# Patent

## Title
Method for the accelerated in vivo removal of ethanol

## Abstract

A method for accelerating the process of removing ethanol from the blood through the use of certain additives that accelerate the metabolic oxidation of ethanol, and others which in addition act as catalysts or “pseudo” enzymes for the oxidation. These additives include multivalent transition metal ions, as well as complexes thereof, and NAD+ which enhance the oxidation reaction. The method described can act as a sobriety inducer and/or as an effective palliative for the unpleasant effects of overuse of ethanol.

## Background
RELATED APPLICATIONS
This application is a Divisional of the pending allowed patent application Ser. No. 09/876,322, filed Jun. 7, 2001, entitled A Method and Composition for the Accelerated In Vivo Removal of Ethanol, to issue as U.S. Pat. No. 6,833,362 on Dec. 21, 2004. The parent application and this divisional application claim the benefit under 37 USC 119(e) of provisional application Ser. No. 60/210,950, filed Jun. 12, 2000, entitled A Method for the Rapid Removal of Ethanol from Blood and Other Bodily Fluids. Both applications are hereby incorporated by reference.


FIELD OF INVENTION
This invention relates to compositions and processes which accelerate the oxidation of alcohol in human blood. More particularly, the invention provides for the enhanced in vivo oxidation of ethanol and/or methanol.
BACKGROUND OF THE INVENTION
Alcohol consumption and its consequences have long been a challenge to the statutes that govern our society. High levels of ethanol in the blood have far reaching consequences to the user and society, as indicated by 16000 highway deaths and 1.6 million drinking related arrests per year in the United States.
Therefore there is a need to provide a remedy which can be administered to accelerate removal of alcohol from an individual's bloodstream and therefore to shorten the period during which the individual is impaired.
There is also a need to provide a remedy to an individual who is affected by alcohol to such a degree that medical intervention is required.
The source of oxygen, both mechanical and chemical (including the use of catalase in combination with hydrogen peroxide) is an essential part of the process, both these enzymes are not oxygen dependent but rather use NAD+ as the oxidizing agent.
Even though the combination can include other enzymes, which regenerate NADH to NAD+, using glycerol dehydrogenase/dihydroxyacetone, in the presence of a liberal supply of oxygen is an essential part of the method.
SUMMARY OF THE INVENTION
Formally, the oxidation of ethanol to acetaldehyde and then to acetic acid can be generically represented by the reactions:

C2H5OH+2H2O⇄CH3CHO+2H3O++2e  (1)

CH3CHO+4H2O⇄CH3CO2−+3H3O++2e  (2)

It is therefore the object of this invention to accelerate the rates of the forward reactions in the equilibria 1 and 2, by introducing additives which catalyze the forward reactions or which remove product from the right hand side of the equilibria 1 and 2 to favor their shifting to the right.
Various additives provide a remedy through an effective and rapid reduction of the alcohol level in blood of the consumer at a reasonably short time, in essence a sobriety agent. Such remedy can take the form of a liquid, a pill, a capsule, a patch or a nasal spray or any other method known to medical science and any combination thereof. Such remedy can be self-administered or, in the same or different formulation be administered at a health care facility where it can be applied intravenously, intraperitoneally or in any other method know in medical practice. The product shall apply to all alcohol containing beverages including but not limited to all beers, wines and hard liquors now in use.



BRIEF DESCRIPTION OF DRAWINGS
FIG. 1a is a graph of the oxidation of NADH by vanadyl sulfate at pH 9.25.
FIG. 1b is a graph of the oxidation of NADH by sodium phosphotungstate at pH 9.25.
FIG. 1c is a graph of the oxidation of NADH by potassium ferricyanide at pH 9.25.
FIG. 1d is a graph of the oxidation of NADH by ammonium molybdate at pH 9.25.
FIG. 2a is a graph of the oxidation of NADH by vanadyl sulfate at pH 7.25.
FIG. 2b is a graph of the oxidation of NADH by sodium phosphotungstate at pH 7.25.
FIG. 2c is a graph of the oxidation of NADH by potassium ferricyanide at pH 7.25.
FIG. 2d is a graph of the oxidation of NADH by ammonium.



DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
The present invention relates to compositions which when administered to a person enhance the in vivo physiological process of removing oxidizing alcohol and particularly from the blood. In this disclosure, the term “alcohol” when used without qualification is understood to refer to ethanol. However, certain embodiments of the invention as noted will also be applicable to methanol.
As alcohol enters the blood stream, the liver begins the process of detoxification through the production of the enzyme Alcohol Dehydrogenase, ADH, which catalyzes the oxidation by Nicotinamide Adenine Dinucleotide, NAD+, of ethanol to acetaldehyde and Dihydronicotinamide Adenine Dinucleotide, NADH as shown.




The equilibrium constant of this reaction is 1, indicating that it is rather inefficient, allowing sufficient amounts of alcohol to remain in the blood and to cross the blood-brain barrier. It is the purpose of this invention to find ways of increasing the efficacy or accelerating this reaction.
In one embodiment of this invention, accelerated oxidation is accomplished by introducing a chemical accelerator of the ADH enzyme, driving the reaction toward acetaldehyde. Such accelerators include, zinc ions (as ADH is a Zinc Enzyme), pyridoxamine or pyridoxamine phosphate (formulae 1a and 1b) or a combination thereof.




It is a particular advantage in the case of one of the above accelerators (zinc) that it is an essential element or a part of the Vitamin B6 system (pyridoxamine).
In another embodiment of this invention, the reversible reaction above can be shifted toward irreversibility by the removal of one or more of the products (Le Chatelier's Principle). This is accomplished through the introduction of a reactive agent that reacts with acetaldehyde, thus removing it from the equilibrium and driving the reaction forward. Such an agent includes pyridoxamine or pyridoxamine phosphate (formulae 1a and 1b) or the basic amino acids lysine (formula 2) and arginine (formula 3). A solubilized form of “Purpald” (formula 4) may also be useful. Other agents reactive with acetaldehyde include thiamine. A sufficient quantity of the reactive agent is administered to provide an in vivo concentration of the reactive agent at least chemically equivalent to an amount of acetaldehyde resulting from the oxidation.




Lysine and arginine are essential amino acids, so their introduction would not cause an undue risk to the user. Further, being basic, these amino acids can help neutralize the acid formed during the oxidation, thus further shifting the equilibrium toward product. In the presence of a base, the acetic acid produced by equilibrium (2) is neutralized, which pulls the reaction to the right. This consumes acetaldehyde from equilibrium (1), which is thus pulled to the right and consumes more ethanol.
Any base can be used provided that it is not harmful to the body. For example, the base can be sodium carbonate, sodium bicarbonate, trisodium phosphate, disodium hydrogen phosphate or tris (hydroxymethyl)-aminomethane. A sufficient quantity of the base is administered to provide an in vivo concentration of the base at least chemically equivalent to the acid resulting from the oxidation of the ethanol.
The removal of acetaldehyde can also be accomplished by its enzymatic oxidation to acetic acid as shown below in Equation (3):

CH3CHO+NAD++H2O⇄CH3CO2H+NADH+H+  (3)

In one embodiment of the invention this can be accomplished by adding acetaldehyde dehydrogenase or an accelerator thereof or a combination of the two. When in vivo, the dehydrogenase should be present in an amount at least chemically equivalent to the amount of blood alcohol or, more precisely to acetaldehyde, the oxidation product of alcohol. This translates to a concentration in the range 0.1-10 I.U./L
Optionally the dehydrogenase may be stabilized with zinc ions since the dehydrogenase might otherwise degrade. Preferably, the concentration of zinc ions is at least 1% of the molar concentration of the dehydrogenase.
By increasing the amount of one of the reactants, the equilibrium can be shifted toward product. Thus, a formulation containing NAD+ can be useful. A sufficient quantity of NAD+ is administered to provide an in vivo concentration of NAD+ in the range of 0.05% to 5% of the maximum expected in vivo molar concentration of ethanol.
Any combination of the above may also be beneficial. Thus, a formulation containing acetaldehyde dehydrogenase, NAD+, pyridoxamine phosphate and zinc arginate or lysinate (or both) can be useful.
In another embodiment of the invention, the acetaldehyde can be chemically or enzymatically converted to an innocuous derivative, which can later be removed from the body. These derivatives include, but are not limited to, esters, ethers, acetals, ketals and urethanes.
Under proper aerobic conditions and with sufficient acid neutralizing agents, the aerobic oxidation of alcohol to acetic acid catalyzed by Alcohol Oxidase, AO, is as shown:




This may also be useful, particularly in combination with any of the above schemes.

