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Antabuse (disulfiram) and Alcohol / Food Interactions

There are 2 alcohol/food/lifestyle interactions with Antabuse (disulfiram) which include:

Antabuse and Caffeine

Minor Drug Interaction

Disulfiram may increase the cardiovascular and CNS-stimulant effects of caffeine. The mechanism may be related to inhibition of caffeine metabolism in liver microsomes. Patients should be advised to limit their caffeine intake while they are taking disulfiram, particularly if they are experiencing excessive irritability, nervousness or insomnia.

Antabuse and Alcohol (Ethanol)

Major Drug Interaction

CONTRAINDICATED: Consumption of ethanol during treatment with disulfiram may cause flushing, nausea, blurred vision, dyspnea, tachypnea, tachycardia, and hypotension. Death has been reported. The mechanism is probably related to inhibition of aldehyde dehydrogenase, the enzyme responsible for the oxidation of acetaldehyde to acetyl CoA. Accumulation of acetaldehyde probably results.

MANAGEMENT: Ethanol should be avoided in patients receiving disulfiram.

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Antabuse (disulfiram) drug Interactions

There are 205 drug interactions with Antabuse (disulfiram)

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Drug Interaction Classification

The classifications below are a general guideline only. It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables.

Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.

Do not stop taking any medications without consulting your healthcare provider.


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