Issue: 2008 > May > case report

Colchicine-induced neuromyopathy in a patient with chronic renal failure: the role of clarithromycin



CASE REPORT
W. van der Velden, J. Huussen, H. ter Laak,
AbstractPDF

Abstract

Neuromyopathy is a rare side effect of chronic colchicine
therapy, most often occurring in patients with chronic
renal failure. Drugs interacting with colchicine metabolism through CYP3A4 and P-glycoprotein can
accelerate accumulation and toxicity. We describe a case
of an interaction between clarithromycin and colchicine
resulting in acute neuromyopathy, and we conclude that
combined use of macrolides and colchicine should be
avoided.