Firam 250 mg Tablet

Firam 250 mg Tablet is a prescription tablet that contains 250 mg of disulfiram in each tablet. Disulfiram is an alcohol deterrent medicine used to support the treatment of chronic alcohol use disorder in people who have already stopped drinking and are committed to avoiding alcohol. Firam 250 mg Tablet works only when a person drinks alcohol, so it is used as part of a broader treatment plan that may include counseling and follow-up care.

How it works: Disulfiram blocks an enzyme that helps the body break down alcohol, so acetaldehyde builds up if alcohol is consumed. That buildup can cause unpleasant reactions such as flushing, nausea, vomiting, and headache, which helps discourage drinking while using this tablet.

Firam 250 mg Tablet is a mid-strength disulfiram tablet that may suit patients whose doctor wants a lower or more adjustable dose than a higher-strength regimen, or who need a dose that can be tailored over time. Because there are no other strengths or forms listed for this brand, the 250 mg tablet is the specific tablet strength available here and should be used only in the way a clinician prescribes.

• Alcohol use disorder support
• Deterrent treatment for alcohol relapse prevention
• Part of a supervised recovery program
• Help for motivated patients avoiding alcohol

• Take Firam 250 mg Tablet by mouth exactly as your doctor directs, usually once daily unless your prescriber gives a different schedule.
• Swallow the tablet with water; do not crush or chew it unless your doctor tells you to.
• Take it at the same time each day to help you remember the dose.
• Do not start this medicine unless you have been alcohol-free for at least 12 hours and your doctor has confirmed it is appropriate.
• Avoid all alcohol while taking it and for at least 14 days after the last dose, including medicines, mouthwash, cough syrups, and aftershave that contain alcohol.

Each Firam 250 mg Tablet provides 250 mg of disulfiram. Your doctor decides the exact dose and how often to take it; in adults, it is commonly taken once daily, and the total daily amount should not exceed the amount prescribed by your clinician. This 250 mg strength is not a self-start medicine and should be used only under medical supervision.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Disulfiram may include:

• Drowsiness or tiredness
• Metallic or garlic-like taste
• Headache
• Skin rash or itching
• Mild stomach upset
• More frequent sleepiness at this strength in some patients

• Do not take Firam 250 mg Tablet if you are drinking alcohol or may be exposed to hidden alcohol sources.
• Do not use this medicine if you have recently used metronidazole or certain other medicines unless your doctor says it is safe.
• Tell your doctor if you have liver disease, heart disease, diabetes, epilepsy, or a history of depression or psychosis.
• Use caution with driving or operating machinery because disulfiram can cause drowsiness or slowed reaction time.
• Avoid products that contain alcohol, including some cough syrups, tonics, mouthwashes, colognes, and food sauces.
• Let your clinician know about any pregnancy or breastfeeding plans before using this tablet.
• If you have a reaction after accidental alcohol exposure, seek medical help right away.

• Alcohol and alcohol-containing products
• Metronidazole
• Warfarin
• Phenytoin
• Isoniazid

Store Firam 250 mg Tablet in its original strip at room temperature, away from moisture, heat, and light.