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Description: Fomepizole (also known as 4-methylpyrazole, Antizol, Antizol-Vet) is a competitive inhibitor of alcohol dehydrogenase, an enzyme that catalyzes the initial steps in the metabolism of ethylene glycol, ethanol and methanol to their toxic metabolites. Fomepizole is an ADH (alcohol dehydrogenase) inhibitor. It can be used as an antidote in methanol and ethylene glycol poisoning. Fomepizole is used for the treatment of ethylene glycol and methanol poisonings in adults. Fomepizole is a competitive antagonist of alcohol dehydrogenase with a binding affinity > 8000 times that of ethanol.
References: Pediatrics. 2001 Jan; 107(1):170; Ann Emerg Med. 2009 Apr; 53(4):439-450.e10.
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