UMEM Educational Pearls

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



Goldfranks 8th Edition, p1179