Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)
Last updated:
Key Information
What is Tolchicine 600mcg Tablet?
Tolchicine 600mcg Tablet is an oral tablet listed as containing colchicine 600mcg (0.6mg) per tablet.
Check the product packaging for the active ingredient, strength, manufacturer and pack size before purchase.
Before placing your order, review the product details on DoctorOnCall and read the product leaflet supplied with the medicine.
Follow the instructions on the packaging and use the product only as directed.
Is this strength right for me?
Check the strength printed on the packaging to make sure it matches the product you selected.
Always follow the directions provided with the medicine, as the appropriate dose and frequency depend on the product instructions.
Colchicine requires careful dosing because taking too much can cause serious toxicity. Read the warnings and precautions on the leaflet before use.
If you have kidney or liver problems, are pregnant or breastfeeding, or take other medicines or supplements, ask a pharmacist whether you need additional precautions before taking the product.
Delivery, packaging and ordering
Select the product and check the available pack size and current listing details before placing your order.
Review the product information and follow the ordering instructions on DoctorOnCall.
When your parcel arrives, check the product name, strength, batch number, expiry date and packaging condition.
If the item differs from your order or the packaging appears damaged, contact DoctorOnCall customer support for assistance.
Side effects, safety and when to seek help
Colchicine may cause side effects such as nausea, vomiting, diarrhoea or abdominal discomfort. Serious reactions can occur if too much is taken or if the medicine interacts with certain other products.
Read the leaflet carefully and check the warnings about medicine interactions. If you take regular medicines or supplements, a pharmacist can help you check whether any additional precautions are needed.
Seek medical attention promptly if you experience persistent vomiting or diarrhoea, unusual bruising or bleeding, or significant muscle weakness.
If you suspect an overdose, seek urgent medical attention even if you feel well. Difficulty breathing, collapse or other severe symptoms require emergency medical care.
How to take your Tolchicine 600mcg Tablet
Read the product instructions. Check the leaflet and packaging before taking the tablet. Make sure you understand the stated dose, timing and precautions.
Follow the stated directions. Take the medicine only as directed in the product instructions. Do not take more than recommended or take additional tablets without checking the instructions.
Take the tablet as directed. Swallow it with water and follow the instructions supplied with the product. Do not crush, split or chew the tablet unless the leaflet confirms that this is appropriate.
Check for interactions. Read the warnings about other medicines, vitamins and supplements. If you suspect you have taken too much, seek urgent medical attention.
Delivery & Returns
Malaysia-wide delivery
No prescription needed
Licensed pharmacy
Doctor consultation
If your order arrives damaged
Please do not take the tablets if the box is damaged, the blister strip is open or torn, or the packaging appears to have been tampered with.
Check that the product name, strength and pack quantity match your order.
Take clear photographs of the parcel, delivery label and product packaging.
Contact DoctorOnCall customer support through WhatsApp and provide your order details and photographs.
Keep the product and packaging until the team advises you on the next steps.
Once the issue has been reviewed, a replacement or another resolution may be offered in accordance with the applicable policy.
Returns policy
For safety reasons, medicines may not be eligible for return or exchange once they have left the pharmacy, except where the applicable policy allows it for a verified delivery issue.
If you receive an incorrect, damaged or incomplete order, contact customer support within 24 hours of delivery. Provide your order details and photographs to help the team review the issue. Do not take the product if its packaging is damaged or its quality is in question.
Dosing for an acute gout attack is typically a higher initial dose followed by a smaller dose some hours later, with the total dose over the following days kept low due to colchicine’s narrow safety margin; for gout prevention, a lower once-daily or alternate-day dose may be prescribed instead. Your doctor will individualise the exact dose and frequency based on your kidney function, age, other medicines and gout history, so do not adjust the dose yourself.
Shelf Life
Tolchicine 600mcg Tablet is generally stable for up to 2 to 3 years from the date of manufacture when unopened and stored correctly; always check the expiry date printed on the blister strip and outer packaging and do not use beyond this date.
