BACKGROUND: Disulfiram has demonstrated efficacy in six randomized clinical trials for the treatment of cocaine dependence, but is rarely used in clinical settings because of safety concerns. OBJECTIVE: What are the common and serious side effects of disulfiram in cocaine-dependent individuals with and without alcohol dependence in randomized clinical trials? METHODS: We located Phase I and II randomized trials that discussed the safety of disulfiram. RESULTS/CONCLUSIONS: In randomized clinical trials that eliminated subjects with serious cardiovascular, hepatic, and psychiatric disorders, the most frequent side effects of disulfiram over placebo or index groups include headaches, fatigue, sleepiness, and anxiety. Disulfiram in a dose of


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Charleston, South Carolina 29425
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Departments Name: Medical University of South Carolina
Institution name: Institute of Psychiatry
Authors: Malcolm R, Olive MF, Lechner W.
Journal Name: Expert Opin Drug Saf.
Data: 2008, Jul
Volume: 7(4):459-72
Country: USA