Buy Antabuse
Antabuse

$0.62
Active Ingredient
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Prescription
Issued on site / Included
Availability
In Stock
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Antabuse Properties

Active Ingredients
Primary Category
Pharmacological Class
Aldehyde Dehydrogenase Inhibitor
Indications
Minor Side Effects
Moderate Side Effects
Dosage Forms
Tablets
Administration Route
Oral
Mechanism of Action
Causes an unpleasant reaction when alcohol is consumed, which helps discourage drinking as part of a treatment program for alcohol dependence.
Prescription Status
Rx
Patient Summary
A medication used to support the treatment of chronic alcoholism by producing an unpleasant effect if alcohol is consumed.
Onset Time
Effects (with alcohol) are rapid
Duration
Effects (with alcohol) can last hours; drug effects can last days after stopping
Storage Instructions
Store at room temperature, away from moisture
Age Restrictions
For use in adults; consult healthcare professional for specific guidelines
Pregnancy Use
Consult doctor before use during pregnancy or breastfeeding

About Antabuse

Antabuse (disulfiram) is prescribed for people who wish to maintain abstinence from alcohol. It belongs to the class of aldehyde-dehydrogenase inhibitors and is taken as a tablet. In Singapore, the medication is only available by prescription and is intended for adults who have committed to an alcohol-cessation program. By creating an unpleasant physical reaction when alcohol is consumed, Antabuse helps reinforce the decision to stay sober and supports behavioral strategies used in mental-health counseling.

What is Antabuse?

Antabuse is the brand name for the generic drug disulfiram, an oral tablet formulated to inhibit a specific liver enzyme involved in alcohol metabolism. First introduced in the -s, the product is marketed by a consortium of international manufacturers; the exact brand holder varies by region, but the active ingredient remains the same worldwide. Because it interferes with a biochemical step that is essential for converting ethanol into harmless metabolites, the medication is classified as a deterrent therapy for alcohol-use disorder-a condition that falls under the mental-health umbrella. In Singapore, Antabuse is listed as a prescription-only medicine, reflecting the need for professional supervision when initiating and maintaining treatment.

How Antabuse Works

When ethanol is ingested, the liver first converts it to acetaldehyde through the action of alcohol dehydrogenase. Under normal circumstances, acetaldehyde is swiftly transformed into acetate by aldehyde dehydrogenase (ALDH), a process that limits the toxic buildup of acetaldehyde and reduces the sensation of a “hangover.” Disulfiram binds irreversibly to ALDH, rendering the enzyme inactive for up to two weeks. Consequently, any subsequent intake of alcohol leads to a rapid accumulation of acetaldehyde. Elevated acetaldehyde triggers flushing, throbbing headache, nausea, palpitations, and a profound sense of discomfort. The predictable aversive reaction creates a behavioral block: individuals learn to associate drinking with immediate, unpleasant effects, which discourages future consumption.

Pharmacokinetically, disulfiram is well absorbed from the gastrointestinal tract, reaching peak plasma concentrations within two to three hours. It is extensively metabolized in the liver, producing several active metabolites that continue to inhibit ALDH for days after the last dose. The onset of the deterrent effect typically appears after the initial loading dose and reaches steady inhibition after a few days of daily dosing. Because the inhibition persists long after the tablet has been cleared, patients must avoid alcohol for at least twelve hours before taking the first dose and for at least fourteen days after the final dose to prevent accidental reactions.

Why Antabuse Is Used for Mental-Health Conditions

Alcohol-use disorder is a chronic, relapsing condition that combines physiological dependence with psychological cravings. Standard counseling approaches-motivational interviewing, cognitive-behavioral therapy, and support groups-address the mental-health aspects but often struggle against the powerful drive to drink. By inserting a pharmacological deterrent, Antabuse directly targets the reinforcing loop that sustains drinking behavior.

  1. Reinforcement of Abstinence - When patients experience the disulfiram-induced reaction after an unplanned drink, the vivid memory of distress strengthens the resolve to stay sober. Clinical trials have shown that, compared with counseling alone, the addition of disulfiram reduces the proportion of drinking days by roughly 30 % over six months.
  2. Facilitation of Treatment Adherence - The knowledge that alcohol will cause an immediate reaction encourages patients to adhere to other therapeutic components, such as regular therapy appointments and peer-support meetings. Studies cite higher attendance rates in combined-therapy groups.
  3. Alignment with Relapse-Prevention Plans - Many relapse-prevention protocols include contingency management-rewarding dry days and penalizing drinking. Disulfiram provides a physiological “penalty,” complementing the psychological rewards.
  4. Evidence-Based Guidance - International guidelines, including those from the World Health Organization, list disulfiram as an option for individuals who have demonstrated motivation to quit and who can be reliably monitored for adherence.

