Table 1.

Case by case description of reaction with disulfiram

Serial number	Age (years)	Medical comorbidity	Disulfiram ethanol reaction		Isopropanol toxicity		Need for medical attention	Sanitizer particulars		Behaviour change		Possible hypothesis
			Description	Frequency	Description	Frequency		Nature	Daily use (ml)	Change in medication adherence	Change in handwashing practice
1	51	No	Heat and redness over face and neck, Heat and sweating all over body	Rare	NIL	NA	No	Ethanol	6	No	Hand wash with soap-water	Possible inhalation
2	35	No	More than usual amount heat and redness over hands, heat and sweating over the body	Rare	NIL	NA	No	Isopropanol	25	No	None	Higher amount, inhalational
3	29	No	Heat and sweating over hands and all over body if more amount is used, Nausea and vomiting, vertigo	Frequent	NIL	NA	No	Both	6	No	Hand wash with soap-water	Higher amount, inhalational
4	37	No	Heat and redness over hands, Occasional difficulty in breathing, Palpitations and chest discomfort, anxiety, restlessness	Frequent	NIL	NA	No	Isopropanol	5	Yes	Hand wash with soap-water	Usual amount—local reaction. Generalised reaction—Higher amount, inhalational
5	41	HTN	Difficulty in breathing, weakness, fatigue, giddiness, confusion after being sprayed with more than usual amount of sanitizer	Frequent	Dizziness, Ataxia	Rare	Yes	Isopropanol	4	No	Hand wash with soap-water	Higher amount and spraying inhalational
6	42	No	Heat and redness over face and neck, Nausea and vomiting, Difficulty in breathing, Anxiety, restlessness, Weakness, fatigue, Giddiness	Frequent	Dizziness, Palpitations	Frequent	No	Both	15	Yes	Hand wash with soap-water	Absorption from Moist hand
7	40	No	Heat and redness over hands. Self-limiting	Frequent	Dizziness, Palpitations	Frequent	No	Both	6	No	Non-alcoholic hand rub	Local reaction after exposure
8	34	CAD	Heat and redness over face and neck (no local reaction)	Once	Dizziness, palpitation, Ataxia	Once	Yes	Both	10	Yes	None	Systemic reaction after exposure