My husband took it. If you drink, you will immediately become sicker than a dog. Not sure about the food, but it really doesn't help with the addiction. If you want to drink that badly, you won't take the pill. Maybe for a couple of days if you really try, but my husband didn't get to far with it. what did work for him was Vivatrol, an injection that is costly but covered but some insurance. Maybe you can ask your Dr. about it. It surpresses the urge for alcohol, not just allow you to drink and then throw up. Good luck!

Antabuse(disulfiram)works by blocking the second enzyme in the alcohol metabolism pathway (aldehyde dehydrogenase). Alcohol is first metabolized by alcohol dehydrogenase and this intermediate metabolite is the one that makes you feel HORRENDOUS if you have too much to drink. Your body eventually feels better after a night of drinking because the aldehyde dehydrogenase enzyme eventually gets rid of the intermediate, puke provoking metabolite. However, if the enzyme is blocked (this is how antabuse works)you can't get rid of the metabolite. Pretty much any drinking will land you in the ER. The drug has a pretty long half life so you can still get very ill from drinking some time after ceasing the drug.
Basically you cannot safely eat anything prepared with alcohol. I probably would not chance consuming wine based vinegars even though the actual alcohol content in these is negligible. I actually have never known anyone that took antabuse, even though I know a lot of alcoholics--I think this treatment has fallen out of favor as their are better pharmacological choices available now.
Good luck

Thank you! Actually I took the pill form of Vivitrol, generic naltrexone, which might work better when I have some sobriety behind me for cravings, but while I was still active, wasn't so good.