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Question no. 63149

Which drug produces a disulfiram-like (antabuse) reaction when alcohol is consumed______________?

Select your answer for: Which drug produces a disulfiram-like (antabuse) reaction when alcohol is consumed______________?
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Answer: C. Metronidazole

Explanation

Metronidazole inhibits aldehyde dehydrogenase, causing toxic acetaldehyde accumulation when alcohol is consumed. Blocking this crucial metabolic enzyme mirrors the exact mechanism of disulfiram intoxication therapy. Patients experience severe flushing, vomiting, and tachycardia due to un-metabolized acetaldehyde buildup. Aldehyde dehydrogenase is responsible for breaking down acetaldehyde into harmless acetic acid derivatives. Disulfiram-like reactions create extremely unpleasant physiological deterrents against concurrent alcohol consumption. Metronidazole is a widely prescribed antimicrobial targeting anaerobic bacterial and protozoal infections.

Patients receiving metronidazole must receive strict warnings to avoid alcohol in all forms. Accidental alcohol ingestion from cough syrups can trigger severe adverse disulfiram-like reactions. Pharmacists play a key role in counseling patients about dangerous drug and alcohol interactions. Penicillin G does not inhibit aldehyde dehydrogenase or cause adverse reactions with alcohol consumption. Clindamycin targets bacterial protein synthesis without producing disulfiram-like adverse metabolic effects. Doxycycline is a broad-spectrum tetracycline antibiotic that lacks alcohol-induced acetaldehyde accumulation properties.

Subject
Medical
Category
Medical
Topic
—
Difficulty
medium

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