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Cefotetan Injection and Disulfiram-like reaction

Result of checking the interaction of drug Cefotetan Injection and disease Disulfiram-like reaction for safety when used together.

Check result:
Cefotetan Injection <> Disulfiram-like reaction
Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

When checking interaction based on authoritative sources Drugs.com, Rxlist.com, Webmd.com, Medscape.com there are contraindications or side effects that may cause harm or increase the negative effect from drug use in presence of concomitant diseases.

Consumer:

Disulfiram-like reactions may occur in patients who consume alcohol within 72 hours after administration of a cephalosporin antibiotic that contains an N-methylthiotetrazole (NMTT) side chain (cefamandole, cefmetazole, cefoperazone, cefotetan). The reaction appears to result from accumulation of acetaldehyde due to inhibition of acetaldehyde dehydrogenase. Therapy with cephalosporins containing the NMTT side chain should be administered cautiously in patients with a history of alcoholism. Patients should be instructed to avoid alcohol-containing products during therapy and up to 72 hours after the last dose.

References:
  • Freundt KJ, Kitson TM "Inactivation of aldehyde dehydrogenase by a putative metabolite of cefamandole." Infection 14 (1986): 44-7
  • "Product Information. Mandol (cefamandole)." Lilly, Eli and Company, Indianapolis, IN.
  • "Product Information. Cefobid (cefoperazone)." Roerig Division, New York, NY.
  • Umeda S, Arai T "Disulfiram-like reaction to moxalactam after celiac plexus alcohol block." Anesth Analg 64 (1985): 377
  • "Product Information. Zefazone (cefmetazole)." Pharmacia and Upjohn, Kalamazoo, MI.
  • "Product Information. Cefotan (cefotetan)." Stuart Pharmaceuticals, Wilmington, DE.
  • Kline SS, Mauro VF, Forney RB Jr, et al "Cefotetan-induced disulfiram-type reactions and hypoprothrombinemia." Antimicrob Agents Chemother 31 (1987): 1328-31
  • Brown KR, Guglielmo BJ, Pons VG, Jacobs RA "Theophylline elixir, moxalactam, and a disulfiram reaction." Ann Intern Med 97 (1982): 621-2
  • Freundt KJ, Schreiner E, Christmann-Kleiss U "Cefamandole: a competitive inhibitor of aldehyde dehydrogenase." Infection 13 (1985): 91
  • McMahon FG "Disulfiram-like reaction to a cephalosporin." JAMA 243 (1980): 2397
  • Reeves DS, Davies AJ "Antabuse effect with cephalosporins." Lancet 2 (1980): 540
  • Foster TS, Raehl CL, Wilson HD "Disulfiram-like reaction associated with a parenteral cephalosporin." Am J Hosp Pharm 37 (1980): 858-9
Cefotetan Injection

Generic Name: cefotetan

Brand Name: Cefotan

Synonyms: Cefotetan, CefoTEtan

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