Antabuse

Buy Antabuse
antabuse

$29.40

  • Active ingredient: Disulfiram
  • Category: General Medicine
  • Delivery time: Airmail (14-21 days) | EMS trackable (5-9 days)
  • Prescription: Included
  • Availability: In Stock

Antabuse (Disulfiram) 250mg and 500mg pills are available to order from our licensed UAE pharmacy with reliable delivery. This medication blocks the enzyme that breaks down alcohol, leading to unpleasant physical reactions if alcohol is consumed. It serves as a powerful behavioral aid, supporting adults committed to achieving long-term sobriety. Antabuse provides a physiological barrier to relapse when used as directed.

Table of contents

Antabuse (Disulfiram) Buyer and Patient Handbook in UAE

What is Antabuse?

Antabuse is a Disulfiram medication primarily classified as a dependency treatment agent used to support the management of chronic alcohol misuse disorder. Its main approved purpose is to deter further alcohol consumption by creating an unpleasant physical reaction upon ingestion of ethanol. This medication is available in pill form for oral administration. Regulatory bodies in various regions have approved its use exclusively for patients who are fully committed to maintaining abstinence from alcohol.

Who Should Use Antabuse?

Antabuse is specifically formulated for certain adult patient profiles committed to recovery:

  • Adults who have achieved initial detoxification from alcohol.
  • Individuals actively seeking to maintain long-term abstinence from alcohol.
  • Patients where compliance can be closely monitored by a healthcare provider.
  • It is generally indicated for adults; suitability for pediatric populations must be assessed by a specialist.

How Does It Work?

Antabuse functions by interrupting the body's natural process for breaking down alcohol, leading to a buildup of a toxic chemical called acetaldehyde. The drug achieves this by inhibiting the enzyme aldehyde dehydrogenase. When even small amounts of alcohol are consumed while taking Antabuse, acetaldehyde rapidly accumulates, triggering a highly unpleasant physical reaction. This reaction includes intense flushing, throbbing headaches, nausea, vomiting, chest Pain, and hypotension (low blood pressure). This severe physical consequence serves as a powerful deterrent against drinking. Using this treatment effectively requires total avoidance of all forms of alcohol, including hidden sources found in certain foods, mouthwashes, or topical products.

Why Choose Antabuse?

The primary advantage of Antabuse lies in its chemical intervention to reinforce behavioural commitment, acting as a pharmacologic barrier to relapse. For patients struggling with high-risk consumption patterns, this drug provides an additional layer of motivation. While other treatments focus on cravings, Antabuse manages the immediate physical consequence of failure. It is important to note that Antabuse is generally available as a generic formulation, which often offers significant cost advantages over branded versions while maintaining biological equivalence. Some specialists may discuss its use in managing certain medical conditions unrelated to alcohol, but this is considered an off-label application requiring specialist consultation.

Dosage, Administration, Lifestyle and Dietary Recommendations

Typical initial dosing regimens for Antabuse often start at 500mg once daily. After a period of monitored stabilization, a lower continuation dose, such as 250mg daily, may be prescribed by the clinician. Doses must be determined based on clinical assessment, and variations in the approved strength of 250mg and 500mg are common.

How to Take

Follow these precise administration steps to ensure proper therapeutic effect and safety:

  • Take the tablet at the same time each day to maintain consistent blood levels.
  • Swallow the pill whole with a full glass of water.
  • Do not crush, chew, or break the tablet unless specifically instructed by your clinician.
  • Ensure you have abstained from all alcohol for at least 12 hours before taking the first dose.

Missed Dose

If you forget to take your daily dose of Antabuse, take the missed dose as soon as you remember that day. If it is nearly time for your next scheduled dose, skip the missed one entirely and resume your normal dosing schedule. Never take two doses on the same day to catch up.

Overdose or Double Dose

A known or suspected overdose, especially if alcohol has been consumed simultaneously, requires immediate medical evaluation or emergency contact. Do not attempt to manage severe symptoms like chest pain or difficulty breathing at home.

Special Populations

Dosages adjustments may be necessary depending on the patient's health status. Elderly patients generally tolerate standard doses but require closer initial monitoring. Antabuse should be used with extreme caution in patients with underlying cardiac, liver, or severe kidney impairment, as the drug's effects can stress these systems.

Lifestyle & Diet

Managing diet is critical due to the risk of hidden alcohol content. Adherence is improved when patients read all product labels rigorously.

  • Avoid foods containing cooking wine or alcoholic flavourings.
  • Do not use medicated Cough syrups containing alcohol.
  • Be cautious with products like topical antiseptics or aftershave lotions containing ethanol.
  • Maintain a fully alcohol-free environment, including beverages like vinegar-based sauces or fermented products where applicable.

Precautions and Warnings

Before initiating therapy with Antabuse, patients must disclose all current medical conditions, especially those involving the heart or liver. Patients should understand that any consumption of alcohol-even trace amounts-while on this medication will result in predictable and severe physical adversity. It is vital to inform all treating physicians and dentists about the use of this medication before any procedure.

Drug Interactions

Combining Antabuse with alcohol or certain other substances can lead to rapid, dangerous reactions.

