Medication: Disulfiram (Antabuse®)
Disulfiram is a drug which makes you ill if you drink alcohol. It prevents alcohol being properly metabolised, so that you get an unpleasant reaction if you drink. Indeed, you need to avoid anything with alcohol when taking it - like mouthwash, perfume or aftershave. Make no mistake, you can be very ill indeed if you drink on top of Antabuse.
So don't think about using it unless you're clear about the risks involved. The best thing about this drug is that it can help to fix your motivation at it's highest point. If you take it every morning, you’re making a real commitment and keeping your motivation for the rest of the day. Like acamprosate, it should always be combined with some psychological or social treatments Some people take it in front of their partner. Other people just take it when they know they’ll be at extra risk - when going to a wedding or a party, for example.
People also report that when they know they haven't got the choice of drinking, then it makes their cravings reduce dramatically.
You should always have some form of psychological help as well as taking disulfiram.
And it's more likely to work if you have someone making sure that you take it.
Before you're prescribed it, you should have a comprehensive medical assessment including baseline urea, electrolytes and liver function tests1.
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