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- $Unique_ID{BRK03137}
- $Pretitle{}
- $Title{disulfiram}
- $Subject{Antabuse Wyeth-Ayerst Antialcoholic disulfiram alcoholics sober
- blocks breakdown alcohol acetaldehyde bloodstream severe unpleasant reaction}
- $Volume{}
- $Log{}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- disulfiram
- ------------------------------------------------------------------------------
-
- BRAND NAMES (Manufacturers)
-
- Antabuse (Wyeth-Ayerst)
- disulfiram (various manufacturers)
-
- TYPE OF DRUG
-
- Antialcoholic
-
- INGREDIENT
-
- disulfiram
-
- DOSAGE FORM
-
- Tablets (250 mg and 500 mg)
-
- STORAGE
-
- Disulfiram should be stored at room temperature in a tightly closed,
- light-resistant container.
-
- USES
-
- Disulfiram is used as an aid to treat alcoholics who are strongly
- motivated to remain sober. Disulfiram blocks the breakdown of alcohol by the
- body, leading to an accumulation of the chemical acetaldehyde in the
- bloodstream. Buildup of acetaldehyde in the body can lead to a severe and
- very unpleasant reaction after alcohol consumption. Alcohol must, therefore,
- be avoided to prevent this reaction.
-
- TREATMENT
-
- Disulfiram can be taken either on an empty stomach or with food or milk
- (as directed by your doctor). The tablets can also be crushed and mixed with
- beverages (nonalcoholic).
- If you miss a dose of this medication, take the missed dose as soon as
- possible, unless it is almost time for the next dose. In that case, do not
- take the missed dose at all; just return to your regular dosing schedule. Do
- not double the next dose.
-
- SIDE EFFECTS
-
- Minor.
-
- Drowsiness, fatigue, headache, metallic or garlic-like aftertaste, and
- restlessness. These side effects should disappear as your body adjusts to the
- medication.
-
- Major.
-
- Tell your doctor about any side effects that are persistent or
- particularly bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about
- blurred vision, impotence, joint pain, mental disorders, skin rash, tingling
- sensations, or yellowing of the eyes or skin.
-
- INTERACTIONS
-
- Disulfiram interacts with several other types of medications:
- 1. It can increase the blood levels and side effects of diazepam,
- chlordiazepoxide, phenytoin, and oral anticoagulants (blood thinners, such as
- warfarin).
- 2. Concurrent use of disulfiram with isoniazid, antidepressants,
- metronidazole, or marijuana can lead to severe reactions.
- BE SURE TO TELL YOUR DOCTOR about any medications you are currently
- taking, especially any of those listed above. Also, be sure to tell your
- doctor if you use marijuana.
-
- WARNINGS
-
- * Tell your doctor about unusual or allergic reactions you have had to
- any medications, especially to disulfiram, rubber, pesticides, or fungicides.
- * Before starting to take this medication, be sure to tell your doctor if
- you have ever had brain damage, dermatitis, diabetes mellitus, epilepsy, heart
- disease, kidney disease, liver disease, mental disorders, or thyroid disease.
- * It is important not to drink or to use any alcohol-containing
- preparations, medications, or foods (including beer, elixirs, tonics, wine,
- liquor, vinegar, sauces, after-shave lotions, liniments, or colognes) while
- taking this medication. Be sure to check the labels on any over-the-counter
- (nonprescription) products for their alcohol content, especially cough syrups,
- mouthwashes, and gargles.
- * It is important that you understand the serious nature of the
- disulfiram-alcohol reaction. If you take disulfiram within 12 hours after
- ingesting alcohol or drink alcohol within two weeks after your last dose of
- disulfiram, you may experience blurred vision, chest pain, confusion,
- dizziness, fainting, flushing, headache, nausea, pounding heartbeat, sweating,
- vomiting, or weakness. The reaction usually occurs within five to ten minutes
- of drinking alcohol and can last from half an hour to two hours, depending on
- the dose of disulfiram and the quantity of alcohol ingested.
- * If this drug makes you drowsy, do not take part in any activity that
- requires alertness, such as driving a car or operating potentially dangerous
- machinery. Also be careful when going up and down stairs.
- * Be sure to tell your doctor if you are pregnant. Birth defects have
- been reported in both animals and humans whose mothers received disulfiram
- during pregnancy. It must also be kept in mind that alcohol, even in small
- amounts, can cause a variety of birth defects when ingested during pregnancy.
- Also, tell your doctor if you are breast-feeding an infant. It is not known
- if disulfiram passes into breast milk.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-