These rationales explain why mental-health professionals often incorporate Antabuse into comprehensive treatment plans for alcohol-use disorder, especially when patients have a history of repeated relapses despite counseling alone.

Off-Label and Investigational Uses of Antabuse

Beyond alcohol deterrence, disulfiram has been explored in several off-label contexts. Small pilot studies have examined its role in treating cocaine dependence, reasoning that the aversive reaction to alcohol might generalize to other substance-use patterns when combined with behavioral interventions. Preliminary data suggest modest reductions in cocaine-seeking behavior, but results remain inconsistent. Researchers have also investigated disulfiram’s impact on certain psychotic disorders, hypothesizing that inhibition of dopamine-β-hydroxylase could modify catecholamine balance. While biochemical theory supports a potential benefit, clinical evidence is limited to case series. Off-label use only under qualified healthcare provider supervision is essential, given the risk of severe reactions if alcohol is inadvertently consumed.

Is Antabuse Right for You?

Ideal candidates are adults who have completed a brief detoxification phase, are committed to abstinence, and can attend regular follow-up visits. The medication works best when the individual understands the need to avoid all sources of alcohol-including sauces, cough syrups, and certain mouthwashes-and can maintain a reliable schedule for taking the tablet. Patients with severe liver disease, uncontrolled psychiatric illness, or a history of hypersensitivity to disulfiram should generally avoid the drug. As noted above, certain patients should avoid this therapy, such as those with chronic heart disease or those taking medications that also affect the ALDH pathway. Pregnant or breastfeeding individuals are also advised against use because the safety profile in these populations is not established. Ultimately, the decision rests on a risk-benefit assessment performed by a qualified clinician.

Taking Antabuse Effectively

Adherence hinges on timing and context. The first dose is usually administered under direct supervision in a clinical setting to confirm tolerance. Subsequent tablets are taken once daily, preferably at the same hour each morning, with a full glass of water. Because food does not markedly affect absorption, patients may choose to take the medication with or without meals; however, a consistent routine helps prevent missed doses. If a dose is forgotten, it is generally advisable to skip it rather than double-administer later, as accumulation of active metabolites may increase the severity of any accidental reaction. Patients should also avoid over-the-counter products that contain alcohol, such as certain mouthwashes, topical antiseptics, and some herbal tinctures. Setting phone alarms, linking the medication to a daily habit (e.g., morning coffee), and involving a trusted family member in monitoring can further bolster compliance.

Understanding Side Effects and How to Manage Them

The aversive reaction to alcohol is intentional, yet the medication can produce unintended effects even in the absence of alcohol. Commonly reported sensations include mild fatigue, headache, and a metallic taste, which often subside within a few weeks as the body adjusts. These symptoms arise because disulfiram also interferes with the metabolism of other aldehydes generated during normal cellular processes. To mitigate discomfort, patients should stay well-hydrated, maintain a balanced diet, and avoid strenuous exercise during the initial weeks.

More serious concerns involve hepatic stress and neuropathy. Elevations in liver enzymes may signal early liver impairment; routine laboratory monitoring every two to three months allows detection before clinical symptoms appear. If liver tests rise significantly, clinicians typically discontinue the drug and evaluate alternative treatments. Peripheral neuropathy, manifested as tingling or numbness in the extremities, is less frequent but warrants prompt assessment. Reducing the dosage or switching to a different deterrent strategy may be necessary.

Warning signs that demand immediate medical attention include sudden shortness of breath, chest pain, or severe palpitations unrelated to alcohol exposure. Though rare, disulfiram can precipitate a disulfiram-alcohol reaction even with trace amounts of alcohol found in certain foods or medications; such reactions may be life-threatening and require emergency care.

Buying Antabuse from Our Online Pharmacy

Why Choose Our Service?

Our platform connects you with licensed international pharmacies that stock authentic Antabuse tablets, ensuring you receive the medication at a fraction of the local retail price. The streamlined ordering process eliminates the need for multiple in-person visits when a valid prescription is already in hand.

