Autumn Crocus Drug Interactions, Uses, Safety & More
What is this page for?
First and foremost: how Autumn Crocus interacts with medications. The heart of this page is the interaction list — every drug Autumn Crocus is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Autumn Crocus is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
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Add one medicationAutumn Crocus Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Autumn Crocus drug interactions are few in number, but the ones that exist are serious, so the risk is high for anyone taking the affected medications. Every interaction on record is rated major, and the concern centers on the prescription drug colchicine.
The key concern is colchicine, the gout medication. Autumn Crocus is not just similar to this drug, the plant naturally contains colchicine itself. Taking both means doubling up on the same active compound, which raises the risk of colchicine side effects, and this combination should be avoided. Human evidence, though limited, supports this concern, so it deserves real caution rather than a wait-and-see approach.
This is an unusual profile. Many supplements carry long lists of theoretical interactions that rarely matter in practice, but Autumn Crocus is the opposite: a very short list where the concern is direct and additive, because the plant supplies the same substance as the drug it interacts with. For people not taking colchicine, no other interactions are currently documented.
Based on HelloPharmacist’s Autumn Crocus interaction data and reviewed under our editorial standards.
Drugs that interact with Autumn Crocus
2 medications have a known interaction with Autumn Crocus, graded by severity. Select any drug for the full evidence-based detail.
2 major interactions. These combinations can be clinically significant — best avoided, or used only with close professional supervision. Always check with your pharmacist before combining them with Autumn Crocus.
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Tell us the medications you take and we’ll check each one against Autumn Crocus using our pharmacist-reviewed interaction data.
AI summaries are generated from our Autumn Crocus interaction data for education only — always confirm with your pharmacist. How we use AI
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What Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact Autumn Crocus combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Autumn Crocus affects
Every type of medication (drug category) Autumn Crocus is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Colchicine
Avoid concomitant use of autumn crocus with colchicine. Autumn crocus contains colchicine. Concomitant use will increase the adverse effects.
Autumn Crocus: Uses, Safety & Side Effects
Autumn Crocus is a highly poisonous plant that contains colchicine, a compound that has real medical value but is dangerous in its raw form. You should never eat the plant or take homemade preparations from it. If you need colchicine for gout or familial Mediterranean fever, use the standardized, FDA-approved prescription product under a doctor's supervision.

- Scientific name
- Colchicum autumnale
- Family
- Colchicaceae
- Part used
- Corm (bulb-like underground stem), seeds, and flowers
- Common forms
- Rarely used as a raw plant or crude extract; the purified active compound (colchicine) is available only as an FDA-approved prescription medicine
- Gout
- Familial Mediterranean fever
- Joint pain and inflammation
- Rheumatoid arthritis (traditional use)
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
The raw plant is poisonous and can cause fatal colchicine poisoning.
When used orally. Autumn crocus is a potential mutagen and is associated with significant and potentially fatal adverse effects; avoid using.
Read the full pregnancy detailWhen used orally. Autumn crocus is a potential mutagen and is associated with significant and potentially fatal adverse effects; avoid using.
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Autumn Crocus (Colchicum autumnale) is a perennial plant native to Europe and North Africa. It grows from an underground bulb-like structure called a corm and produces pink or purple flowers in the fall, which is why it is sometimes called "meadow saffron" or "naked ladies."
The plant has been known for over 2,000 years as both a medicine and a poison. It contains a powerful compound called colchicine. While colchicine has genuine medical uses, the whole plant is extremely toxic and is not safe to eat or use as a homemade remedy.
Because the leaves and corm can look like wild garlic, wild leek, or onion, people have been accidentally poisoned by mistaking it for an edible plant. Today, colchicine is purified and sold only as a regulated prescription drug.
Uses & effectiveness
Historically, extracts of Autumn Crocus were used to treat gout and joint pain. The active compound, colchicine, is still used today for gout and for familial Mediterranean fever (a rare inherited inflammatory condition). However, these benefits come from the purified, dose-controlled prescription form of colchicine, not from the raw plant.
There is no good evidence that taking the Autumn Crocus plant itself, or any homemade extract, is safe or effective. The amount of colchicine in plant material varies and cannot be measured reliably, which makes accidental overdose and poisoning very likely.
