Abstract
Trimethylcolchicinic acid, an analog of colchicine, was used in the treatment of 34 patients with acute gout, in doses ranging from 5 to 16 mg. Twenty-six responded well, and an additional 4 patients had partial benefit. Four patients did not respond at all. Mild nausea or diarrhea in 3 patients were the only side effects noted. No hematologic, cutaneous or other signs of toxicity were seen. Seven additional patients received short term, small dose prophylactic therapy with trimethylcolchicinic acid. No cumulative toxicity was seen.