Last Updated on February 19, 2017 by Dr.Derek Fhisher
Most popular brand: Antabuse
Active ingredient: Disulfiram
Available dosage forms: 250, 500 mg
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Disulfiram general information
Disulfiram (Antabuse) is a drug that’s prescribed for remedying chronic alcoholism. People who have diabetes taking disulfiram are at a heightened risk for complications. One medication that is certainly sometimes utilized to help folks quit drinking is Naltrexone. Naltrexone has also been applied because it will help curb cravings for alcohol whilst the individual is on it.
The broad spreading of the drug has gotten considerably more widespread within the last ten years or so. Using TETD is actually a serious alcoholism remedy, and it should be determined to be safe before the procedure can begin. ReVia isn’t a cure for alcoholism, as it merely lessens the contempt to begin drinking. Disulfiram may enclose numerous inactive ingredients which will bring about allergies or additional troubles.
Alcohol is actually a toxin that will to do damage to your own brain. Naltrexone can cause liver deterioration, as well as your doctor will most likely want to take a little blood tests before initiating treatment (to insure your liver is OK) and periodically through the plan of treatment, to make certain it stays OK. Even a small sum of alcohol can lead to a violent reaction. The metabolic facets of such dependence are frequently overlooked, leading to poor results. No particular causes may be identified for the majority of the unbearable breakthrough episodes.
For all kinds of drug, there’ll always be three or four odd reactions for an extremely modest variety of users. An extended-release sort of the drug is, in addition, sold as Vivitrol. Like every drug antabuse has side outcomes. Reactions might occur from drinking alcohol for a number of weeks after you’ve stopped taking disulfiram. Patients that are receiving or have lately obtained metronidazole, paraldehyde, alcohol, or alcohol-containing preparations including cough syrups, elixirs, shouldn’t be given disulfiram. Someone taking disulfiram must also be cautious of the merchandise which contain alcohol.
There are rather few medical remedies for the long-term management of alcoholism. The classical utilization of medications for alcoholism is really to encourage abstinence. If you’re pregnant, or projecting to get pregnant, there isn’t any known safe limit of alcohol. Different treatments are accessible to help folks with alcohol difficulties. Just enjoy all drugs, Disulfiram also includes many side consequences. Oftentimes, it is only an issue of adjusting dosage.
This really is when alcohol starts to take over your lifestyle. Let’s accept that every number increases the aggregate of pain tenfold. This is simply not medical advice incidentally, cause I aint’ no Doctor!! Here is some simple info on a medication you will have heard about or your doctor could possibly be recommending. Please talk to an experienced professional to learn more about Alcoholism.
Within this second portion of the article we’re going to take a close look at disulfiram or TETD side results and fortunately, all these are relatively limited. The side effects we’ve listed below aren’t common and ought to therefore be looked upon as worst-case scenarios. There’s certainly no doubt the strategies involved above can achieve success sometimes.
The Scottish accent was made famous by numerous sources. Many of the known side effects are seen just in extreme or exclusive cases. The intensity of reaction to alcohol differs though. Personally, I took it but needed to stop due to side outcomes. I hope it helps you to truly understand your treatment choices, but you need to always rely on your own doctor for the best advice.
Disulfiram (Disulfiram): instruction, and the use of a formula
The nosological classification (ICD – 10)
Feature substance Disulfiram
White poor yellowish – greenish white crystalline powder. It is soluble in alcohol, practically insoluble in water, acids and alkalis. Molecular weight 296,54.
Mode of action -. Antialcoholic
It inhibits the enzyme acetaldehyde dehydrogenase and inhibits the biotransformation of alcohol at the acetaldehyde stage. The accumulation of the latter in the body causes intoxication, which (because consciousness is stored) is accompanied by a heavy feeling.
Once inside quickly and completely (70 – 90%) is absorbed in the digestive tract. Enough is metabolized rapidly, recovering to dietilditiokarbonata excreted by the kidneys as glucuronide or decomposes to form carbon disulfide and diethylamine, part of which (4 – 53%) is output from the light.
Application of the substance Disulfiram
Treatment and prevention of relapse of chronic alcoholism; nickel chronic intoxication.