In short: the medicine derived from this plant has proven uses, but the plant as a supplement or herb should not be used.
How it works
The main active compound in Autumn Crocus is colchicine. Colchicine works by interfering with a protein inside cells called tubulin. This blocks certain immune cells from moving to and causing inflammation at sites such as a gouty joint.
This same action on cell structures is what makes colchicine helpful in controlled medical doses but also what makes it so toxic in higher amounts. It can damage rapidly dividing cells throughout the body, including those in the gut, bone marrow, and nervous system.
Much of what we know about the plant's effects comes from poisoning cases and from research on the purified drug rather than the whole plant.
Safety & precautions
Autumn Crocus is poisonous. Eating any part of the plant can cause severe, potentially fatal colchicine poisoning. There is no safe home dose, and you should never use the raw plant, its corm, seeds, or flowers as a remedy.
Poisonings often happen by accident when the plant is mistaken for edible plants like wild garlic, ramps, or onions. Even handling the plant can sometimes cause skin irritation or numbness in the fingers.
Pregnant and breastfeeding people should avoid it completely. The plant is toxic and may harm a developing baby or pass into breast milk. Children, older adults, and people with kidney or liver problems are at especially high risk of harm.
If you need treatment for gout or familial Mediterranean fever, talk to your doctor or pharmacist about the FDA-approved prescription form of colchicine, which is carefully dosed and monitored.
Side effects
Symptoms of colchicine poisoning from the plant can include severe nausea, vomiting, diarrhea, and stomach pain, often within hours of swallowing it.
Serious and potentially life-threatening effects include damage to the blood and bone marrow (such as agranulocytosis and aplastic anemia), kidney failure, breathing problems, nerve damage (peripheral neuritis), and shock. Severe poisoning can be fatal.
Topical contact with the plant may cause skin irritation or numbness, including numb fingers. If you suspect poisoning, contact your local poison control center or emergency services right away.
Autumn Crocus: Reported Adverse Effects
Documented safety reports on Autumn Crocus from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Autumn crocus is generally regarded as unsafe for use. Any benefits of therapy may not outweigh the risk of toxicity. Autumn crocus contains colchicine and can cause acute poisoning. Accidental poisoning has occurred after oral ingestion when autumn crocus is mistaken for onions, wild garlic, or wild leeks. Long-term use of prescription colchicine is associated with agranulocytosis, aplastic anemia, and peripheral neuritis.
Topically, handling fresh slices of autumn crocus corms can cause finger numbness.
- Nagesh KR, Menezes RG, Rastogi P, et al. Suicidal plant poisoning with Colchicum autumnale. J Forensic Leg Med 2011;18(6):285-7. doi: 10.1016/j.jflm.2011.04.008.
- Boisramé-Helms J, Rahmani H, Stiel L, Tournoud C, Sauder P. Extracorporeal life support in the treatment of colchicine poisoning. Clin Toxicol (Phila) 2015;53(8):827-9.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
Acute respiratory distress syndrome (ARDS) Pulmonary/Respiratory
Predominant pulmonary symptoms of autumn crocus poisoning include tachypnea, respiratory distress or failure, and pleural effusions. Some patients require mechanical ventilation or extracorporeal membrane oxygenation (ECMO) for life support.
- Nagesh KR, Menezes RG, Rastogi P, et al. Suicidal plant poisoning with Colchicum autumnale. J Forensic Leg Med 2011;18(6):285-7. doi: 10.1016/j.jflm.2011.04.008.
- Brncic N, Viskovic I, Peric R, et al. Accidental plant poisoning with Colchicum autumnale: report of two cases. Croat Med J 2001;42(6):673-5.
- Sundov Z, Nincevic Z, Definis-Gojanovic M, et al. Fatal colchicine poisoning by accidental ingestion of meadow saffron-case report. Forensic Sci Int 2005;149(2-3):253-6.
- Brvar, M., Kozelj, G., Mozina, M., and Bunc, M. Acute poisoning with autumn crocus (Colchicum autumnale L.). Wien.Klin Wochenschr. 3-31-2004;116(5-6):205-208.
