This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
Sorry to hear about your symptoms.
Antabuse can cause hives as side effect commonly.
The reaction may appear late.
This is known as delayed hypersensitivity.
Vinegar allergy is also possible.
So it is better to stop using vinegar for now.
Antihistamines like Benadryl or prescription strength Hydroxyzine has been shown to be safe to use and also controls anxiety and insomnia well.
So they can be used with antabuse if hives are controlled by their use.
If not, then there are other options like:
1. Naltrexone or Vivitrol--very effective and much less problematic like antabuse
2. Campral --an oral pill also good to prevent alcohol cravings.
Please discuss with your doctor also.
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