In another embodiment of the invention, the acetic acid formed in either the acetaldehyde dehydrogenase or the alcohol oxidase reaction, or the combination of the two, can be converted to methane and carbon dioxide through a methanogenetic enzyme, thus driving the alcohol oxidation further toward irreversibility, as shown in equation (4) below:

CH3CO2H→CH4+CO2  (4)

In another embodiment of this invention, the enzymatic reaction can be accelerated by a charge-transfer agent such as thiamine, (formula 5), retinoic acid (formula 6), an isoflavonoid or a pyranoside thereof (e.g. daidezin (formula 7) or its 7-glucoside, commonly known as aloin, (formula 8)), and 4,5-Dihydro-4,5-dioxo-1H-pyrrolo [2,3-f] quinoline-2,7,9-tricarboxylic acid, also known as either pyrroloquinolinequinone (PQQ) or methoxatin (formula 9), or any combination thereof, lipoic acid, retinoic acid, retinal, retinol, and derivatives and analogs thereof. A sufficient quantity of the charge-transfer agent is administered to provide an in vivo concentration of the charge-transfer agent in the range from 0.1% and 2% of the maximum expected in vivo molar concentration of ethanol.
In a further embodiment of the invention, various accelerants can be used to supply energy to the forward reactions of equilibria 5 and 6. Such accelerants include adenosine 5′-triphosphate, adenine-9-β-D-arabinofurasnoside 5′-trophosphate 2′-deoxadenosine 5′-triphosphate, and 2′,3′-dideoxyadenosine 5′-triphosphate. They also include carbohydrates such as fructose, arabinose, ribose, deoxyribose, and their phosphorylated derivatives. A sufficient quantity of the accelerant is administered to provide an in vivo concentration in the range from 1% to 100% of the maximum expected in vivo molar concentration of ethanol.
In another embodiment of this invention, a combination of some or all of the above with substances that prevent or delay the absorption of gastric alcohol into the blood is also envisaged. Such substances include unsaturated fatty acids, dietary fiber, and surfactants such as oleic acid, lecithin, the plant surfactant saponin and taurine, (formula 10).




