Description
π©Ί What Itβs For (“Uses”)
- Treatment of alcohol dependence or chronic alcoholism: Works as an aversive agent by blocking the enzyme aldehyde dehydrogenase. This causes buildup of acetaldehyde after drinking, leading to unpleasant effects (flushing, nausea, headache) to deter alcohol useβ―(1mg, Apollo Pharmacy).
- Supports recovery programs: Typically prescribed alongside counseling, therapy, or support groupsβ―(Zeelab Pharmacy).
βοΈ How It Works
- Disulfiram irreversibly inhibits aldehyde dehydrogenase, the enzyme that metabolizes acetaldehyde (a toxic byproduct of alcohol). Elevated acetaldehyde causes adverse reactions upon alcohol intake, reinforcing abstinenceβ―(Apollo Pharmacy, 1mg).
π Dosage & Administration
- Typically: 500β―mg once daily or as directed by a physicianβ―(1mg).
- Take with or without food, preferably at a fixed time dailyβ―.
- Missed dose: Take when remembered unless it’s close to the next doseβavoid doubling upβ―(1mg).
- Complete the full course under medical supervision; abrupt discontinuation may risk relapseβ―(1mg, Farmako).
β οΈ Warnings & Contraindications
- Alcohol strict avoidance: No alcohol for at least 12 hours before starting and up to 14 days after stopping treatmentβ―(Apollo Pharmacy).
- Avoid alcohol in all forms, including in foods, mouthwash, hand sanitizers, perfumesβ―(Apollo Pharmacy).
- Use caution with liver or kidney impairmentβdose adjustments or monitoring may be neededβ―(Apollo Pharmacy).
- Pregnancy & Breastfeeding: Consult a doctorβpotential fetal harm and passage in breast milkβ―(1mg, Apollo Pharmacy, PlatinumRx).
- Not addictive, but should be prescribed and monitored by experienced clinicians or in a hospital/clinicβ―(1mg).
π΄ Common Side Effects
- Drowsiness, fatigue, dizziness
- Headache
- Acne, flushing (warmth, redness, tingling)
- Sweating, increased thirst, swelling/rapid weight gain
- Nausea, vomiting, metallic or garlic-like taste in mouthβ―(Apollo Pharmacy).
Note: These often happen as the body adjusts and may lessen over timeβ―(PlatinumRx).
π¨ Serious Side Effects (Seek Medical Help)
- Liver problems: dark urine, yellow skin/eyes, stomach/abdominal painβ―(Zeelab Pharmacy).
- Neurologic symptoms: numbness, tingling, mental confusionβ―(PlatinumRx).
- Cardiovascular effects: rapid heartbeats, palpitations, fainting, blurred visionβ―(Apollo Pharmacy).
- Severe vomiting or dehydrationβ―(Apollo Pharmacy).
- Allergic reactions: rash, swelling, difficulty breathingβ―(Zeelab Pharmacy).
β Precautions & Lifestyle Tips
- Regular monitoring: Liver function tests, kidney function, blood counts.
- Avoid driving or heavy machinery until you know how the drug affects youβ―(1mg).
- Disclose all medications to your doctorβespecially those like SSRIs, anticoagulants, or drugs that affect liver or CNSβ―(Zeelab Pharmacy).
- Massage caution: Check labels of all personal care products for hidden alcohol content to avoid accidental reactions.
π Quick Summary Table
Aspect | Details |
---|---|
Active Ingredient | Disulfiram 500β―mg |
Primary Use | Alcohol dependence support |
Mechanism | Inhibits acetaldehyde metabolism β unpleasant reaction to alcohol |
Common Side Effects | Drowsiness, headache, flushing, metallic taste |
Serious Risks | Liver damage, cardiac, neuro, allergic effects |
Contraindications | Active drinking, severe liver/kidney disease, pregnancy without caution |
Monitoring | Regular blood/liver tests, symptom tracking, avoid alcohol in all forms |
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