Fomepizole

Fomepizole, also known as 4-methylpyrazole, is a medication used to treat methanol and ethylene glycol poisoning. It may be used alone or together with hemodialysis. It is given by injection into a vein.

Common side effects include headache, nausea, sleepiness, and unsteadiness. It is unclear if use during pregnancy causes risk to a fetus. Fomepizole works by blocking the enzyme that converts methanol and ethylene glycol to their toxic breakdown products.

Fomepizole was approved for medical use in the United States in 1997. It is on the World Health Organization's List of Essential Medicines.