The concentration of the surfactant in the composition should be in the range 0.02% and 0.2% by volume.
Some surfactants which also act as charge transfer agents can be used. These include lipoic acid, retinoic acid, retinal, retinol, and derivatives and analogs thereof. The concentration of the combined surfactant and charge-transfer agent should be between 0.1% and 2% of the maximum molar concentration of ethanol. A sufficient quantity of the combined surfactant and charge-transfer agent is administered to provide an in vivo concentration of the surfactant and charge-transfer agent between 0.1% and 2% of the maximum expected molar concentration of ethanol.
In yet another embodiment of this invention, the acceleration is effected by multivalent transition metal ions and their derivatives capable of acting as a pseudo enzyme in a dehydrogenase reaction. The ions include, but are not limited to, ions of elements of Groups IVa through VIII of the Periodic Table and their complexes or any combination thereof.
Preferred sources of such ions include: vanadyl sulfate; potassium ferricyanide, ammonium iron (III) citrate, ammonium molybdate, ammonium phosphomolybdate, sodium tungstate, and sodium phosphotungstate. Other sources include ammonium manganese (III) sulfate, zirconium (IV) EDTA, niobium (IV) EDTA, tetratkis (tropolinato) niobium (V) chloride, tetratkis (tropolinato)tantalum (V) chloride, cobalt (III) hexammine chloride, and chromium (III) picolinate. A sufficient amount of transition metal ion administered to provide an in vivo concentration of the ion in the range 0.05% to 2% of the maximum expected in vivo molar concentration of ethanol.
In the foregoing disclosure some reactions, such as those involving the enzyme ADH, are specific to ethanol, while others may apply also to methanol. In general, the multivalent transition metal ions and their complexes mentioned above would be expected to oxidize methanol and ethanol alike, via reactions which may sometimes involve NAD+. It has been found in particular that vanadyl sulfate/NAD+ is effective in oxidizing methanol. This invention therefore encompasses the in vivo oxidation of both ethanol and methanol in the blood.
Optionally, any of the embodiments can also include dietary constituents such as dietary fiber, garlic oil and onion oil, or medications including such commonly available pain relieving ingredients as aspirin, ibuprofen and acetomenaphin.
EXAMPLES
Examples 1-40 were designed to demonstrate, in a semi-quantitative way the effectiveness of compounds described herein.
In each of the examples, aliquots of reagents were mixed and the final solution allowed to stand for a specified time, after which it was treated with an excess of a reagent containing 2,4-dinitrophenylhydrazine (DNP) in a strongly acidic solution. The reagent quenches any oxidative reaction of alcohol as well as detects the formation of acetaldehyde. An orange, crystalline precipitate indicates a positive reaction.
The DNP reagent is a fresh solution of 0.5 gm. of 2.4-dinitrophenylhydrazine in 20 mL methanol and 5 mL concentrated sulfuric acid, diluted to 50 mL of deionized distilled water.
Example 1 
To a 0.05M solution of ethanol in a 1M (pH 9.25) phosphate buffer (10 μL) are added 10 μL each of a solution 0.08M in NAD+ (in deionized distilled water) and 4 U/mL Alcohol Dehydrogenase (from Equine liver) in the above buffer, and diluted to 100 μL with buffer. At the end of a specified time, it was quenched with the DNP reagent. A positive-reaction with DNP was obtained when the alcohol solution was allowed to stand for 2 minutes.
Example 2 
The procedure in Example 1 was repeated with the omission of the enzyme solution. The solution tested negative even after being allowed to stand for 15 minutes, indicating that NAD+ cannot oxidize alcohol without a catalyst.
Example 3 
The procedure in Example 1 was repeated with the addition of 10 μL of a 0.01M vanadyl sulfate solution in deionized distilled water. The solution tested positive after being allowed to stand for 1 minute, indicating some acceleration.
Example 4 
The procedure in Example 3 was repeated with the omission of the enzyme solution. The solution tested positive after being allowed to stand for 2 minutes, indicating that vanadyl sulfate can act as a catalyst or a “pseudo” enzyme for the oxidative reaction.
Example 5 
The procedure in Example 4 was repeated with the omission of NAD+. The solution tested negative even after being allowed to stand for 15 minutes, indicating that vanadyl sulfate cannot oxidize alcohol in the absence of NAD+.
Examples 6-10 
