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Ethanol (Medical Grade)

Prescription
Antidote (Alcohol Dehydrogenase Substrate) / Antiseptic
Last reviewed 21 Apr 2026 · PetCare.AI Editorial Team
Species
Dog, Cat
Brands
2 available
Interactions
1 documented
Formulations
3

Mechanism of action

Competitive substrate for alcohol dehydrogenase with higher affinity than methanol or ethylene glycol, preventing their metabolism to toxic metabolites (formic acid from methanol; glycolate/oxalate from ethylene glycol). Parent compounds are excreted renally.

At a glance

Class
Antidote (Alcohol Dehydrogenase Substrate) / Antiseptic
Schedule
Prescription
Storage
Store at room temperature; flammable — keep away from heat/flame

Dosing

🐕

Dog

Alternative to fomepizole when fomepizole unavailable
Dose
Route
PO
Frequency
Loading then CRI x 48h
🐈

Cat

Used when fomepizole unavailable or unaffordable
Dose
5 mL/kg
Route
IV (20% solution)
Frequency
Loading then CRI x 48h
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Formulations

💊

Other — 3

Strength
Strength
Strength

Storage

Store at room temperature; flammable — keep away from heat/flame

Safety

Monitoring parameters

Blood ethanol level (target 50–100 mg/dL)Blood glucoseBlood gasRenal functionNeurological statusHydration
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Interactions

Major — 1

Metronidazole
major
Metronidazole inhibits aldehyde dehydrogenase, causing acetaldehyde accumulation with ethanol: severe nausea, vomiting, cramping, tachycardia (disulfiram-like reaction).
Management: Do not combine. If ethanol used as EG antidote in patient on metronidazole, use fomepizole instead.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Brands

Other markets

Ethyl Alcohol
Dehydrated Alcohol

FAQs

Frequently asked questions

What is Ethanol (Medical Grade)?
Ethanol (Medical Grade) is a antidote (alcohol dehydrogenase substrate) / antiseptic used in pets. Competitive substrate for alcohol dehydrogenase with higher affinity than methanol or ethylene glycol, preventing their metabolism to toxic metabolites (formic acid from methanol; glycolate/oxalate from ethylene glycol). Parent compounds are excreted renally.
What is Ethanol (Medical Grade) used for in pets?
Ethanol (Medical Grade) is used in veterinary medicine for: Alternative to fomepizole when fomepizole unavailable; Used when fomepizole unavailable or unaffordable.
What is the Ethanol (Medical Grade) dose for dogs?
For dogs, Ethanol (Medical Grade) is typically dosed as follows — Alternative to fomepizole when fomepizole unavailable: undefined undefined PO Loading then CRI x 48h. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Ethanol (Medical Grade) dose for cats?
For cats, Ethanol (Medical Grade) is typically dosed as follows — Used when fomepizole unavailable or unaffordable: 5 mL/kg IV (20% solution) Loading then CRI x 48h. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
Does Ethanol (Medical Grade) need a prescription?
Yes. Ethanol (Medical Grade) is a prescription medication and should only be administered under veterinary supervision.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

References

CDSCO approvals (India) — 1

Each 10 ml (two teaspoonfuls) of oral dosage form(tonic) contains: 1.25 g of liv
M/s. Gopaldas & Vishramdas · Approved 07.08.2014
Indicated for the treatment of anorexia, indigestion and liver disorders in sheep, goat and cattle and for supplementary
Source: CDSCO Veterinary Drug Approval Registry (1969–2026)

References

The PetCare.AI drug reference is built from 13 authoritative sources cited across 580 drug monographs.

Textbooks & handbooks — 5

  • Plumb's Veterinary Drug Handbook
  • Withrow & MacEwen's Small Animal Clinical Oncology
  • Merck Veterinary Manual
  • NRC Nutrient Requirements of Dogs and Cats
  • Veterinary Pharmacology and Therapeutics (Riviere & Papich)

Clinical guidelines & consensus — 4

  • ASPCA Animal Poison Control Center Guidelines
  • AAHA Diabetes Management Guidelines
  • ASPCA Poison Control Guidelines
  • RECOVER CPR Guidelines

Journals & peer-reviewed studies — 2

  • EPIC Study (J Vet Intern Med 2016)
  • JVIM FAT CAT Study

Regulatory & approvals — 1

  • CDSCO Veterinary Drug Approval Registry (1969–2026)

Databases — 1

  • Washington State University VCPL MDR1 Database

Related medicines

Other medicines in the same class (Antidote).

Acetylcysteine (NAC)
Rx
Provides cysteine as a precursor for hepatic glutathione synthesis; restores glutathione stores depleted by acetaminophen (paracetamol) toxicity, preventing formation of toxic NAPQI metabolite; also has mucolytic action by breaking disulfide bonds in mucus glycoproteins
dogcat
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