medium · MCAT bio-biochem

A patient ingests a large amount of methanol. In the emergency department, doctors administer a high dose of ethanol.

What is the pharmacological rationale for this treatment?

  1. Ethanol and methanol compete for the active site of alcohol dehydrogenase, preventing the formation of toxic formaldehyde.
  2. Ethanol acts as an allosteric activator of renal transporters in the kidneys, accelerating methanol excretion in the urine.
  3. Ethanol is a strong chemical base that neutralizes the toxic formic acid produced during methanol metabolism.
  4. Ethanol causes irreversible denaturation of alcohol dehydrogenase in the liver, permanently halting all further methanol breakdown.

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