Question
- Why Ethanol should be given to a Patient with Methanol Poisoning?
2. How much Ethanol should I give a Patient orally?
3. Do I keep giving Ethanol once my patient is on intermittent dialysis?
Answer
Ethanol stops the body from processing the methanol and can prevent further poisoning. If IV ethanol is available, it can be used as a substitute for oral ethanol, so long as it is administered under medical supervision.
For adults, give them an initial “loading dose” of 1.8 mL of spirits (spirits with a minimum of 33% (86-proof) ethanol content) per 1 kg of body weight (i.e., for a 70 kg adult, administer three 42 mL shots) of spirits such as vodka, gin, or whisky, with a maintenance dose of 0.40 mL/kg per hour. (i.e., for a 70 kg adult, one 42 mL shot per hour). To simplify: for an average-sized adult weighing 70kg, administer a loading dose of 126mL up-front, and 28ml/hour thereafter.
YES, continue giving Ethanol until all methanol has been removed and patients acididity levels are normal.

Or See Research Article About Methanol Poisoning
2003-Conventional and diffusion weighted MRI in methanol poisoning
2004-Anion and osmolal gap-intensive care med
2005-Methanol and dialysis-Clin Nephrol
2005-Methanol and formate kinetics-Clin Tox
2005-Methanol outbreak in Norway
2002-2004-epidemiology-J Internal Med
2006-Gap and dialysis-Scand J Urol Nephrol
2007-Extremely slow formate elimination...
2007-Methanol outbreak in Estonia
2008-Expert opinion-Fomepizole may ameliorate the need for HD-Hum Exp Toxicol
2009-Methanol and long term sequelae, a six years follow-up-BMC Clin Pharmacol
2009-Methanol and long term sequelae, Table 1
2012-Risk factors related to poor outcome after methanol poisonings
2014-Czech Methanol outbreak-epidemiology and clinical features-Clin Tox
2014-IHD vs CVVHD in methanol poisoning-Kidney Int
2015-Antidotes for poisoning by toxic alcohols-Brit J Clin Pharmacol
2015-Fomepizole vs ethanol, suppl files-ClinTox
Methanol poisoning at a glance-final_MSF_guidelines
Dr Knut 2016-The methanol poisoning outbreaks in Libya 2013 and Kenya 2014-PLoS One (1)
Dr Knut Investigation of an Outbreak of Acute Methanol Poisoning in a Southwest State of Nigeria