Storage Instructions
Do
Store the tablets according to the instructions on the packaging or leaflet.
Keep them in their original packaging until needed.
Store the medicine away from excessive heat, moisture and direct sunlight.
Keep it out of reach of children and pets.
Check the expiry date and packaging condition before use.
Don't
Don’t leave the medicine in a hot car, bathroom or other damp area.
Don’t transfer tablets into unlabelled containers.
Don’t take tablets that are expired, damaged or have changed in appearance.
Don’t share your medicine with anyone else.
Side Effects
Tolchicine 600mcg Tablet may cause gastrointestinal symptoms, muscle problems and other adverse reactions. The risk can be higher in certain circumstances, including prolonged treatment or reduced kidney function. Some reactions require prompt medical assessment.
Digestive Symptoms
Nausea, vomiting, abdominal pain and diarrhoea may occur. These can be early signs of colchicine toxicity, particularly if symptoms are severe or develop after a dose increase.
Muscle Weakness or Pain
Muscle pain or weakness may develop, particularly with prolonged treatment or in people with reduced kidney function. New or worsening symptoms should be assessed by a healthcare professional.
Numbness or Tingling
Prolonged treatment may be associated with peripheral neuropathy, which can cause numbness, tingling or unusual sensations in the fingers or toes.
Hair Loss
Hair loss may occur during long-term treatment. Inform your healthcare professional if this develops or becomes concerning.
Serious Warning: Bone Marrow Suppression
Rarely, colchicine can affect bone marrow function and reduce blood cell counts. Possible warning signs include:
Unusual bruising or bleeding.
Frequent or recurrent infections.
Unusual weakness or persistent fatigue.
Seek prompt medical assessment if these symptoms occur.
Emergency Warning: Severe Toxicity
Taking more colchicine than prescribed can cause severe, potentially life-threatening poisoning affecting multiple organs. The risk may also increase with certain medicine interactions or impaired kidney or liver function.
Never exceed the prescribed dose.
Seek emergency medical help immediately if an overdose is suspected, even if symptoms have not yet developed.
Do not change the dose or stop long-term treatment without consulting your healthcare professional, unless emergency medical advice directs otherwise. This information does not replace the official product leaflet or individual medical advice.
Contraindications
Severe kidney or liver impairment, unless the dose has been specifically adjusted by a doctor
Known hypersensitivity to colchicine or any ingredient in the tablet
Blood disorders such as significant bone marrow suppression
Concurrent use of certain strong CYP3A4 or P-glycoprotein inhibitor medicines in patients with kidney or liver impairment, due to a serious risk of colchicine toxicity
Pregnancy or breastfeeding, unless specifically advised as necessary and safe by your doctor
Drug / Food Interactions
Certain antibiotics (such as clarithromycin and erythromycin) and antifungal medicines (such as ketoconazole) can significantly raise colchicine levels in the blood and increase toxicity risk
Some cholesterol-lowering medicines (statins, fibrates) combined with colchicine may increase the risk of muscle-related side effects
Ciclosporin and certain HIV protease inhibitors can markedly increase colchicine blood levels and generally should not be combined without specific medical guidance
Grapefruit and grapefruit juice can increase colchicine levels and should generally be avoided during treatment
Always tell your doctor and pharmacist about every other medicine and supplement you are taking before starting colchicine
Quick Tips
Take the medicine as early as possible after a gout attack begins for the best chance of quick relief
Never exceed the dose your doctor has prescribed, even if pain persists
Stop and contact your doctor promptly if severe vomiting, diarrhoea, muscle weakness, numbness, or unusual bruising or bleeding occurs
Avoid grapefruit juice and check with your pharmacist before starting any new medicine, including over-the-counter products
Stay well hydrated and follow any dietary advice given for gout, such as limiting alcohol and purine-rich foods
Keep regular follow-up appointments if colchicine is prescribed long-term for gout prevention
Standard pharmaceutical-grade tablet excipients typical of colchicine tablets (binders, fillers and coating agents), as listed on the product packaging
Use during pregnancy is generally not recommended unless absolutely necessary.