Examples 1-5 were repeated, with almost identical results, using sodium phosphotungstate in place of vanadyl sulfate.
Examples 11-15 
Examples 1-5 were repeated, with almost identical results, using ammonium molybdate in place of vanadyl sulfate.
Examples 16-20 
Examples 1-5 were repeated, with almost identical results, using potassium ferricyanide in place of vanadyl sulfate.
Examples 21-25 
Examples 1-5 were repeated, with almost identical results, using ammonium ferric citrate in place of vanadyl sulfate.
Example 26 
The procedure-in Example 2 is repeated using a pH 7.25 1M phosphate buffer. The solution tested negative even after being allowed to stand for 15 minutes, indicating that the enzyme is ineffective in vitro at pH 7.25.
Example 27 
The procedure in Example 2 is repeated using a pH 7.25 1M phosphate buffer. The solution tested negative even after being allowed to stand for 15 minutes, indicating that NAD+ cannot oxidize alcohol without a catalyst.
Example 28 
The procedure in Example 3 is repeated using a pH 7.25 1M phosphate buffer. The solution tested positive after being allowed to stand for 2 minutes, indicating that vanadyl sulfate can act as an accelerator for the oxidative reaction, even at the lower pH 7.25.
Example 29 
The procedure in Example 4 is repeated using a pH 7.25 1M phosphate buffer. The solution tested positive after being allowed to stand for 2 minutes, indicating that vanadyl sulfate can act as a catalyst or a “pseudo” enzyme for the oxidative reaction, even at the lower pH 7.25.
Example 30 
The procedure in Example 5 is repeated using a pH 7.25 1M phosphate buffer. The solution tested negative even after being allowed to stand for 15 minutes, indicating that vanadyl sulfate cannot oxidize alcohol in the absence of NAD+.
Examples 31-35 
Examples 25-30 were repeated, with almost identical results, using sodium phosphotungstate in place of vanadyl sulfate.
Examples 36-40 
Examples 25-30 were repeated, with almost identical results, using ammonium ferric citrate in place of vanadyl sulfate.
Example 41 and 42 were designed to demonstrate together, in a semi-quantitative way, the effectiveness of a particular transition metal (vanadium) in catalyzing the oxidation of acetaldehyde to acetic acid.
Example 41 
To a 0.0002 M solution of acetaldehyde in deionized distilled water (1 μL) are added 10 μL of a solution 0.0004 M in NAD+ (in deionized distilled water) and 1 U/mL Acetaldehyde Dehydrogenase (from Baker's Yeast) in a 1M (pH 9.25) phosphate buffer (1 μL), and diluted to 100 μL with the above buffer. At the end of a specified time, it was quenched with the DNP reagent. A positive reaction with DNP was obtained when the solution was allowed to stand for 2 minutes; an ambiguous reaction after 5 and 10 minutes, and a negative reaction after 20 minutes. This indicates that the most of the acetaldehyde had been converted.
Example 42 
The procedure in Example 41 was repeated replacing the Acetaldehyde Dehydrogenase was replaced by a solution 0.004 M in vanadyl sulfate (in deionized distilled water) (1 μL). An ambiguous reaction was obtained with the DNP reagent after 2 and 5 minutes; a negative reaction was obtained after 10 minutes. This indicates that vanadyl sulfate is at least as effective as Acetaldehyde Dehydrogenase in catalyzing the oxidation of acetaldehyde.
Examples 43-50 were designed to illustrate that various transitional metal can effect the oxidation of NADH, thus recycling NAD+, a major feature of any catalyst.
Example 43 
A 0.01M solution of NADH in a 1M (pH 9.25) phosphate buffer (10 μL) is diluted to 1900 μL with the buffer and mixed with a 0.01M solution of vanadyl sulfate (10 μL) a multi-cavity plate. The rate of oxidation of NADH is followed over time as the decrease in the absorption at 340 nm. The results, as summarized in Table 1 and Fig. I, indicate the effectiveness of vanadyl sulfate and potassium ferricyanide, and to a lesser extent, ammonium molybdate and sodium phosphotungstate, the latter two after an induction period.
Example 44 
The procedure in Example 43 is repeated replacing vanadyl sulfate with potassium ferricyanide.
Example 45 
The procedure in Example 43 is repeated replacing vanadyl sulfate with sodium molybdate.
Example 46 
The procedure in Example 43 is repeated replacing vanadyl sulfate with sodium phosphotungstate.
Examples 47-50 
The procedures in Examples 43-46 are repeated using a 1M (pH 7.25) phosphate buffer solution. The results, as summarized in Table 2 and Figure II, indicate the effectiveness of vanadyl sulfate and potassium ferricyanide, and to a lesser extent sodium molybdate, the latter after an induction period.







