UMEM Educational Pearls

Title: Medications that Cause a Disulfiram Like Reaction

Category: Toxicology

Keywords: disulfiram (PubMed Search)

Posted: 9/25/2014 by Fermin Barrueto (Updated: 12/26/2024)
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When you prescribe certain medications, it may require some further instructions to avoid ethanol or a disulfiram like reaction (nausea, vomiting, flushing) may occur. Keep this short list in your brain:

1) Particular cephalosporins: cefotetan is a the one more likely

2) Nitrofurantoin

3) Sulfonylureas: chlorpropamide and tolbutamide

4) Metronidazole

5) Trimethoprim-sulfamethoxazole

 

References

Goldfranks 8th Edition, p1179