Breastfeeding
Limited Data
Limited data on excretion in breast milk. Consult a doctor before use.
Kidney
Use With Care
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Use With Care
Use cautiously. Liver function monitoring may be required.
Alcohol
Not Advisable
It is not advisable to consume alcohol while taking this medicine.
Driving
Use With Care
Use caution while driving until you know how this medicine affects you.
Relevant Information
Colchicine has one of the narrowest safety margins of any commonly prescribed oral medicine, meaning the difference between an effective dose and a dangerous one is small, so it should never be taken more frequently or at a higher dose than prescribed, and any leftover tablets from a previous attack should not be used without checking with your doctor first. People with reduced kidney function, older adults, and those taking multiple other medicines are at higher risk of toxicity and usually need closer monitoring and dose adjustment by their prescribing doctor through DoctorOnCall.
How to buy
Go to the DoctorOnCall website
Visit DoctorOnCall and search for Tolchicine 600mcg Tablet. Check the product details, available pack size and current availability before proceeding.
Place your order
Select your preferred pack size, review your cart and enter your delivery details. Follow the checkout instructions to complete your order.
Pharmacy processing
Your order will be processed in accordance with the pharmacy’s procedures and applicable supply requirements. Check your order confirmation for updates.
Receive your delivery
When your parcel arrives, check that the packaging is intact and that the product name, strength, batch number and expiry date match your order. Read the accompanying leaflet before use.
Frequently Asked Questions
No. Tolchicine 600mcg Tablet is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.
Tolchicine 600mcg Tablet is a tablet containing Colchicine 600mcg. The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.
It is supplied in a pack size of 10s. Choose the pack size you need from the options shown on this page before adding the item to your cart.
This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.
Use it exactly as stated on the pack label, without changing the amount or how often you use it. If anything on the label is unclear, check with a pharmacist before the first use, and read the Directions for Use section on this page.
Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.
Store Tolchicine 600mcg Tablet below 30°C in a cool, dry place away from direct sunlight and moisture. Keep in the original packaging until use, and keep out of reach and sight of children, as colchicine overdose in children can be extremely dangerous. Keep it in its original pack and do not use it after the expiry date printed on the packaging.
Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
Product Specifications
Classification
Non-prescription
Ingredients / Active Ingredients
Colchicine
Pack Size
Refer to the current product listing
Brand
Tolchicine
Manufacturer
Refer to the product packaging
Strength
600mcg (0.6mg) per tablet, subject to label confirmation
What condition or symptom are you treating with this medication?
Please select your condition / symptom before adding to cart.
*Please select the closest match. A pharmacist may call to verify your selection before dispensing.
Important Medical Information
💊 Recommended Dosage:
Dosing for an acute gout attack is typically a higher initial dose followed by a smaller dose some hours later, with the total dose over the following days kept low due to colchicine’s narrow safety margin; for gout prevention, a lower once-daily or alternate-day dose may be prescribed instead. Your doctor will individualise the exact dose and frequency based on your kidney function, age, other medicines and gout history, so do not adjust the dose yourself.
🛑 Contraindications (Do not use if):
Severe kidney or liver impairment, unless the dose has been specifically adjusted by a doctor
Known hypersensitivity to colchicine or any ingredient in the tablet
Blood disorders such as significant bone marrow suppression
Concurrent use of certain strong CYP3A4 or P-glycoprotein inhibitor medicines in patients with kidney or liver impairment, due to a serious risk of colchicine toxicity
Pregnancy or breastfeeding, unless specifically advised as necessary and safe by your doctor
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
Nausea
Diarrhea
Vomiting
Abdominal pain
Fatigue
Headache
Muscle weakness (in prolonged use or high doses)
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
Please tick this box to confirm you are 18+ before adding to cart.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.