Disulfiram diazepam

Diazepam (Valium, Diastat) [C-IVj [Anxiolytic, Skeletal Muscle Relaxant, Anticonvulsant, Sedative/Hypnotic/ Benzodiazepine] Uses Anxiety, EtOH withdrawal, muscle spasm, status epilepticus, panic disorders, amnesia, preprocedure sedation Action Benzodiazepine Dose Adults. Status epilepticus 5-10 mg IV/IM Anxiety 2-5 mg IM/IV Preprocedure 5-10 mg IV just prior to procedure Peds. Status epilepticus 0.5-2 mg IV/IM Sedation 0.2-0.5 mg/kg IV (onset w/in 5IV and 30 min IM duration about 1 h IV and IM) Caution [D, / -] Contra Coma, CNS depression, resp d es-sion, NAG, severe uncontrolled pain, PRG Disp Tabs 2, 5, 10 mg soln 1, 5 mg/mL inj 5 mg/mL rectal gel 2.5, 5, 10, 20 mg/mL SE Sedation, amnesia, bradycardia, i BP, rash, X resp rate Interactions T Effects W/ antihistamines, azole antifungals, BBs, CNS depressants, cimetidine, ciprofloxin, disulfiram, INH, OCP, omeprazole, phenytoin, valproic acid, verapamil, EtOH, kava kava, valman T effects OF digoxin, diuretics X effects w/ barbiturates, carbamazepine. 

Primidone Disulfiram Dextroamphetamine Valproic acid Phenylephrine Phenytoin Isoetharine Carbamazepine Amitriptyline Triazolam Diazepam... 

With the important exception of additive effects when combined with other CNS depressants, including alcohol, BZDs interact with very few drugs. Disulfiram (see the section The Alcoholic Patient in Chapter 14) and cimetidine may increase BZD blood levels, and diazepam may increase blood levels of digoxin and phenytoin. Antacids may reduce the clinical effects of clorazepate by hindering its biotransformation to desmethyidiazepam. Coadministration of a BZD and another drug known to induce seizures may possibly increase seizure risk, especially if the BZD is abruptly withdrawn. Furthermore, as noted earlier, important interactions have been reported among nefazodone, erythromycin, troleandomycin, and other macrolide antibiotics, as well as itraconazole. In each case, metabolism is inhibited, and triazolam levels can increase significantly. 

Disulfiram inhibits hepatic drug metabolism and can prolong the effects of substances that are normally metabolized in the liver. This has been studied for various benzodiazepines. The clearances of chlordiazepoxide and diazepam were significantly reduced and their half-lives prolonged by disulfiram (43). 

Disulfiram Diazepam Phenytoin Risk of toxicity, particularly with phenytoin Inhibition of metabolism of the object drugs... 

Disulfiram inhibits the hepatic metabolism of other drugs and can prolong their effects. The half-lives of chlordia-zepoxide and diazepam increase significantly after disulfiram, while the clearances are reduced, with accumulation. No change in half-life or clearance has been noted for oxazepam (which is not metabolized in... 

Figure 2.7 Plot of aqueous solubility using amorphous versus crystalline material at pH 7.4 following 24 h agitation. (1) Disulfiram, (2) astemizole, (3) bicalutamide, (4) ketoconazole, (5) loperamide, (6) glyburide, (7) griseofulvin, (8) terfenadine, (9) nifedipine, (10) haloperidol, (11) testosterone, (12) flutamide, (13) bitolterol, (14) diazepam, (15) carbamazepine, (16) chlorzoxazone.

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