Fomepizole (e.g., Antizol)
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þ Used for
 - ethylene glycol <P-House.TXT -Ethylene Glycol>
 - methanol <P-Meth.TXT>
 - diethylene glucol, triethylene glycol, butoxyethanol -- may be effective

þ vs. Ethanol as treatment:
 - Ethanol: need to monitor to keep level 100 mg/dl to keep alcohol
   dehydrogenase busy
 - Ethanol: absorption and metabolism of ethanol erratic
 - Ethanol: CNS depressant
 - Ethanol is cheap, one package of fomepizole at MH;
   cost is $4,600 per package.
 - Cost comparison:  about the same cost if figure out ICU and monitoring/test
   costs.

þ Fomepizole available in veterinary formula
 - may have lower cost

þ Dosing:
 - dose is 15 mg/kg loading, then 10 mg/kg Q12h for 4 doses, then 15 mg/kg
   Q12H thereafter until ethylene glycol levels are less than 20 mg/dL.  Given
   BID, or Q4H while on dialysis.  Each dose is diluted and given over 30
   minutes.  Available in 1g/ml, 4 1.5 ml vials per package.