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At discharge, a nursing officer is counseling an alcoholic patient who has been started on disulfiram. Which advice is most important?
Question

At discharge, a nursing officer is counseling an alcoholic patient who has been started on disulfiram. Which advice is most important?

A.

Take alcohol in moderation

B.

Avoid alcohol and alcohol-containing products (like cough syrups, aftershaves)

C.

Stop drug if craving increases

D.

Take double dose if alcohol consumed accidentally

Correct option is B

Patients on disulfiram must strictly avoid alcohol in any form (including OTC medicines, mouthwash, aftershaves) to prevent severe disulfiram–alcohol reaction.
Explanation of options: (a) ✘ Even small amounts can trigger severe reaction. (b) ✔ Correct; avoid all alcohol-containing products. (c) ✘ Craving control is not indication to stop drug. (d) ✘ Increasing dose is dangerous, never advised.

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