| Aasywhewly | Дата: Пятница, 18.10.2013, 21:28 | Сообщение # 1 |
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Disulfiram inhibits enzyme induction and may thus interfere with the metabolism of drugs taken concomitantly. it enhances the effects of the coumarin anticoagulants and phenytoin. consequently, in patients on oral anticoagulants, such dosage should be adjusted. in patients on phenytoin therapy, a baseline phenytoin serum level should be obtained before initiation of disulfiram therapy. after initiation of therapy, serum levels should be reevaluated on different days for evidence of an increase or continuing rise in levels. appropriate dosage adjustment should be made, if elevated levels are found. disulfiram should be discontinued in patients taking isoniazid if an unsteady gait develops or there are marked changes in mental state.
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I don't have experience with an uncooperative doctor but maybe your doc just isn't familiar enough with addiction treatment. i can understand not prescribing some of the newer anti-craving medications but antabuse has a pretty clear cut use and track record. unless your doc knows you well enough to suspect you just won't take it daily and will stop taking it when you feel like drinking. could that be the case?
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Man that author sure goes to a great length to discuss why aa doesn't work...i have chained together so much pain in peoples lives. therapy with group or otherwise has me sober right now. it can be a drain to see the revolving door of relapse. from hazelton to malibu to oak street i get to see a ton of relapse...i've fully conceded i to my inner most self that i am an alcoholic and i'm well right now.
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