Which drug has disulfiram-like effect?

Drugs which cause disulfiram-like reactions upon ingestion of alcohol as an unintended effect include: Abacavir. Cephalosporins such as cefamandole, cefmenoxime, cefmetazole, cefonicid, cefoperazone, cefotetan, ceftriaxone, and latamoxef (moxalactam); thought to be due to common N-methylthiotetrazole metabolite.

What are the alternatives to Antabuse?

Antabuse Alternatives Compared

• Vivitrol.
• Disulfiram.
• Ondansetron.

Which cephalosporins can cause disulfiram-like reaction?

Certain β-lactam cephalosporins such as cefamandole, cefoperazone, and moxalactam induce disulfiram-like reaction when alcohol is used.

Does metronidazole have disulfiram-like reaction?

Metronidazole is an antibiotic that has been commonly associated with disulfiram-like reactions.

Does metronidazole still work with alcohol?

You shouldn’t mix metronidazole (Flagyl) and alcohol. The mixture of metronidazole and alcohol could lead to nausea, vomiting, fast heart beat, and flushing of the face. You should avoid alcohol while taking metronidazole and for at least 3 days after your last dose.

Which is better disulfiram and naltrexone?

Conclusions: Disulfiram and Naltrexone were equally effective in reducing craving, reducing amount of alcohol intake, and preventing relapse in 12 weeks follow up period. Naltrexone was found to be better in tolerability whereas disulfiram was better in terms of dropout from treatment.

Is there an over the counter Antabuse?

Antabuse is not available OTC and requires a prescription from a doctor. People should consult with their doctor to determine if it is the right drug for their alcohol dependence.

Does metronidazole inhibit acetaldehyde dehydrogenase?

According to our findings, metronidazole and quinacrine do not produce a typical disulfiram-like reaction, because they do not inhibit hepatic aldehyde dehydrogenase nor increase blood acetaldehyde.

How does metronidazole cause disulfiram reaction?

Background: Metronidazole, an effective antianaerobic agent, has been reported to have aversive properties when ingested with ethanol. This is thought to be due to the blocking of hepatic aldehyde dehydrogenase (ALDH) enzyme followed by the accumulation of acetaldehyde in the blood.

Does doxycycline work with alcohol?

While drinking alcohol while taking certain antibiotics can be risky, it’s generally safe to occasionally consume alcohol while taking doxycycline. However, if a person is a chronic drinker, has a liver condition, or is taking multiple medications, alcohol should be avoided while taking doxycycline.

Is Flagyl a disulfiram?

In the presence of disulfiram (Antabuse) or metronidazole (Flagyl), acetaldehyde accumulates and causes the typical severe nausea and vomiting that was noted in this woman. The antiemetics were not effective because they did not eliminate the acetaldehyde.

How common is disulfiram reaction with metronidazole?

The disulfiram-like reaction of metronidazole and alcohol is said to be similar, and was traditionally explained by the same mechanism, although this now seems to be incorrect. Its frequency is unclear as figures vary between 0 and 100%. Its validity has been repeatedly questioned in the modern literature.

What does naltrexone help with?

Naltrexone is a medication approved by the Food and Drug Administration (FDA) to treat both alcohol use disorder (AUD) and opioid use disorder (OUD).

Is Antabuse or Naltrexone better?

While Antabuse (disulfiram) is a good way to help stop alcoholism, it works best if you’re also seeing a therapist. Treats alcohol dependence and prevents relapse of addiction to opioids. Vivitrol (Naltrexone) is good for treating opioid and alcohol dependence.

Can you combine Naltrexone and Antabuse?

Interactions between your drugs Naltrexone may cause liver problems, and using it with other medications that can also affect the liver such as disulfiram may increase that risk. You should avoid or limit the use of alcohol while being treated with these medications.

What should I know about disulfiram before taking it?

You will need frequent blood tests to check your liver function. Wear a medical alert tag or carry an ID card stating that you take disulfiram. Any medical care provider who treats you should know that you are using disulfiram.

Which drugs produce a disulfiram-like reaction?

In the present study, chloramphenicol, furazolidone, metronidazole, and quinacrine, which are reported to produce a disulfiram-like reaction, as well as disulfiram, were administered to Wistar rats and the hepatic activities of alcohol and aldehyde dehydrogenases (1A1 and 2) were determined.

What is the generic name for disulfiram?

Disulfiram. Generic name: disulfiram (dye SUL fi ram) Brand name: Antabuse. Dosage forms: oral tablet (250 mg; 500 mg) Drug class: Drugs used in alcohol dependence. Medically reviewed by Drugs.com on March 3, 2021. Written by Cerner Multum. Uses. Warnings.

What are the side effects of disulfiram-alcohol reaction?

A disulfiram-alcohol reaction can be fatal. Call your doctor at once if you have: liver problems–nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes). Common side effects may include: metallic or garlic-like taste in the mouth.