Disulfiram (sold under the trade names Antabuse and Antabus) is a drug used to support the treatment of chronic alcoholism by producing an acute sensitivity to ethanol (drinking alcohol). Disulfiram works by inhibiting the enzyme acetaldehyde dehydrogenase, which means that many of the effects of a "hangover" are felt immediately after alcohol is consumed. "Disulfiram plus alcohol, even small amounts, produce flushing, throbbing in head and neck, throbbing headache, respiratory difficulty, nausea, copious vomiting, sweating, thirst, chest pain, palpitation, dyspnea, hyperventilation, tachycardia, hypotension, syncope, marked uneasiness, weakness, vertigo, blurred vision, and confusion. In severe reactions there may be respiratory depression, cardiovascular collapse, arrhythmias, myocardial infarction, acute congestive heart failure, unconsciousness, convulsions, and death." In the body, alcohol is converted to acetaldehyde, which is then broken down by acetaldehyde dehydrogenase. If the dehydrogenase enzyme is inhibited, acetaldehyde builds up and causes unpleasant effects. Disulfiram should be used in conjunction with counseling and support. Disulfiram has been studied as a possible treatment for cancer Under normal metabolism, alcohol is broken down in the liver by the enzyme alcohol dehydrogenase to acetaldehyde, which is then converted by the enzyme acetaldehyde dehydrogenase to a harmless acetic acid derivative (acetyl coenzyme A). This medication should not be given to a patient without their knowledge. Do not take this medication if you are under the influence of alcohol or have drunk alcohol in the last 12 hours. Show More This medication is used along with counseling and support to treat alcoholism. Disulfiram works by blocking the processing of alcohol in the body. This causes you to have a bad reaction when you drink alcohol. Take this medication by mouth with or without food, usually once daily in the morning or as directed by your doctor. If this medication causes drowsiness, take it at bedtime. Dosage is based on your medical condition and response to therapy. The maximum recommended daily dose is 500 milligrams. Zoloft capsules Diflucan topical Compare viagra vs cialis Propecia equivalent Tolerance to disulfiram doesn't occur; rather, sensitivity to alcohol increases with. Metabolism Mostly oxidized in the liver and excreted in urine as free drug. JOIN OUR MAILING LIST. Get the latest updates and news on prescription drugs. BRAND NAME RESTRICTION NOTES Washington State Department of Health Early Intervention Program WA EIP UNINSURED FORMULARY BY DRUG CLASS Effective 01/01/2019 Tolerance to disulfiram doesn’t occur; rather, sensitivity to alcohol increases with longer duration of therapy. Excess acetaldehyde produces a highly unpleasant reaction (nausea and vomiting) to even a small quantity of alcohol. It interacts with ingested alcohol to produce acetaldehyde levels five to ten times higher than are produced by normal alcohol metabolism. Maintenance dosage is 125 to 500 mg daily (average dose 250 mg) until permanent self-control is established. Antialcoholic action: Disulfiram irreversibly inhibits aldehyde dehydrogenase, which prevents the oxidation of alcohol after the acetaldehyde stage. Contraindicated in patients intoxicated by alcohol and within 12 hours of alcohol ingestion; in those with psychoses, myocardial disease, coronary occlusion, or hypersensitivity to disulfiram or to other thiuram derivatives used in pesticides and rubber vulcanization; and in patients receiving metronidazole, paraldehyde, alcohol, or alcohol-containing preparations. Use with extreme caution in patients with diabetes mellitus, hypothyroidism, seizure disorder, cerebral damage, or nephritis or hepatic cirrhosis or insufficiency and with concurrent phenytoin therapy. (precipitated by alcohol use), which may include flushing, throbbing headache, dyspnea, nausea, copious vomiting, diaphoresis, thirst, chest pain, palpitations, hyperventilation, hypotension, syncope, anxiety, weakness, blurred vision, confusion, arthropathy. In severe reactions: respiratory depression, CV collapse, arrhythmias, MI, acute heart failure, seizures, unconsciousness, or death. Only administer after the patient has abstained from ethanol for at least 12 hr Use ONLY as adjunct to supportive & psychotherapeutic treatment; in motivated patient 500 mg PO q Day initially for 1-2 weeks; not to exceed 500 mg/day Maintenance: 250 mg PO q Day (125-500 mg range); continue therapy until a bases for self-control has been established; patient may continue to take drug therapy for months or even years When Et OH ingested by patient taking disulfiram: flushing, throbbing HA, N/V, diaphoresis, thirst, SOB, syncope, vertigo, blurred vision, confusion; respiratory depression, cardiac arrhythmias, MI or liver failure may occur Use caution in diabetes, hypothyroidism, seizures, nephritis, hepatic impairment Severe hepatitis and/or hepatic failure has been associated with therapy even in patients without prior history of abnormal hepatic function Produces sensitivity to Et OH via blocking its oxidation at acetaldehyde stage, resulting in unpleasant reactions including palpitations, hypotension, chest pain, nausea, vertigo, thirst, flushing, and nausea The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. Antabuse drug class Disulfiram Prices, Coupons & Savings Tips - GoodRx, Discount Presription Drugs Medication List Buy xenical 120mg hard capsules orlistat Disulfiram is a drug used to support the treatment of chronic alcoholism by producing an acute sensitivity to ethanol drinking alcohol. Disulfiram works by. Disulfiram - Wikipedia. Washington State Department of Health Early Intervention.. Sertraline - dose, children, effects, therapy, drug.. Learn about Antabuse Disulfiram may treat, uses, dosage, side effects, drug interactions, warnings, patient labeling, reviews, and related medications. When alcohol is ingested after administration of disulfiram, blood acetaldehyde. All Drugs; Approved; Vet approved; Nutraceutical; Illicit; Withdrawn. Find patient medical information for Antabuse Oral on WebMD including its. This medication is used along with counseling and support to treat alcoholism.