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Methanol

toxic alcohol

What it isToxic alcohol metabolized by alcohol dehydrogenase to formic acid.

Why this oneNot a drug — it defines the toxidrome that fomepizole and ethanol treat by competing for ADH.

What limits it⚑ The parent is relatively harmless; FORMATE causes the blindness and acidosis, so treatment must start before metabolism completes. Anion-gap acidosis with an osmolar gap.

NO BOXED WARNINGS

Principal riskFormate causes blindness and acidosis, not the parent

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Methanol ballicule

Methanol ballicule: receptor binding, kinetics and half-life diagram

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