Abstract
To the Editor.— The LETTER of Koff et al ( 215 :1988-1989, 1971) is a timely reminder of the precautions which the physician prescribing disulfiram must impress upon his patient. I discuss this with the patient when he is first administered this medication, and I also write out for him a list of proscribed alcohol-containing substances. The list goes like this: no alcohol, hard liquor, wine, beer, liqueurs, aperitifs, cider, wine vinegar, cooking wine, alcohol sponges, extensive applications of body lotions, eau de Cologne, mouthwashes, after-shave lotion, cough medication unless prescribed by a physician, or paraldehyde. It may be that I err on the over-cautious side, but I have never had a patient report a disulfiram-alcohol reaction from substances he was forewarned about.
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