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Dictionary · Drug

disulfiram

A drug taken by mouth to help people stay away from alcohol by causing an unpleasant reaction if they drink.

dy-SUL-fih-ram nounBoxed warning

What it means

It blocks the enzyme that breaks down acetaldehyde, a toxic product of alcohol. If the person drinks, acetaldehyde builds up within minutes and causes flushing, throbbing headache, nausea and vomiting, a fast heartbeat, sweating and low blood pressure. The fear of this reaction helps motivated people avoid drinking; it does not reduce craving.

For the nurse

Never give it to a client who is intoxicated or who does not know they are taking it; the client must have had no alcohol for at least 12 hours first. Teach that a reaction can happen up to two weeks after the last dose, and to avoid hidden alcohol in cough syrups, mouthwashes, some sauces and vinegars, and products put on the skin.

At a glance

Drug classalcohol deterrent
Brand namesAntabuse
Spanishdisulfiram
Also writtenAntabuse

Related terms

Korsakoff syndrome

A long-lasting brain disorder of memory that results from a severe lack of thiamine (vitamin B1).

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