Hypersensitivity, hyperthyroidism, heart disease – cardiovascular system in the stage of decompensation (including a pronounced cardio, atherosclerosis of brain vessels, pre – and postinfarction state, aortic aneurysm, coronary insufficiency, hypertension II – III Art chronic heart. failure), severe diseases of hearing (cochlear neuritis) and the eye (glaucoma, optic neuritis); diabetes, pulmonary tuberculosis with hemoptysis, bronchial asthma, severe emphysema, exacerbation of peptic ulcer disease, severe liver failure, kidney disease, cancers, diseases of blood-forming organs, mental illness, epilepsy and convulsions of any origin, polyneuritis, pregnancy, breastfeeding.
Restrictions on the use
Cardio – vascular diseases in the compensation stage, gastric ulcer and duodenal ulcer (in remission), residual effects after cerebrovascular accident, endarteriit previously transferred psychoses while taking disulfiram, age over 60 years.
Application of pregnancy and breastfeeding
Category effects on the fetus by FDA ; C.
Side effects of substance Disulfiram
due to the properties of disulfiram: a metallic taste in the mouth, bad breath in patients with colostomy (associated with carbon sulfide), rare cases of hepatitis (similar sometimes observed in patients with nickel eczema, not alcoholics), polyneuritis lower limbs, optic neuritis, memory loss, confusion, fatigue, headache, allergic skin manifestations.
related to the combination of disulfiram – alcohol: describes cases of respiratory failure, cardio – vascular collapse, cardiac arrhythmias; angina, sometimes ; myocardial infarction and neurological disorders; cerebral edema, depression of consciousness up to coma.
When taking alcohol in excess of 50 – 80 ml of vodka, while taking disulfiram may develop severe disorders of cardio – vascular and respiratory systems, swelling, convulsions (necessary to carry out detoxification therapy, the introduction of analeptikov, symptomatic therapy)
Complications Propafenone: rare ; psychosis, resembling alcoholic; hepatitis, gastritis; in patients suffering from cardio – vascular disease, cerebral vascular thrombosis is possible, so the complaints of paresthesia of the limbs and facial area should stop the drug immediately; exacerbation of polyneuritis.
The reaction in ethanol reduces ascorbic acid.
Alcohol: hypersensitive reaction (flushing, erythema, vomiting, tachycardia). Avoid simultaneous reception of alcohol and drugs. containing alcohol.
Isoniazid: breach of conduct and coordination.
Nitro – 5 – imidazoles (metronidazole, ornidazole, seknidazol, tinidazole): delirious disorder, confusion.
Phenytoin: a significant and rapid rise in the level of phenytoin plasma with toxic symptoms (suppression of its metabolism). If the combination can not be avoided, it is necessary to conduct the clinical observation and monitoring of plasma concentrations during and after treatment with disulfiram.
Combinations requiring caution
Warfarin (or other oral anticoagulants): increased effect of oral anticoagulants and risk of bleeding (decreased metabolism of warfarin in the liver). It is recommended more frequent monitoring of warfarin concentration and dose adjustment of anticoagulants during disulfiram purpose and within 8 days after its cancellation.
Theophylline: Disulfiram inhibits the metabolism of theophylline, the theophylline dose should therefore be adjusted (reduced dose), depending on the clinical symptoms and the drug concentration in plasma.
Benzodiazepines: disulfiram may potentiate the sedative effects of benzodiazepines by inhibiting their oxidative metabolism (especially chlordiazepoxide and diazepam). Benzodiazepine dosage should be adjusted according to the clinical manifestations.
Tricyclic antidepressants: may increase the reaction of alcohol intolerance (disulfiram reaction ; ethyl alcohol).
Symptoms: coma, collapse, various neurological phenomenon.
Dosing and Administration
Inside, in / m and n / a Inside, the dose is adjusted individually, is, as a rule, 0,25 – 0,5 g / day; Treatment begins after a thorough examination of the patient and the prevention of the consequences and complications. P / and / m are implanted at 8 – 10 Table.
Precautions substance Disulfiram
Patients should be warned of the dangers of intolerance responses of alcoholic beverages. In the case of co-administration with oral anticoagulants is necessary to carry out more frequent monitoring of prothrombin content and correction doses of anticoagulants, which is associated with an increased risk of bleeding.
It should be used with caution in patients with renal insufficiency, or hypothyroidism, especially when the risk of a possible combination with alcohol.