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Antabuse and Coumadin

Determining the interaction of Antabuse and Coumadin and the possibility of their joint administration.

Check result:
Antabuse <> Coumadin
Relevance: 26.11.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using warfarin together with disulfiram can cause you to bleed more easily. You may need a dose adjustment in addition to testing of your prothrombin time or International Normalized Ratio (INR). Call your doctor promptly if you have any unusual bleeding or bruising, vomiting, blood in your urine or stools, headache, dizziness, or weakness. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

MONITOR: Disulfiram increases the anticoagulant effect of warfarin in most patients. The mechanism is unknown. A similar effect probably occurs with other oral anticoagulants.

MANAGEMENT: Close monitoring for clinical and laboratory evidence of altered anticoagulant effect is indicated when these drugs are used together. Patients should be advised to notify their physicians if they experience any signs of excessive anticoagulation, such as unusual or prolonged bleeding, bruising, vomiting, change in stool or urine color, headache, dizziness, or weakness.

References
  • Koch-Weser J, Sellers EM "Drug interactions with coumarin anticoagulants (second of two parts)." N Engl J Med 285 (1971): 547-58
  • O'Reilly RA "Interaction of sodium warfarin and disulfiram (antabuse) in man." Ann Intern Med 78 (1973): 73-6
  • Rothstein E "Warfarin effect enhanced by disulfiram." JAMA 206 (1968): 1574-5
  • Wells PS, Holbrook AM, Crowther NR, Hirsh J "Interactions of warfarin with drugs and food." Ann Intern Med 121 (1994): 676-83
Antabuse

Generic Name: disulfiram

Brand name: Antabuse

Synonyms: n.a.

Coumadin

Generic Name: warfarin

Brand name: Coumadin, Jantoven

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle
Disease interaction