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Disulfiram

Brand names: Antabuse

Disulfiram helps people stay away from alcohol by causing an unpleasant reaction if they drink.

Brand namesAntabuse
Type of medicineAlcohol use disorder medicine
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

It works only when taken daily and as part of a full recovery program.

What it's used for

  • Alcohol use disorder

How to take it

  • Never take it while intoxicated or within 12 hours of drinking.
  • Avoid all alcohol, including in mouthwash, cough syrup, sauces, and some skin products, while taking it and for 2 weeks after.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Drowsiness
  • Metallic or garlic taste
  • Headache
  • Skin rash
Call 911After drinking: severe vomiting, chest pain, trouble breathing, fainting, or confusion
Call your provider todayYellow skin or eyes or dark urine (liver)
Call your provider todayNumbness or tingling in hands or feet

Warnings

  • Boxed warning: never give it to someone who is drinking or without their full knowledge.
  • Carry a card saying you take it.

Other medicines, foods, and alcohol

  • Metronidazole, alcohol-containing medicines, and some others can cause serious reactions.
  • It raises levels of warfarin and phenytoin.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Talk with your provider.

Missed doses, overdose, and storage

If you miss a dose

Take it as soon as you remember, unless it's almost time for your next dose. Then skip the missed dose. Don't take two doses at once.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.