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What Dosage Of Disulfiram Will Show Up In The Blood Test?

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Posted on Tue, 20 Jan 2015
Question: how many doses of disulfiram would I have to take before it showed up in a blood test 200mgs tablets
I have taken 3 one each day and had a blood test today
doctor
Answered by Dr. Ravi Soni (19 minutes later)
Brief Answer:
It can be detected

Detailed Answer:
Hi,

Thanks for writing through HCM.

Disulfiram inhibits the enzyme for the metabolism of alcohol. Metabolism of disulfiram is complicated, because of its high lipid solubility.

Disulfiram is widely distributed and accumulated in various fat depots. Disulfiram is rapidly metabolised to diethyldithiocarbamate (DDC), which is partly excreted as carbon disulfide in the expired air and is partly metabolised in the liver to Me-DDC. Me-DDC is metabolised further to the active metabolite Me-DTC (diethyl-thiocarbaminic acid methyl ester).

The plasma half-life for Me-DTC is about ten hours, so it can be detected in the blood, but in three days the steady state plasma level will not be achieved so it may be difficult to detect. SO, it depends upon the metabolism of disulfiram. You may require higher dosage for detection in blood. It can be detected by measuring the carbon disulfide in breathing by breath analyzer.

Usual dosage of Disulfiram is,
Initial dosage: Four 200mg tablets (800mg) daily for 2-3 days.
Maintenance dose: Reduce by 200mg daily until a daily dose of 100-200mg is
attained.

I am not sure of it's detection in blood. DO not change the dosage of disulfiram on your own, visit your prescribing doctor for change in dosage and follow his advice.

Hope I have answered your query. If you have further query then I will be happy to help.

Wish you good health.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Ravi Soni (41 minutes later)
so then it is highly probable that they will know I have been taking it it is for a job and I do not want them to know this many thanks
doctor
Answered by Dr. Ravi Soni (20 minutes later)
Brief Answer:
Initial dosage for 3 days

Detailed Answer:
Hi, thanks for writing again.

I have said that I can not say correctly but the initial dose of 4 tablets of 200 mg for 3 days will give positive result on 4th day but if you will take 200 mg once a day for a week then It can also give positive results.

There are high chances for it's detection.

Hope this will help you.
If you do not have further question then close the detection and rate the answer. Wish you good health.
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Ravi Soni

Psychiatrist

Practicing since :2010

Answered : 538 Questions

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What Dosage Of Disulfiram Will Show Up In The Blood Test?

Brief Answer: It can be detected Detailed Answer: Hi, Thanks for writing through HCM. Disulfiram inhibits the enzyme for the metabolism of alcohol. Metabolism of disulfiram is complicated, because of its high lipid solubility. Disulfiram is widely distributed and accumulated in various fat depots. Disulfiram is rapidly metabolised to diethyldithiocarbamate (DDC), which is partly excreted as carbon disulfide in the expired air and is partly metabolised in the liver to Me-DDC. Me-DDC is metabolised further to the active metabolite Me-DTC (diethyl-thiocarbaminic acid methyl ester). The plasma half-life for Me-DTC is about ten hours, so it can be detected in the blood, but in three days the steady state plasma level will not be achieved so it may be difficult to detect. SO, it depends upon the metabolism of disulfiram. You may require higher dosage for detection in blood. It can be detected by measuring the carbon disulfide in breathing by breath analyzer. Usual dosage of Disulfiram is, Initial dosage: Four 200mg tablets (800mg) daily for 2-3 days. Maintenance dose: Reduce by 200mg daily until a daily dose of 100-200mg is attained. I am not sure of it's detection in blood. DO not change the dosage of disulfiram on your own, visit your prescribing doctor for change in dosage and follow his advice. Hope I have answered your query. If you have further query then I will be happy to help. Wish you good health.