- Boisramé-Helms J, Rahmani H, Stiel L, Tournoud C, Sauder P. Extracorporeal life support in the treatment of colchicine poisoning. Clin Toxicol (Phila) 2015;53(8):827-9.
Alopecia Dermatologic
Alopecia has been reported during the recovery phase from acute oral autumn crocus poisoning, about 7-21 days after oral ingestion.
- Brvar, M., Kozelj, G., Mozina, M., and Bunc, M. Acute poisoning with autumn crocus (Colchicum autumnale L.). Wien.Klin Wochenschr. 3-31-2004;116(5-6):205-208.
- Nagesh KR, Menezes RG, Rastogi P, et al. Suicidal plant poisoning with Colchicum autumnale. J Forensic Leg Med 2011;18(6):285-7. doi: 10.1016/j.jflm.2011.04.008.
- Boisramé-Helms J, Rahmani H, Stiel L, Tournoud C, Sauder P. Extracorporeal life support in the treatment of colchicine poisoning. Clin Toxicol (Phila) 2015;53(8):827-9.
Anemia Hematologic
Predominant hematologic symptoms of autumn crocus poisoning include pancytopenia, thrombocytopenia, leukopenia or leukocytosis, and coagulopathy. Long-term use of colchicine, a constituent of autumn crocus, is associated with aplastic anemia.
- Brvar, M., Kozelj, G., Mozina, M., and Bunc, M. Acute poisoning with autumn crocus (Colchicum autumnale L.). Wien.Klin Wochenschr. 3-31-2004;116(5-6):205-208.
- Kritikos A, Spertini O. Reversible granulocyte abnormalities after accidental ingestion of Colchicum autumnale. Blood 2017;130(1):95. doi: 10.1182/blood-2017-02-766410.
- Brncic N, Viskovic I, Peric R, et al. Accidental plant poisoning with Colchicum autumnale: report of two cases. Croat Med J 2001;42(6):673-5.
- Sundov Z, Nincevic Z, Definis-Gojanovic M, et al. Fatal colchicine poisoning by accidental ingestion of meadow saffron-case report. Forensic Sci Int 2005;149(2-3):253-6.
- Boisramé-Helms J, Rahmani H, Stiel L, Tournoud C, Sauder P. Extracorporeal life support in the treatment of colchicine poisoning. Clin Toxicol (Phila) 2015;53(8):827-9.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
Arrhythmia Cardiovascular
Predominant cardiovascular symptoms of oral autumn crocus poisoning include tachycardia, hypotension, and reduced cardiac output. Arrhythmias can also occur, and cardiovascular collapse, refractory cardiogenic shock, or sudden asystole have been reported as causes of death within 30-72 hours after poisoning. Acute myocardial injury is associated with an elevated troponin 1 level, which can be used as a marker of severe toxicity.
- Nagesh KR, Menezes RG, Rastogi P, et al. Suicidal plant poisoning with Colchicum autumnale. J Forensic Leg Med 2011;18(6):285-7. doi: 10.1016/j.jflm.2011.04.008.
- Brncic N, Viskovic I, Peric R, et al. Accidental plant poisoning with Colchicum autumnale: report of two cases. Croat Med J 2001;42(6):673-5.
- Sundov Z, Nincevic Z, Definis-Gojanovic M, et al. Fatal colchicine poisoning by accidental ingestion of meadow saffron-case report. Forensic Sci Int 2005;149(2-3):253-6.
- Boisramé-Helms J, Rahmani H, Stiel L, Tournoud C, Sauder P. Extracorporeal life support in the treatment of colchicine poisoning. Clin Toxicol (Phila) 2015;53(8):827-9.
- Razinger G, Kozelj G, Gorjup V, Grenc D, Brvar M. Accidental poisoning with autumn crocus (Colchicum autumnale): a case series. Clin Toxicol (Phila). 2021 Jun;59(6):493-9.
- Brvar, M., Kozelj, G., Mozina, M., and Bunc, M. Acute poisoning with autumn crocus (Colchicum autumnale L.). Wien.Klin Wochenschr. 3-31-2004;116(5-6):205-208.
