Disulfiram

45 interactions 184 cited references
Also sold as: Antabuse Antabuse®
About Disulfiram

Disulfiram is a medication used to discourage drinking in people with chronic alcoholism. Read the full Disulfiram drug information page →

Dr. Brian Staiger, PharmD, BCPS
Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated Aug 10, 2026 · Editorial policy · Data sources

Sources: FDA prescribing information (Structured Product Labeling), the published literature cited in each entry, DDInter 2.0 (a major open-access drug-interaction database), and legacy DrugBank interaction data distributed by the NIH's RxNav service (decommissioned in 2024) — analyzed and reviewed by our pharmacist team. How we build this library →

Major

Disulfiram Omeprazole Gastrobim Altered disulfiram exposure and an increased risk of disulfiram toxicity (confusion, disorientation, psychotic changes) Details Disulfiram Azathioprine Azasan An increased risk of hepatotoxicity Details Disulfiram Bupropion Aplenzin Increased buPROPion exposure and reduced hydroxybuPROPion exposure Details Disulfiram Clomipramine Anafranil Increased clomiPRAMINE exposure Details Disulfiram Fexinidazole CNS toxicity (psychotic symptoms) Details Disulfiram Fosphenytoin Cerebyx Increased phenytoin or fosphenytoin (prodrug of phenytoin) exposure and an increased risk of phenytoin or fosphenytoin toxicity (a... Details Disulfiram Isocarboxazid Marplan An increased risk of severe toxicity, including convulsions Details Disulfiram Levoketoconazole Recorlev Increased risk of serious hepatotoxicity and drug-induced liver injury Details Disulfiram Meloxicam Alloxate Increased meloxicam exposure and reduced meloxicam metabolic clearance Details Disulfiram Meperidine Demerol Increased meperidine exposure and an increased risk of meperidine-related adverse effects Details Disulfiram Mercaptopurine Purinethol® An increased risk of hepatotoxicity Details Disulfiram Methadone Diskets Increased methadone exposure and an increased risk of opioid adverse effects Details Disulfiram Methotrexate Jylamvo Increased methotrexate exposure, an increased risk of methotrexate-related severe adverse reactions, reduced active metabolite for... Details Disulfiram Phenobarbital Fidoquel Increased PHENobarbital exposure and an increased risk of PHENobarbital-related adverse effects Details Disulfiram Phenytoin Dilantin Increased phenytoin or fosphenytoin (prodrug of phenytoin) exposure and an increased risk of phenytoin or fosphenytoin toxicity (a... Details Disulfiram Pimozide Increased pimozide exposure and an increased risk of pimozide-related adverse reactions Details Disulfiram Primidone Mysoline Increased PHENobarbital exposure and an increased risk of PHENobarbital-related adverse effects Details Disulfiram Secnidazole Solosec Risk of sudden psychiatric symptoms (eg, delirium, confusion) Details Disulfiram Tinidazole Tindamax CNS toxicity (psychotic symptoms, confusion) Details Disulfiram Tizanidine Increased tiZANidine exposure and an increased risk of tiZANidine-related hypotension, bradycardia or increased drowsiness Details Disulfiram Tranylcypromine Parnate An increased risk of delirium (agitation, disorientation, hallucinations) Details Disulfiram Voriconazole Vfend Increased voriconazole exposure Details Disulfiram Warfarin Coumadin Increased warfarin exposure, an increased risk of bleeding and an increased INR Details Disulfiram Meloxicam Injection Alloxate Increased meloxicam exposure and reduced meloxicam metabolic clearance Details Disulfiram Methotrexate Injection Abitrexate® Increased methotrexate exposure, an increased risk of methotrexate-related severe adverse reactions, reduced active metabolite for... Details

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Educational information only, not medical advice. Always confirm interactions with your pharmacist or prescriber before making any change to your medications.