Drug Interaction Report
2 potential interactions and/or warnings found for the following 2 drugs:
- disulfiram
- omeprazole / sodium bicarbonate
Interactions between your drugs
omeprazole disulfiram
Applies to: omeprazole / sodium bicarbonate, disulfiram
Anecdotal reports have suggested that the combination of disulfiram and omeprazole may cause confusion or disorientation in some patients.
References (1)
- Hajela R, Cunningham GM, Kapur BM, et al. (1990) "Catatonic reaction to omeprazole and disulfiram in a patient with alcohol dependence." Can Med Assoc J, 143, p. 1207-8
Drug and food interactions
disulfiram food
Applies to: disulfiram
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.
References (3)
- Jones RO (1949) "Death following the ingestion of alcohol in an antabuse treated patient." Can Med Assoc J, 60, p. 609-12
- Stoll D, King LE (1980) "Disulfiram-alcohol skin reaction to beer-containing shampoo." JAMA, 244, p. 2045
- van Ieperen L (1984) "Sudden death during disulfiram-ethanol reaction." S Afr Med J, 66, p. 165
Therapeutic duplication warnings
No duplication warnings were found for your selected drugs.
Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum.
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Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| 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. | |
| No interaction information available. |
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