Antabuse (Disulfiram) Patient Information: Missed a Dose and What Should I Avoid at RxList

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May 24, 2012

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Liver Disease »

What is liver disease?

Liver disease is any disturbance of liver function that causes illness. The liver is responsible for many critical functions within the body and should it become diseased or injured, the loss of those functions can cause significant damage to the body. Liver disease is also referred to as hepatic disease.

Liver disease is a broad term that covers all the potential problems that may occur to cause the liver to fail to perform its designated functions. Usually, more than 75% or three quarters of liver tissue needs to be affected before decrease in function occurs.

The liver the largest solid organ in the body; and is also considered a gland because among its many functions, it makes and secretes bile. The liver is located in the upper right portion of the abdomen protected by the rib cage. It has two main lobes that are made up of tiny lobules. The liver cells have two different sources of blood supply. The hepatic ...

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Antabuse Patient Information including If I Miss a Dose

What happens if I miss a dose (Antabuse)?

Take the missed dose as soon as you remember. Take the rest of the day's doses at evenly spaced intervals unless otherwise directed by your doctor.

What happens if I overdose (Antabuse)?

Seek emergency medical attention.

Symptoms of a disulfiram overdose include nausea, vomiting, dizziness, loss of coordination, numbness and tingling, and seizures.

What should I avoid while taking disulfiram (Antabuse)?

Do not drink alcohol while taking disulfiram. Flushing, fast heartbeats, nausea, thirst, chest pain, vertigo, and low blood pressure may occur when alcohol is ingested during disulfiram therapy.

Do not take disulfiram for at least 12 hours after drinking alcohol.

Reactions may occur from drinking alcohol for several weeks after you have stopped taking disulfiram.

Be aware of the alcohol content of other common products such as cough and cold medicines and food products. Alcohol in these products can also cause a reaction.

Tell your doctor (or dentist) that you are taking disulfiram before taking an antibiotic or before having surgery.

Do not come in contact or breathe the fumes of products that may contain alcohol including paint thinners, solvents, stains, lacquers and others. Use caution when applying or using products that may contain alcohol including aftershaves, mouthwashes, colognes, perfumes, antiseptics and others. Talk to your doctor or phaarmacist if you have questions regarding product alcohol content.

What other drugs will affect disulfiram (Antabuse)?

Before taking this medication, tell your doctor if you are taking any of the following medicines:

isoniazid (Nydrazid);
a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
a benzodiazepine such as diazepam (Valium), alprazolam (Xanax), chlordiazepoxide (Librium), clorazepate (Tranxene), temazepam (Restoril), triazolam (Halcion), and others;
a tricyclic antidepressant such as amitriptyline (Elavil), imipramine (Tofranil), doxepin (Sinequan), nortriptyline (Pamelor), and others;
warfarin (Coumadin);
metronidazole (Flagyl);
theophylline (Theo-Dur);
phenytoin (Dilantin);
lithium (Lithobid, Eskalith, others).

Drugs other than those listed here may also interact with disulfiram. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins, minerals, and herbal products.

Where can I get more information?

Your pharmacist has additional information about disulfiram written for health professionals that you may read.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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