,
Kolkata The mushrooms are considered edible when young, but consuming them within a few hours of alcohol results in
disulfiram-like symptoms. This interaction has only been known since the early part of the 20th century. Symptoms include facial reddening, nausea, vomiting,
malaise, agitation,
palpitations, and tingling in limbs, arising five to ten minutes after consumption of alcohol. If no more alcohol is consumed, they will generally subside over two or three hours. Symptom severity is proportional to the amount of alcohol consumed, becoming evident when blood alcohol concentration reaches 5 mg/dl, and prominent at concentrations of 50–100 mg/dl. Disulfiram has, however, been known to cause
myocardial infarction (heart attack). The symptoms can occur if even a small amount of alcohol is consumed up to three days after eating the mushrooms, although they are milder as more time passes. Rarely, a
cardiac arrhythmia, such as
atrial fibrillation on top of
supraventricular tachycardia, may develop. Because of these effects, in some cases, the mushroom has been used to cure
alcoholism. The fungus contains a cyclopropylglutamine compound called
coprine. Its active metabolite, , blocks the action of an enzyme,
acetaldehyde dehydrogenase, which breaks down
acetaldehyde in the body. Acetaldehyde is an intermediate
metabolite of
ethanol and is responsible for most symptoms of a
hangover; its effect on autonomic
β receptors is responsible for the
vasomotor symptoms. Treatment involves reassuring the patient that the often frightening symptoms will pass, rehydration (fluid replacement) for fluid loss from vomiting, and monitoring for
cardiac arrhythmias. Large and prolonged doses of coprine were found to have
gonadotoxic effects on rats and dogs in testing. ==See also==