Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Firam 250 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Firam Tablet works

Firam 250 mg Tablet blocks the chemical which breaks the converted form of alcohol in the body. This leads to an increased level of converted form of alcohol in the body causing bad physical features while drinking alcohol.

Firam Tablet related warnings

Alcohol

CAUTION

Firam 250 mg Tablet may cause symptoms such as flushing, increased heartbeat, nausea, thirst, chest pain and low blood pressure with alcohol (Disulfiram reactions).

Pregnancy

WEIGH RISKS VS BENEFITS

Firam 250 mg Tablet may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the fetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.

Lactation

CAUTION

Firam 250 mg Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.

Driving

Firam 250 mg Tablet may make you feel dizzy, sleepy, tired, or decrease alertness. If this happens, do not drive.

Kidney

CAUTION

Firam 250 mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Firam 250 mg Tablet may be needed. Please consult your doctor.

Liver

CAUTION

Firam 250 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Firam 250 mg Tablet may be needed. Please consult your doctor.

What if you miss a dose of Firam Tablet?

If you miss a dose of Firam 250 mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.

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Expert Advice

Firam 250 mg Tablet is used together with behavior modification, psychotherapy, and counseling support to help you stop drinking.
It works best for patients who can achieve initial abstinence of at least 12 hours, are committed to maintaining abstinence, and agree to take the medication.
While taking this medication, avoid alcohol in all forms including beer, wine, aftershave lotions, mouthwash, vinegar, certain desserts, colognes, and liquid medications.
When you first start taking it, you may feel dizzy, confused, tired, and weak. Don't drive or do anything that requires mental focus until you know how it affects you.
You may notice an aftertaste of either garlic or metal when you start taking Firam 250 mg Tablet. Inform your doctor if this does not go away.
Inform your doctor if you have a history of heart disease, liver or kidney disease, psychiatric problems, diabetes, or if you're allergic to latex rubber or pesticides.
Do not take it if you are pregnant, planning a pregnancy, or breastfeeding.

Interaction with Drugs

Taking Firam with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Phenytoin

Brand(s): Stoin, Marantin

SERIOUS

Alprazolam

Brand(s): Eurolam, Alwel, Tenzo

MODERATE

Lorazepam

Brand(s): Psycopan, Anxionil

MODERATE

Etizolam

Brand(s): Etizom

MODERATE

Nitrazepam

Brand(s): Konit

MODERATE

Clobazam

Brand(s): Risure

MODERATE

Clonazepam

Brand(s): Panik

MODERATE

Diazepam

Brand(s): Dizapam

MODERATE

Chlordiazepoxide

Brand(s): Equblam

MODERATE

View all interactions

Patient Concerns

Questions Related to Firam

I am taking Nordict 50 for my alcohol addiction. Is there any cheap brand for the same tablet?

Dr. Khoobsurat Najma

Ask A Chemist

Here are some substitutes. there is not much of a price difference though

I have a problem with alcohol addiction

Dr. Aanchal Maheshwari

Ayurveda

Take gaharwar deaddiction capsule 1 capsule dailyDo ,yoga and meditation

Do you have any questions related to Firam 250 mg Tablet?

CONSULT A DOCTOR ONLINE

User Feedback

What are you using Firam Tablet for?

Alcohol addic*

100%

*Alcohol addiction

FAQs

Q. Is Firam safe/dangerous?

Yes, Firam is safe if used at prescribed doses for the prescribed duration in a hospital or specialized clinic as advised by your special doctor

Q. Is Firam over-the-counter medicine?

No, Firam is not an over-the-counter medicine. Firam treatment for alcohol withdrawal should be initiated only in a hospital or specialized clinic and by experienced doctors only. Patients should follow advice of the doctor regarding its use

Q. Is Firam a sulfa drug?

No, Firam is not a sulfa drug

Q. Is Firam a benzodiazepine?

No, Firam is not benzodiazepine

Q. Is Firam a competitive inhibitor?

Firam is an aldehyde dehydrogenase inhibitor. It works by blocking the processing of alcohol in the body causing unpleasant feeling leading to alcohol withdrawal

Q. Is Firam a controlled drug?

No, Firam is not a controlled drug

Q. Is Firam addictive?

No, Firam is not addictive. It is used to treat alcohol addiction and chronic alcoholism

Q. Is Firam expensive?

Firam prices may vary depending on the brand. Refer to the packaging for the price

Q. Does Firam work?

Yes, Firam works. Firam is an aldehyde dehydrogenase inhibitor. It works by blocking the processing of alcohol in the body causing unpleasant feeling leading to alcohol withdrawal

Q. Does Firam work for everyone?

Firam works for chronic alcoholics who are cooperative and willing to give up alcoholism. Patients should follow advice of the doctor regarding its use

Q. Does Firam stops cravings?

Firam blocks the processing of alcohol in the body causing unpleasant feeling due to these unpleasant episodes, alcoholics abstain from alcohol Therefore, patients may avoid consuming alcohol to avoid unpleasant reactions upon consuming alcohol even days after stopping Firam. It may not have any direct effects on cravings

Q. Does Firam work immediately?

Yes, Firam works on alcohol withdrawal as soon as you start the treatment

Q. What does Firam like reaction mean?

Firam.alcohol reaction characterized by flushing, increased body temperature, sweating, urge to vomit (nausea), vomiting, itching of skin (pruritus), pale red, raised, itchy skin rash (urticaria), anxiety, dizziness, headache, blurred vision, breathlessness (dyspnea), rapid heartbeat (palpitations) and hyperventilation.

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Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

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References

Stahl SM, editor. Disulfiram. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 195-97.
Schuckit MA. Ethanol and Methanol. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 643-44.
Masters SB. The Alcohols. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 395.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 420-21.
Schuckit MA. Ethanol and Methanol. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman's: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: The McGraw-Hill Companies, Inc.; 2011. [Accessed 29 Jan. 2019] (online) Available from:
Drugs.com. Disulfiram Pregnancy and Breastfeeding Warnings. [Accessed 22 Mar. 2019] (online) Available from:
Disulfiram. Barnstaple, Devon: Actavis UK Ltd.; 1994 [revised 30 Dec. 2011]. [Accessed 22 Mar. 2019] (online) Available from:

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3 Yogi Complex, Nr Doordarshan, Kendra, Thaltej, Ahmedabad, India 380054.

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