TABLE 1







1. Kinetics of Transition Metal Oxidation of NADH at pH 9.25














Vanadyl
Phospho-




Additive
None
Sulfate
tungstate
Molybdate
Ferricynide





Slope
0
.0112
.007*
.0035*
.0432


(OD/Min)


Slope
0
.000005
.0000006
.0000003
.00002


(Mole/L/Min)
















TABLE 2







2. Kinetics of Transition Metal Oxidation of NADH at pH 7.25














Vanadyl
Phospho-




Additive
None
Sulfate
tungstate
Molybdate
Ferricynide





Slope
0
.0079
0
.0025*
.0285


(OD/Min)


Slope
0
.0000036
0
.00000012
.000013


(Mole/L/Min)









In Examples 51-53, the rate of ADH catalyzed NAD+ oxidation of alcohol is followed by the rise in absorption at 340 nm, with and without additives. When a solvent (methanol) is needed to dissolve the additive, an equal amount is added to the “blank” or “control”. The results, as summarized in Table 3, indicate the effectiveness of Daidezin, Aloin and Methoxatin as accelerators.
Example 51 
To a 0.01M solution of ethanol (10 μL) in 1M pH 9.25 phosphate buffer, in a multi-well plate, is added a solution of aloin, of the indicated concentration (10 μL) and 10 μL of a solution containing 0.2 U/mL ADH and diluted to 180 μL with buffer. To the mixture is added 20 μL of a 0.01M solution of NAD+ in deionized distilled water, and the absorbance at 340 nm is followed with time.
Example 52 
The procedure in Example 51 is repeated using Daidezin.
Example 53 
The procedure in Example 51 is repeated using Methoxatin.







TABLE 3







Relative rates of Ethanol Oxidation in presence of Additives


(Control = 1)












Aloin
Aloin
Daidezin
Daidezin
Methoxatin
Methoxatin


(.000005M)
(.00001M)
(.000005M)
(.00001M)
(.000005M)
(.00001M)





1.07
1.19
1.28
1.38
1.29
1.59









While the invention has been described in connection with various embodiments, it is not intended to limit the scope of the invention to the particular form set forth, but on the contrary, it is intended to cover such alternatives, modifications, and equivalents as may be included within the spirit and scope of the invention as defined by the appended claims.

## Claims

1. A process for accelerating in vivo oxidation of alcohol, comprising the steps of:
(a) preparing a composition comprising NAD+ and a catalyst comprising at least one of a species selected from the group consisting of a multivalent transition metal ion and a complex thereof, excluding manganese, iron, chromium, copper and zinc; the species being in a state selected to accelerate in vivo oxidation of alcohol in the absence of a dehydrogenase where said catalyst effects the oxidation of NADH, thus recycling NAD+, and the composition having a sufficient quantity of the transition metal ion to provide an in vivo concentration of the ion in the range of 0.05% to 2% of a maximum in vivo molar concentration of ethanol; and
(b) administering the composition in vivo to a subject in need of accelerated removal of alcohol from the bloodstream.

2. The process of claim 1, wherein the composition includes a quantity of NAD+ sufficient to provide an in vivo concentration of NAD+ in the range of 0.05% to 5% of a maximum in vivo molar concentration of ethanol.

3. The process of claim 1, wherein the composition further comprises a base.

4. The process of claim 3, wherein the composition includes a quantity of the base sufficient to provide an in vivo concentration of the base at least chemically equivalent to an acid resulting from the oxidation of the ethanol.

5. The process of claim 3, wherein the base is selected from the group consisting of sodium carbonate, sodium bicarbonate, trisodium phosphate, disodium hydrogen phosphate and tris(hydroxymethyl) aminomethane.

6. The process of claim 1, wherein the composition further comprises a medication.

7. The process of claim 6, wherein the medication is a pain-relief agent selected from the group consisting of aspirin, ibuprofen and acetaminophen.

8. A process for accelerating in vivo oxidation of alcohol, comprising the steps of:
(a) preparing a composition comprising NAD+ and a catalyst comprising at least one of a species selected from the group consisting of a multivalent transition metal ion and a complex thereof, the species being in a state selected to accelerate in vivo oxidation of alcohol in the absence of a dehydrogenase where said catalyst effects the oxidation of NADH, thus recycling NAD+, and further comprising an agent reactive with acetaldehyde, the reactive agent being a dehydrogenase; and
(b) administering the composition in vivo to a subject in need of accelerated removal of alcohol from the bloodstream.

9. The process of claim 8, wherein the dehydrogenase is selected from the group consisting of alcohol dehydrogenase and acetaldehyde dehydrogenase.

