Disulfiram Toxicity Follow-up

Updated: Jan 06, 2016
  • Author: Samara Soghoian, MD, MA; Chief Editor: Asim Tarabar, MD  more...
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Further Outpatient Care

Prompt follow-up care with the primary care physician responsible for treating the patient's alcoholism should be arranged for all patients presenting with DER or disulfiram toxicity prior to discharge.

Patients with alcoholism who are treated with disulfiram must wear a medic alert bracelet indicating its usage.

Refer patients with alcoholism to an alcoholic detoxification center and advise them not to drink alcohol or consume any medication or product containing alcohol for at least 2 weeks after the last dose of disulfiram.

A psychiatrist should evaluate all patients being treated for overdose before discharge.


Further Inpatient Care

Monitor all patients with DER or acute disulfiram overdose for a minimum of 8-12 hours, even if they lack significant signs or symptoms of toxicity.

Admit patients to the ICU if they demonstrate signs and symptoms of significant toxicity.


Patient Education

For excellent patient education resources, visit eMedicineHealth's First Aid and Injuries Center and Mental Health Center. Also, see eMedicineHealth's patient education articles Poisoning, Activated Charcoal, Alcoholism, and Substance Abuse.