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Updated: Apr 23, 2026

Assessment of Glutamine as a Fuel Source for Alveolar Macrophages Exposed to Chronic Ethanol Using an Extracellular Flux Bioanalyzer
Published on: November 15, 2024
[Is combining metronidazole and alcohol really hazardous?]
1RELIS Sør-Øst og Avdeling for smittevern Oslo universitetssykehus.
The common warning against drinking alcohol with metronidazole lacks scientific evidence. Recent research indicates no clinically significant disulfiram-like interaction between ethanol and metronidazole.
Area of Science:
- Pharmacology
- Microbiology
Context:
- Metronidazole is an antibiotic commonly prescribed for various infections.
- A widely recognized warning advises against concurrent alcohol consumption due to potential disulfiram-like reactions.
Purpose:
- To critically evaluate the scientific basis for the warning against combining alcohol (ethanol) with metronidazole.
- To determine if a clinically relevant disulfiram-like interaction exists between these substances.
Summary:
- A comprehensive literature review, including PubMed and WHO adverse effects database, was conducted.
- No in-vitro studies, animal models, adverse event reports, or clinical trials provided convincing evidence of a disulfiram-like interaction.
- Existing evidence suggests that reported reactions are likely attributable to ethanol alone or metronidazole side effects, not a direct interaction.
Impact:
- Challenges the established clinical practice of warning patients about alcohol intake with metronidazole.
- Suggests that the warning may not be supported by current scientific evidence.
- Highlights the need for evidence-based guidelines regarding drug-and-alcohol interactions.
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