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Drug interactions

Disulfiram + Procarbazine

Severity: Moderate

Disulfiram and Procarbazine: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Procarbazine can cause a disulfiram-like reaction with alcohol and may also produce CNS effects. With disulfiram, there are case reports of delirium or psychosis, and effects on alcohol intolerance may be additive.

What this interaction means in plain words

Disulfiram and Procarbazine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Mechanism not firmly established; possible additive CNS toxicity and aldehyde dehydrogenase related effects.

What to do

Monitor for confusion, agitation and altered mental status, and counsel strictly against alcohol. Consider alternatives if neuropsychiatric symptoms emerge.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Disulfiram with Procarbazine?

MediHelp rates the interaction as moderate. Disulfiram and Procarbazine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Procarbazine can cause a disulfiram-like reaction with alcohol and may also produce CNS effects. With disulfiram, there are case reports of delirium or psychosis, and effects on alcohol intolerance may be additive.

How serious is the interaction between Disulfiram and Procarbazine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for confusion, agitation and altered mental status, and counsel strictly against alcohol. Consider alternatives if neuropsychiatric symptoms emerge.

What other medicines interact with Procarbazine?

MediHelp also lists interactions of Procarbazine with, for example, Adenovirus types 4 and 7 live, Amitriptyline, Amoxapine. The full list is on the Procarbazine page.

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