893.pub4. (abstract)
  22. none. EMA/HMPC, NCCIH, LiverTox, LactMed, FDA label: not opened. none. 2026. (none)
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.