10. The process of claim 8, wherein the dehydrogenase has a concentration in the range of 0.1 and 10 I.U./L.

11. The process of claim 8, wherein the composition includes a quantity of the reactive agent sufficient to provide an in vivo concentration of the reactive agent at least chemically equivalent to an amount of acetaldehyde resulting from the oxidation of alcohol.

12. The process of claim 8, wherein the composition further includes a stabilizing ion.

13. The process of claim 12, wherein the stabilizing ion is zinc.

14. The process of claim 13, wherein the concentration of zinc ions is 1% of the molar concentration of the dehydrogenase.

15. A process for accelerating in vivo oxidation of alcohol, comprising the steps of:
(a) preparing a composition comprising NAD+ and a catalyst comprising at least one of a species selected from the group consisting of a multivalent transition metal ion and a complex thereof, the species being in a state selected to accelerate in vivo oxidation of alcohol in the absence of a dehydrogenase where said catalyst effects the oxidation of NADH, thus recycling NAD+, and further comprising an accelerant selected from the group consisting of adenosine 5′-triphosphate, adenine-9-β-D-arabinofuranoside 5′-triphosphate, 2′-deoxyadenosine 5′-triphosphate, and 2′,3′-dideoxyadenosine 5′-triphosphate; and
(b) administering the composition in vivo to a subject in need of accelerated removal of alcohol from the bloodstream.

16. The process of claim 15, wherein the composition includes a quantity of the accelerant sufficient to provide an in vivo concentration in the range from 1% to 100% of a maximum in vivo molar concentration of ethanol.

17. A process for accelerating in vivo oxidation of alcohol, comprising the steps of:
(a) preparing a composition comprising NAD+ and a catalyst comprising at least one of a species selected from the group consisting of a multivalent transition metal ion and a complex thereof, the species being in a state selected to accelerate in vivo oxidation of alcohol in the absence of a dehydrogenase where said catalyst effects the oxidation of NADH, thus recycling NAD+, and further comprising a charge-transfer agent selected from the group consisting of an isoflavanone and a pyranoside thereof and
(b) administering the composition in vivo to a subject in need of accelerated removal of alcohol from the bloodstream.

18. The process of claim 17, wherein the isoflavanoid is daidezin and its pyranoside, aloin.

19. The process of claim 17, wherein the composition includes a quantity of the charge-transfer agent sufficient to provide an in vivo concentration of the charge-transfer agent in the range from 0.1% and 2% of a maximum in vivo molar concentration of ethanol.

20. A process for accelerating in vivo oxidation of alcohol, comprising the steps of:
(a) preparing a composition comprising NAD+ and a catalyst comprising at least one of a species selected from the group consisting of a multivalent transition metal ion and a complex thereof, the species being in a state selected to accelerate in vivo oxidation of alcohol in the absence of a dehydrogenase where said catalyst effects the oxidation of NADH, thus recycling NAD+, and further comprising a surfactant; and
(b) administering the composition in vivo to a subject in need of accelerated removal of alcohol from the bloodstream.

21. The process of claim 20, wherein the surfactant is selected from the group consisting of saponin, taurine, oleic acid and lecithin.

22. The process of claim 20, wherein the concentration of the surfactant in the composition is in the range 0.02% and 0.2% by volume.

23. The process of claim 20, wherein the surfactant is also a charge-transfer agent.

24. The process of claim 23, wherein the surfactant and charge-transfer agent is selected from the group consisting of lipoic acid, retinoic acid, retinal, retinol, and derivatives and analogs thereof, wherein the derivatives and analogs are surfactants that are also charge-transfer agents from the group.

25. The process of claim 23, wherein the composition includes a quantity of the surfactant and charge-transfer agent sufficient to provide an in vivo concentration of the surfactant and charge-transfer agent between 0.1% and 2% of a maximum molar concentration of ethanol.

26. A process for accelerating in vivo oxidation of alcohol, comprising the steps of:
(a) preparing a composition comprising NAD+ and a catalyst comprising at least one of a species selected from the group consisting of a multivalent transition metal ion and a complex thereof, the species being in a state selected to accelerate in vivo oxidation of alcohol in the absence of a dehydrogenase where said catalyst effects the oxidation of NADH, thus recycling NAD+, and further comprising a dietary ingredient selected from the group consisting of garlic oil, onion oil and dietary fiber; and
(b) administering the composition in vivo to a subject in need of accelerated removal of alcohol from the bloodstream.