Diarrhea Gastrointestinal
Gastrointestinal symptoms are often the first signs of autumn crocus poisoning and include burning of the mouth, vomiting, diarrhea, abdominal pain, and ileus. These symptoms typically occur within 2-12 hours after oral ingestion, with early onset indicating a poorer prognosis. Pancreatitis has also been reported with severe autumn crocus poisoning. In fatal cases of poisoning, the gastrointestinal mucosa is inflamed and the intestinal villi are found to be shortened and blunted.
- Brvar, M., Kozelj, G., Mozina, M., and Bunc, M. Acute poisoning with autumn crocus (Colchicum autumnale L.). Wien.Klin Wochenschr. 3-31-2004;116(5-6):205-208.
- Kritikos A, Spertini O. Reversible granulocyte abnormalities after accidental ingestion of Colchicum autumnale. Blood 2017;130(1):95. doi: 10.1182/blood-2017-02-766410.
- Nagesh KR, Menezes RG, Rastogi P, et al. Suicidal plant poisoning with Colchicum autumnale. J Forensic Leg Med 2011;18(6):285-7. doi: 10.1016/j.jflm.2011.04.008.
- Brncic N, Viskovic I, Peric R, et al. Accidental plant poisoning with Colchicum autumnale: report of two cases. Croat Med J 2001;42(6):673-5.
- Sundov Z, Nincevic Z, Definis-Gojanovic M, et al. Fatal colchicine poisoning by accidental ingestion of meadow saffron-case report. Forensic Sci Int 2005;149(2-3):253-6.
- Boisramé-Helms J, Rahmani H, Stiel L, Tournoud C, Sauder P. Extracorporeal life support in the treatment of colchicine poisoning. Clin Toxicol (Phila) 2015;53(8):827-9.
- Razinger G, Kozelj G, Gorjup V, Grenc D, Brvar M. Accidental poisoning with autumn crocus (Colchicum autumnale): a case series. Clin Toxicol (Phila). 2021 Jun;59(6):493-9.
Hypocalcemia Endocrine
Predominant endocrine symptoms of autumn crocus poisoning include metabolic acidosis, hyponatremia, hypocalcemia, and hypoglycemia.
- Nagesh KR, Menezes RG, Rastogi P, et al. Suicidal plant poisoning with Colchicum autumnale. J Forensic Leg Med 2011;18(6):285-7. doi: 10.1016/j.jflm.2011.04.008.
- Brncic N, Viskovic I, Peric R, et al. Accidental plant poisoning with Colchicum autumnale: report of two cases. Croat Med J 2001;42(6):673-5.
Muscle breakdown Musculoskeletal
Autumn crocus poisoning can cause rhabdomyolysis, with serum myoglobin and creatine kinase elevated to twice the upper limit of normal.
Neuropathic pain Neurologic/CNS
Predominant neurologic symptoms of autumn crocus poisoning include hemiparesis, encephalopathy, brain edema, coma, and death. Peripheral neuropathy has occurred as a long-term consequence of autumn crocus poisoning.
Topically, handling fresh slices of autumn crocus corms can cause finger numbness.
- Kritikos A, Spertini O. Reversible granulocyte abnormalities after accidental ingestion of Colchicum autumnale. Blood 2017;130(1):95. doi: 10.1182/blood-2017-02-766410.
- Nagesh KR, Menezes RG, Rastogi P, et al. Suicidal plant poisoning with Colchicum autumnale. J Forensic Leg Med 2011;18(6):285-7. doi: 10.1016/j.jflm.2011.04.008.
- Sundov Z, Nincevic Z, Definis-Gojanovic M, et al. Fatal colchicine poisoning by accidental ingestion of meadow saffron-case report. Forensic Sci Int 2005;149(2-3):253-6.
- Brvar, M., Kozelj, G., Mozina, M., and Bunc, M. Acute poisoning with autumn crocus (Colchicum autumnale L.). Wien.Klin Wochenschr. 3-31-2004;116(5-6):205-208.
- Razinger G, Kozelj G, Gorjup V, Grenc D, Brvar M. Accidental poisoning with autumn crocus (Colchicum autumnale): a case series. Clin Toxicol (Phila). 2021 Jun;59(6):493-9.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
Poisoning Renal
Predominant renal symptoms of autumn crocus poisoning include acute renal failure and anuria, with elevated serum creatinine.
