Antabuse 250 mg and 500 mg Availability
Antabuse and Disulfiram Product Details
| Medication | Antabuse / Disulfiram |
|---|---|
| Active ingredient | Disulfiram |
| Product type | Generic prescription medication; Antabuse is the reference brand name |
| Drug class | Alcohol deterrent |
| Dosage form | Oral tablets |
| Displayed strengths | 250 mg and 500 mg |
| Manufacturer | Provided by the assigned dispensing pharmacy |
| Country of manufacture | Provided for the available finished product |
| NDC | Provided for the available finished product |
| FDA status | FDA-approved generic disulfiram tablets are available in the U.S.; the assigned pharmacy identifies the exact finished drug |
| Prescription status | Prescription required |
The image is illustrative. The assigned pharmacy provides the actual manufacturer, tablet appearance, labeling, package and NDC for the product it can dispense.
Approximate Disulfiram Prices
The amounts below are approximate starting prices for 30-tablet generic packages. The assigned pharmacy provides the final product and charge before the order is completed.
| Strength | Package | Approximate price | Per tablet |
|---|---|---|---|
| Disulfiram 250 mg | 30 tablets | Approximately $26 | Approximately $0.87 |
| Disulfiram 500 mg | 30 tablets | Approximately $112 | Approximately $3.73 |
The final amount may vary by prescription, available manufacturer, insurance or discount terms, and the pharmacy assigned to fulfill the request.
Patients without a current prescription may select a $20 online medical consultation with Cody R. Christensen, DO, where available. A prescription is issued only when the licensed clinician determines that disulfiram is medically appropriate.
Prescription and account information is handled according to the Sweetwater Medical Center Privacy Statement.
Antabuse (disulfiram) is prescribed to support alcohol abstinence in adults receiving treatment for alcohol use disorder. It causes an unpleasant and potentially serious reaction if alcohol is consumed, helping deter drinking as part of a treatment plan that may also include counseling, medical monitoring and recovery support.
Antabuse is the original brand name for disulfiram, but current U.S. prescriptions are generally filled with FDA-approved generic disulfiram tablets when an eligible product is available. Disulfiram does not treat acute alcohol withdrawal, directly reduce alcohol cravings or cure alcohol use disorder, and it must be used under medical supervision.
Patients looking to buy Antabuse online with a prescription can review approximate prices for commonly prescribed disulfiram strengths and start an order using an existing prescription, an eligible prescription transfer or an available medical consultation. The patient selects the medication, strength, quantity and delivery preference; the order system assigns a licensed pharmacy that can serve the submitted ZIP code.
The assigned pharmacy validates the prescription, identifies the available finished drug, confirms inventory and final price, and dispenses and ships the medication. Sweetwater Medical Center displays approximate information and routes the request but does not independently select the manufacturer, validate the prescription or ship the product.
How to Order Antabuse or Disulfiram With a Prescription
A patient who wants to order disulfiram 250 mg online selects the prescribed strength and package rather than choosing a dispensing pharmacy. The secure order path uses the ZIP code and submitted prescription information to route the request to an eligible licensed pharmacy.
Select the Prescribed Product
Choose disulfiram 250 mg or 500 mg, the displayed package and an available delivery preference that match the prescription.
Provide ZIP Code and Prescription Information
Submit an existing prescription, request a transfer from another pharmacy or select an available medical consultation.
The System Assigns an Eligible Pharmacy
The order system identifies a licensed pharmacy according to the destination, service coverage and ability to process the request.
The Pharmacy Confirms and Fills the Order
The assigned pharmacy validates the prescription, identifies the available product, confirms stock and final price, and provides the available dispensing and shipping options.
Who Dispenses and Ships a Disulfiram Order?
Sweetwater Medical Center shows approximate product and price information and securely transmits the order request. It may accept the payment associated with the order under the service arrangement, but the pharmaceutical operation is performed by the licensed pharmacy assigned to the patient.
The assigned pharmacy checks whether the prescription is valid and can be filled in the patient’s location. It identifies the actual manufacturer, country of manufacture, NDC and package, then confirms inventory and the final amount before dispensing and shipping. Patients seeking an Antabuse prescription online should use the secure order pathway rather than send health information through a general contact form.
Can You Still Buy Brand-Name Antabuse in the United States?
Antabuse remains a widely recognized search and reference name for disulfiram, but the original branded product is not routinely listed as an available U.S. pharmacy option. Current prescriptions are commonly filled with an FDA-approved generic disulfiram tablet when the prescribed strength is in stock.
A generic product contains disulfiram in the labeled strength but has its own manufacturer, tablet markings, package labeling and NDC. The assigned pharmacy identifies the exact product before dispensing, so this page does not promise a particular manufacturer or present a generic tablet as the original Antabuse brand.
Disulfiram 250 mg and 500 mg Prescription Dosing
Disulfiram 250 mg tablets and Disulfiram 500 mg tablets are labeled oral strengths in the United States. Treatment is individualized: the prescribing information allows an initial phase of up to 500 mg once daily, usually for one to two weeks, followed by a maintenance dose selected according to response and tolerability. A clinician may use a lower dose, and 500 mg daily is the maximum labeled daily dose.
Disulfiram must not be started while a patient is intoxicated or within at least 12 hours after alcohol use. It should never be administered without the patient’s full knowledge. The prescriber may request baseline and follow-up assessment, including liver testing, and may recommend supervised dosing as part of a structured recovery plan.
