Drug Notebook

FDA Alerts

  • Never administer to a patient in a state of alcohol intoxication or without patient's full knowledge; instruct relatives accordingly.

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disulfiram
(die sul FER am)

Before taking this medication, tell your doctor if you are taking any of the following medicines:

  • isoniazid (Nydrazid);

  • a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);

  • a benzodiazepine such as diazepam (Valium), alprazolam (Xanax), chlordiazepoxide (Librium), clorazepate (Tranxene), temazepam (Restoril), triazolam (Halcion), and others;

  • a tricyclic antidepressant such as amitriptyline (Elavil), imipramine (Tofranil), doxepin (Sinequan), nortriptyline (Pamelor), and others;

  • warfarin (Coumadin);

  • metronidazole (Flagyl);

  • theophylline (Theo-Dur);

  • phenytoin (Dilantin);

  • lithium (Lithobid, Eskalith, others).

Drugs other than those listed here may also interact with disulfiram. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins, minerals, and herbal products.

Severe and sometimes fatal liver problems have occurred in patients taking disulfiram even without a prior history of liver problems.

If you experience any of the following serious side effects, stop taking disulfiram and seek emergency medical attention:

  • an allergic reaction (swelling of your lips, tongue, or face; shortness of breath; closing of your throat; or hives);

  • seizures;

  • extreme tiredness;

  • dark urine;

  • yellowing of the skin or eyes (jaundice);

  • large appetite changes;

  • weakness, dizziness or loss of coordination; or

  • severe diarrhea or vomiting.

Other, less serious side effects may be more likely to occur. Continue to take disulfiram and talk to your doctor if you experience

  • skin rash or acne;

  • mild headaches;

  • mild drowsiness or tiredness;

  • impotence;

  • metallic taste in the mouth; or

  • swollen or sore tongue.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

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