- Brvar, M., Kozelj, G., Mozina, M., and Bunc, M. Acute poisoning with autumn crocus (Colchicum autumnale L.). Wien.Klin Wochenschr. 3-31-2004;116(5-6):205-208.
- Kritikos A, Spertini O. Reversible granulocyte abnormalities after accidental ingestion of Colchicum autumnale. Blood 2017;130(1):95. doi: 10.1182/blood-2017-02-766410.
- Brncic N, Viskovic I, Peric R, et al. Accidental plant poisoning with Colchicum autumnale: report of two cases. Croat Med J 2001;42(6):673-5.
- Razinger G, Kozelj G, Gorjup V, Grenc D, Brvar M. Accidental poisoning with autumn crocus (Colchicum autumnale): a case series. Clin Toxicol (Phila). 2021 Jun;59(6):493-9.
Poisoning Hepatic
Predominant hepatic symptoms of autumn crocus poisoning include elevated liver function tests (LFTs) and liver failure with necrosis.
- Brvar, M., Kozelj, G., Mozina, M., and Bunc, M. Acute poisoning with autumn crocus (Colchicum autumnale L.). Wien.Klin Wochenschr. 3-31-2004;116(5-6):205-208.
- Kritikos A, Spertini O. Reversible granulocyte abnormalities after accidental ingestion of Colchicum autumnale. Blood 2017;130(1):95. doi: 10.1182/blood-2017-02-766410.
- Nagesh KR, Menezes RG, Rastogi P, et al. Suicidal plant poisoning with Colchicum autumnale. J Forensic Leg Med 2011;18(6):285-7. doi: 10.1016/j.jflm.2011.04.008.
- Brncic N, Viskovic I, Peric R, et al. Accidental plant poisoning with Colchicum autumnale: report of two cases. Croat Med J 2001;42(6):673-5.
- Sundov Z, Nincevic Z, Definis-Gojanovic M, et al. Fatal colchicine poisoning by accidental ingestion of meadow saffron-case report. Forensic Sci Int 2005;149(2-3):253-6.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no safe established dose of the Autumn Crocus plant as a supplement, and it should not be taken in any homemade form. The colchicine content of the plant cannot be reliably measured, so even small amounts can cause serious harm.
The only appropriate way to use colchicine is through an FDA-approved prescription product, which has a precise, controlled dose set by your healthcare provider. Always follow the prescription label and check with your pharmacist or doctor before use.
Autumn Crocus & Pregnancy
Autumn Crocus & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 9 references that drive our Autumn Crocus monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.
- Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Brvar, M., Kozelj, G., Mozina, M., and Bunc, M. Acute poisoning with autumn crocus (Colchicum autumnale L.). Wien.Klin Wochenschr. 3-31-2004;116(5-6):205-208. PubMed
- Kritikos A, Spertini O. Reversible granulocyte abnormalities after accidental ingestion of Colchicum autumnale. Blood 2017;130(1):95. doi: 10.1182/blood-2017-02-766410. PubMed
- Nagesh KR, Menezes RG, Rastogi P, et al. Suicidal plant poisoning with Colchicum autumnale. J Forensic Leg Med 2011;18(6):285-7. doi: 10.1016/j.jflm.2011.04.008. PubMed
- Brncic N, Viskovic I, Peric R, et al. Accidental plant poisoning with Colchicum autumnale: report of two cases. Croat Med J 2001;42(6):673-5.
- Sundov Z, Nincevic Z, Definis-Gojanovic M, et al. Fatal colchicine poisoning by accidental ingestion of meadow saffron-case report. Forensic Sci Int 2005;149(2-3):253-6. PubMed
- Boisramé-Helms J, Rahmani H, Stiel L, Tournoud C, Sauder P. Extracorporeal life support in the treatment of colchicine poisoning. Clin Toxicol (Phila) 2015;53(8):827-9.
- Razinger G, Kozelj G, Gorjup V, Grenc D, Brvar M. Accidental poisoning with autumn crocus (Colchicum autumnale): a case series. Clin Toxicol (Phila). 2021 Jun;59(6):493-9.
This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Brands that make products with Autumn Crocus
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Supplement products with Autumn Crocus
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Autumn Crocus: Common Questions
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