What Antabuse Does in Alcohol Use Disorder Treatment
Disulfiram interferes with the normal metabolism of alcohol and allows acetaldehyde to accumulate. Drinking alcohol while the medicine is active can produce flushing, throbbing headache, nausea, vomiting, sweating, palpitations, low blood pressure, confusion and breathing difficulty. Severe reactions can require emergency treatment.
The medication does not treat acute alcohol withdrawal, remove alcohol cravings or cure alcohol use disorder. It is intended for a motivated patient pursuing abstinence and is generally used with counseling, behavioral treatment, recovery support and medical monitoring. A clinician should determine whether disulfiram, naltrexone, acamprosate or another approach best matches the patient’s goals and health history.
Alcohol Exposure While Taking Antabuse
Beer, wine and liquor must be avoided, but exposure can also come from cough syrups, mouthwash, sauces, vinegars, desserts, aftershave, cologne, rubbing alcohol and occupational products that contain alcohol or related solvents. Patients should read ingredient labels and ask a pharmacist about uncertain products.
A disulfiram-alcohol reaction may occur for up to 14 days after the last dose, so stopping the tablets does not make alcohol immediately safe. Patients should carry identification stating that they take disulfiram and should tell physicians, pharmacists and dentists before receiving a new medicine or procedure.
Antabuse Side Effects, Liver Risks and Drug Interactions
Common effects include drowsiness, tiredness, headache, skin rash, acne and a metallic or garlic-like taste. Disulfiram can also cause hepatitis, peripheral neuropathy, optic neuritis, mood or behavioral changes and other serious reactions. Liver injury can develop even when previous liver tests were normal.
Disulfiram is contraindicated with metronidazole, recent alcohol exposure and certain alcohol-containing preparations, and it should not be used in patients with severe myocardial disease, coronary occlusion or psychosis. Important interactions may involve warfarin, phenytoin, isoniazid and other medicines affected by disulfiram. The prescriber and pharmacist need a complete list of prescription medicines, over-the-counter products and supplements.
Stop the medication and obtain urgent medical help for trouble breathing, fainting, chest pain, severe confusion, seizures, yellow skin or eyes, dark urine, persistent vomiting, new numbness or weakness, or a serious reaction after alcohol exposure.
- Take only the dose shown on the prescription and do not double a missed dose.
- Do not test the medication by drinking alcohol.
- Contact the prescriber promptly for persistent side effects or signs of liver or nerve injury.
Antabuse Cost Without Insurance and Generic Savings
The Antabuse price depends on whether the prescription can be filled with generic disulfiram, the strength, quantity, manufacturer, pharmacy and any insurance or discount terms. Because the original brand is not routinely available, a branded price from an overseas catalog is not a reliable comparison for a U.S. pharmacy order.
Patients researching generic Antabuse cost without insurance should compare the same strength and quantity. The price table provides approximate starting figures only; the assigned pharmacy identifies the available finished product and supplies the final charge before payment is completed.
Medical Disclaimer
This page provides general information about Antabuse, disulfiram and the pharmacy-order process. It does not diagnose alcohol use disorder, manage alcohol withdrawal, select a medication or replace an individualized treatment plan.
An online consultation does not guarantee that disulfiram will be prescribed. Alcohol withdrawal can be life-threatening; confusion, hallucinations, seizures, severe shaking, chest pain or breathing difficulty require urgent medical evaluation rather than an online medication order.
Buying Antabuse Online: Prescription and Price FAQ
Where can I buy Antabuse online with a prescription?
Use a secure service that routes the request to an eligible licensed pharmacy. Because brand-name Antabuse is not routinely available in the U.S., the pharmacy may fill an authorized prescription with generic disulfiram.
How much does generic Antabuse cost without insurance?
The cost varies by strength, quantity, manufacturer and dispensing pharmacy. Approximate 30-tablet prices are shown above, and the assigned pharmacy provides the final amount.
Can I get an Antabuse prescription online?
An eligible online consultation may be available depending on location and clinical suitability. A licensed clinician decides whether disulfiram is appropriate and whether additional assessment or laboratory testing is needed.
Can I buy disulfiram without a prescription?
No. Disulfiram is prescription-only in the United States, and a licensed pharmacy must validate the prescription before dispensing.
Is generic disulfiram cheaper than brand-name Antabuse?
Generic disulfiram is usually the practical U.S. pharmacy option and may cost less than a branded product. The actual price depends on the assigned pharmacy, available manufacturer and coverage.
Related Disulfiram and Treatment Monitoring Information
These Sweetwater Medical Center resources provide context for laboratory monitoring, preventive care and coordinated treatment.
Medical References
Pharmacist Review of Antabuse and Disulfiram Information
The medication information on this page, including disulfiram’s purpose, prescription status, labeled strengths, dosing considerations, alcohol warning, contraindications, interactions, adverse effects and monitoring needs, was reviewed by Jeffrey Collins, PharmD, Pharmacist – Wyoming Pharmacist License 3836; NPI 1255701884.
This pharmacist review applies to the published medication information and does not approve an individual prescription or order. The pharmacy assigned during the order process remains responsible for validating the prescription, identifying the available finished product, confirming inventory and final price, and dispensing and shipping the medication.
Last pharmacist review: 08.05.2026.