Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Indocin (indomethacin) and Colcrys (colchicine) are both prescription medications used to treat conditions related to inflammation and pain, but they belong to different drug classes and have different uses. Indocin is a nonsteroidal anti-inflammatory drug (NSAID) that helps reduce inflammation and pain by blocking proteins called cyclooxygenase (COX). It is used to treat various types of arthritis, shoulder pain, and gouty arthritis. Indocin is available as a tablet, suspension, and rectal suppository, which can be a good option if you have trouble swallowing pills. On the other hand, Colcrys is an anti-inflammatory medication specifically used for the treatment and prevention of gout flares and familial Mediterranean fever (FMF). It comes in tablets, capsules, and an oral solution. Unlike Indocin, Colcrys should not be taken with grapefruit juice due to potential dangerous interactions. While both medications require a prescription, Colcrys has a higher risk of interactions with other medications and can rarely affect fertility in males. Indocin, however, carries risks of serious side effects like stomach bleeding, heart attack, and stroke, especially if taken for a long time.
Indomethacin (Indocin) suppository
Colchicine
Indomethacin (Indocin) suppository
Colchicine
Summary of Indocin vs. Colcrys
Summary for NSAID
Prescription only
Indomethacin (Indocin) suppository is an NSAID that's used to treat different types of arthritis and conditions that cause pain in the shoulder. It helps lower inflammation and relieve pain. As a suppository, it's inserted into the rectum, typically 2 to 4 times a day depending on what condition the medication is being used to treat. Side effects might include headache and stomach upset. Unlike other NSAIDs, indomethacin (Indocin) suppository isn't available over-the-counter and requires a prescription from your healthcare provider.
Summary for Antigout
Prescription only
Colchicine is used for the treatment and prevention of gout flares, but its cost and side effects limit its use. It's also a first-choice medication for treating familial Mediterranean fever (FMF). This medication comes as tablets, capsules, and an oral solution.
•Tablets work quickly to treat gout flares if they happen
•For tablets, dose easily adjustable based on how you respond to the medication; they're scored to make it easier to split your dose if needed
•Tablets are a first-choice medication for treating familial Mediterranean fever (FMF)
Cons
•Tablets and capsules available as a generic, but can be still more expensive than other treatment options for gout like nonsteroidal anti-inflammatory drugs (NSAIDs)
•Risk of blood problems if taken long term
•Might need lower dose if you have kidney or liver problems
•Interacts with a lot of medications
•Might affect fertility in males
Common Side Effects of Indocin vs. Colcrys
Common Side Effects for
Note: The side effects listed here are for indomethacin capsules. Side effects for the suppositories might differ.
•Headache
•Dizziness
•Nausea
•Stomach upset
Common Side Effects for
•Diarrhea (23%)
•Nausea (4%)
Warnings of Indocin vs. Colcrys
Common Side Effects for
•Stomach bleeding and ulcers
•Heart attack and stroke
•High blood pressure and heart failure
•Liver problems
•Kidney damage and high potassium levels
•Severe allergic reactions
•Severe asthma attack
•Worsening of nervous system and mental health problems