The mechanism of disulfiram-like reactions due to cephems with methyltetrazolethiol (LMOX and CPZ) was studied.
Rats were intraperitoneally injected with these cephems (500mg/kg) for three days.
After overnight fasting, blood samples were obtained following administration of 20% ethanol (2g/kg). the blood ethanol, acetaldehyde concentration, and liver acetaldehyde dehydrogenase activity (Enzyme 1, 2) were determined.
In both groups of LMOX and CPZ blood ethanol concentration was not changed, but blood acetaldehyde contentration was markedly increased.
Additionally, strong inhibition of acetaldehyde dehydrogenase activity was observed. And the activity of enzyme 1 which mainly metabolized acetaldehyde was reduced more strongly than that of enzyme 2.
Therefore, it is concluded that disulfiram-like reactions due to cephems with methyltetrazolethiol could be caused by inhibition of liver acetaldehyde dehydrogenase activity, especially enzyme 1.
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