Drug Class Risk Action
Ethanol (Alcohol) Severe reaction 100% Avoidance Required
Metronidazole (Antibiotic) Possible confusion/psychosis Discuss with your clinician
Isoniazid (TB Medication) Potential for severe CNS issues Monitor closely
Certain Sedatives Increased depressive effect Use with caution

Potential Side Effects

Common Side Effects

These effects are often mild or temporary as the body adjusts to the medication:

  • Mild Fatigue or Drowsiness
  • A metallic or garlic-like taste in the mouth
  • Mild gastrointestinal upset or nausea

Less Common Side Effects

These require attention but are generally not medical emergencies:

  • Mild skin rash or itching
  • Slight headache that resolves with time
  • Changes in libido

Serious Side Effects

Seek immediate medical attention if you experience any of the following:

  • Severe chest pain, rapid heart rate, or significant shortness of breath
  • Sudden inability to walk or confusion
  • Signs of liver dysfunction (jaundice, dark urine, persistent abdominal pain)

Who Should Avoid This Medication?

This medication is strictly contraindicated for individuals with the following conditions or recent circumstances:

  • Current or recent alcohol use within the past 12 hours.
  • Known severe heart disease, recent stroke, or unstable arrhythmias.
  • Severe liver disease or failure.
  • Known allergy to Disulfiram or related compounds.
  • Pregnancy or while breastfeeding.

Storage Instructions

Proper storage ensures the medication remains effective and safe:

  • Store the pills in their original container, tightly closed.
  • Keep at room temperature, typically between 15°C and 30°C.
  • Protect the medication from excessive heat, moisture, and direct light.
  • Keep securely locked away from children and pets.

Antabuse Alternatives

Patients may explore different therapeutic approaches for alcohol misuse disorder, depending on their medical profile.

Name Class Key Difference
Naltrexone Opioid Antagonist Reduces alcohol craving, less severe reaction
Acamprosate NMDA Receptor Modulator Helps restore chemical balance post-abstinence
Topiramate Anticonvulsant Used off-label to reduce heavy drinking

Frequently Asked Questions

How long until Antabuse starts working to deter drinking?

Antabuse begins exerting its effects within hours of the first administration, provided the patient has ceased all alcohol consumption prior to starting. The deterrent effect is constant as long as the medication is taken daily as directed.

Can I use Antabuse if I am currently intoxicated?

No, Antabuse should never be initiated if the patient has consumed any alcohol within the preceding 12 hours; this combination is dangerous and can trigger a severe toxic event.

Will I feel sick all the time, even without drinking alcohol?

Generally, no, most patients report that the side effects diminish significantly after the initial adjustment period when no alcohol is consumed. Persistent nausea or metallic taste should be discussed with a clinician.

If I stop taking Antabuse, how long does the risk linger?

The physiological mechanism that prevents alcohol metabolism remains active for a significant period after the last dose, potentially up to two weeks. Patients must exercise caution regarding alcohol exposure even after discontinuing the drug.

Is this medication effective if I only drink small amounts occasionally?

Antabuse is designed for patients committed to complete abstinence; even minor consumption will trigger the intended negative reaction, making it unsuitable for controlled maintenance drinking.

How quickly does the reaction occur if I mix alcohol and Antabuse?

The severe acetaldehyde reaction usually begins within 5 to 10 minutes of consuming alcohol while under the influence of Disulfiram. Symptoms escalate quickly, often peaking within 30 to 60 minutes.

Glossary

Acetaldehyde: An intermediate toxic substance produced when the body attempts to metabolize ethyl alcohol; its buildup causes the flushing and nausea associated with a hangover or Antabuse reaction. Aldehyde Dehydrogenase: The specific enzyme in the liver that normally breaks down acetaldehyde into harmless acetic acid. Bioequivalence: The state where a generic drug provides the same therapeutic effect and safety profile as the original reference (brand) product. Contraindicated: A specific situation or patient condition where a particular drug should not be used because it may cause harm.

Disclaimer

This article provides information based on established medical knowledge concerning Antabuse (Disulfiram) and is intended for general educational purposes for residents in the UAE. This content is supplementary and should never replace direct consultation with a qualified healthcare professional regarding diagnosis, treatment, or starting/stopping medication. The use of this medication for any purpose other than its primary approved indication should only be attempted under strict medical supervision. Obtaining medication through our service requires adherence to all necessary professional reviews to ensure patient safety.

Antabuse Properties

  • Conditions To Treat: alcoholism
  • Clinical Use: Alcohol aversion therapy used to treat alcoholism
  • Spectrum Of Activity: Causes unpleasant reactions when alcohol is consumed, serving as a deterrent for drinking
  • Mechanism Of Action: Inhibits the activity of the enzyme acetaldehyde dehydrogenase, which causes a buildup of acetaldehyde and leads to unpleasant symptoms when alcohol is consumed
  • Length Of Use: Long term, used as maintenance therapy to prevent relapse in recovering alcoholics
  • Recommended Dosage: Start with 250mg per day
  • Side Effects: Nausea, vomiting, headache, chest pain

Antabuse Drug Class

Drugs Used In Alcohol Dependence

Antabuse Connected Conditions

How to Order Antabuse | Disulfiram via our Online Pharmacy

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Antabuse / Disulfiram pills are made from high-quality ingredients and tested to meet WHO and The UAE Ministry of Health (MOH) standards. Orders ship from outside UAE under international prescription rules, allowing us to provide top quality and affordable prices safely.

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Information provided by Dr. Nithya Priya Raju. Reviewed by Dr. Mohamed El Khouly