Quality & Safety

We partner with pharmacies that hold certifications from recognized regulatory bodies such as the Singapore Health Sciences Authority, the UK MHRA, and the U.S. FDA. Each shipment undergoes a verification check to confirm that the product matches the original manufacturer’s specifications and has not been subject to temperature abuse.

Pricing & Access

Because disulfiram is off-patent, generic versions are widely available, enabling us to pass on considerable savings-often up to 60 % lower than the price quoted in local private pharmacies. For patients who encounter insurance barriers or limited stock, we also list alternative brands that contain the same active ingredient, giving you flexibility without compromising efficacy.

Discreet Delivery

Orders are packaged in unmarked envelopes, with each tablet bottle wrapped in bubble-fill to protect against damage. Standard airmail typically arrives within three weeks, while express shipping delivers to most Singapore addresses in about seven days. All shipments comply with Singapore’s import regulations, and we provide tracking numbers for real-time monitoring.

Frequently Asked Questions

  • What should I do if I accidentally ingest alcohol while on Antabuse? Immediately stop drinking, sit down, and seek medical assistance. Even a small amount can trigger a severe reaction, so informing emergency personnel that you are taking disulfiram is crucial.

  • How long does the deterrent effect last after I stop taking the medication? Active metabolites can persist for up to two weeks, meaning the aversive response may still occur during that window. Abstaining from alcohol for at least twelve hours before the final dose and for fourteen days afterward is recommended.

  • Can I consume products that contain small amounts of ethanol, such as vanilla extract or certain sauces? Many culinary ingredients contain trace ethanol. While occasional use of minute quantities is unlikely to cause a reaction, it is safest to avoid any foods or beverages where alcohol is listed in the ingredients.

  • Is Antabuse compatible with my antidepressant medication? Disulfiram does not share a direct pharmacological pathway with most antidepressants, but it can interfere with drugs metabolized by the liver. A pharmacist or prescriber should review potential interactions before combining therapies.

  • Will Antabuse affect my ability to drive or operate machinery? The medication itself does not impair cognitive function, but the side effects-such as headache or dizziness-may temporarily reduce alertness. If you experience these symptoms, refrain from driving until they subside.

  • How does Antabuse compare with other pharmacotherapies for alcohol dependence, such as naltrexone or acamprosate? While naltrexone blocks the rewarding effects of alcohol and acamprosate modulates glutamate transmission, disulfiram creates a physiological deterrent. Choice of therapy depends on individual preference, medical history, and the level of supervision available.

  • Can I take Antabuse if I have a history of heart disease? Cardiovascular conditions are listed among the contraindications because the acetaldehyde surge can provoke arrhythmias or angina. Patients with controlled heart disease should discuss risks thoroughly with their cardiologist before initiating treatment.

  • What laboratory tests are required while I am on Antabuse? Baseline liver function tests are performed before starting therapy, followed by periodic monitoring every two to three months. Some clinicians also check complete blood counts to detect rare hematologic effects.

  • Is there a risk of developing tolerance to the disulfiram-alcohol reaction? The inhibition of ALDH is irreversible for the life of the enzyme, so tolerance does not develop. Each exposure to alcohol after taking the drug will still produce the same aversive response.

  • Can pregnant women use Antabuse? Safety data in pregnancy are insufficient, and the potential for fetal harm exists. Current guidelines advise against use during pregnancy; alternative support strategies should be pursued.

Glossary

Aldehyde-dehydrogenase (ALDH)
An enzyme that converts toxic acetaldehyde, a by-product of alcohol metabolism, into harmless acetate. Disulfiram blocks this enzyme, leading to acetaldehyde accumulation.
Acetaldehyde
A reactive compound formed when ethanol is broken down. Its buildup causes flushing, nausea, and other unpleasant symptoms.
Deterrent therapy
A pharmacological approach that creates adverse physical effects upon exposure to a substance, thereby discouraging its use.
Pharmacokinetics
The study of how a drug is absorbed, distributed, metabolized, and excreted by the body. For disulfiram, prolonged inhibition of ALDH persists after the tablet is cleared.
Off-label use
Prescription of a medication for an indication that has not received formal regulatory approval, typically based on emerging clinical evidence.

Disclaimer

The information provided about Antabuse is for general knowledge only and does not replace professional medical consultation. All treatment decisions, including those regarding off-label use, should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Antabuse for individuals who may have limited availability through traditional pharmacies, prescription-based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.

External Resources about Antabuse


Information Prepared By

Nawin Kittisak
Vikneswaran V Paranjothy