RT Book, Section A1 Geller, Richard J. A2 Olson, Kent R. A2 Anderson, Ilene B. A2 Benowitz, Neal L. A2 Blanc, Paul D. A2 Clark, Richard F. A2 Kearney, Thomas E. A2 Kim-Katz, Susan Y. A2 Wu, Alan H. B. SR Print(0) ID 1174605803 T1 DISULFIRAM T2 Poisoning & Drug Overdose, 7e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071839792 LK accessmedicine.mhmedical.com/content.aspx?aid=1174605803 RD 2024/04/24 AB Disulfiram (tetraethylthiuram disulfide [CASRN 97-77-8], or Antabuse) is an antioxidant industrial chemical produced since 1881 for the vulcanization of rubber. Introduced in the 1930s into clinical medicine as a vermicide and scabicide, it has been used in the United States since 1951 as a drug in the treatment of alcoholism. Ingestion of ethanol while taking disulfiram causes a well-defined unpleasant reaction, the fear of which provides a negative incentive to drink alcohol. Clinical toxicity is caused by overdose or occurs as a result of a disulfiram–ethanol drug interaction. Disulfiram is being investigated for the treatment of cocaine addiction, drug-resistant fungal infections, and malignancies. The toxicities resulting from disulfiram overdose differ from those of disulfiram–ethanol interaction.