27. A process for accelerating in vivo oxidation of alcohol, comprising the steps of:
(a) preparing a composition comprising NAD+ and a catalyst comprising at least one of a species selected from the group consisting of a multivalent transition metal ion and a complex thereof, the species being in a state selected to accelerate in vivo oxidation of alcohol in the absence of a dehydrogenase where said catalyst effects the oxidation of NADH, thus recycling NAD+, wherein the composition is configured in a form selected from the group consisting of a solution, suspension, capsule, gel caplet, transdermal patch, and nasal spray; and
(b) administering the composition in vivo to a subject in need of accelerated removal of alcohol from the bloodstream.

28. A process for accelerating in vivo oxidation of alcohol, comprising the steps of:
(a) preparing a composition comprising NAD+ and one member selected from the group consisting of vanadyl sulfate and a complex of vanadyl sulfate; and
(b) administering the composition in vivo to a subject in need of accelerated removal of alcohol from the bloodstream.

29. The process of claim 28, wherein the composition further comprises a species selected from the group consisting of a multivalent transition metal ion and a complex thereof, the transition metal ion being selected from the group consisting of the elements of Groups IVa through VIII of the Periodic Table.

30. The process of claim 29, wherein the species is selected from the group consisting of potassium ferricyanide, ammonium iron(III) citrate, ammonium molybdate, ammonium phospho molybdate, sodium tungstate, sodium phospho tungstate, ammonium manganese(III) sulfate, zirconium(IV) EDTA, niobium(IV) EDTA, tetrakis(tropolonato)niobium(V) chloride, tetrakis(tropolonato)tantalum(V) chloride, cobalt(III) hexamine chloride, and chromium(III) picolinate.

31. The process of claim 28, wherein the composition includes a sufficient quantity of the transition metal ion to provide an in vivo concentration of the ion in the range from 0.05% to 2% of a maximum in vivo molar concentration of ethanol.

32. The process of claim 28, wherein the composition includes a quantity of NAD+ sufficient to provide an in vivo concentration of NAD+ in the range from 0.05% to 5% of a maximum in vivo molar concentration of ethanol.

33. The process of claim 28, wherein the composition further comprises a base.

34. The process of claim 33, wherein the composition includes a quantity of the base sufficient to provide an in vivo concentration of the base at least chemically equivalent to an acid resulting from the oxidation of the alcohol.

35. The process of claim 33, wherein the base is selected from the group consisting of sodium carbonate, sodium bicarbonate, trisodium phosphate, disodium hydrogen phosphate and tris(hydroxymethyl) aminomethane.

36. The process of claim 28, wherein the composition further comprises an agent reactive with acetaldehyde.

37. The process of claim 36, wherein the agent reactive with acetaldehyde is selected from the group consisting of lysine, arginine, thiamine, and pyridoxamine.

38. The process of claim 36, wherein the composition includes a quantity of the agent reactive with acetaldehyde sufficient to provide an in vivo concentration of said agent at least chemically equivalent to an amount of acetaldehyde resulting from the oxidation of alcohol.

39. The process of claim 36, wherein the agent reactive with acetaldehyde is a dehydrogenase.

40. The process of claim 39, wherein the dehydrogenase is selected from the group consisting of alcohol dehydrogenase and acetaldehyde dehydrogenase.

41. The process of claim 39, wherein the dehydrogenase has a concentration in the range of 0.1 and 10 I.U./L.

42. The process of claim 28, wherein composition further comprises an accelerant.

43. The process of claim 42, wherein the accelerant is selected from the group consisting of adenosine 5′-triphosphate, adenine-9-β-D-arabinofuranoside 5′-triphosphate, 2′-deoxyadenosine 5′-triphosphate, and 2′,3′-dideoxyadenosine 5′-triphosphate.

44. The process of claim 42, wherein the accelerant is selected from the group consisting of fructose, arabinose, ribose, deoxyribose, and their phosphorylated derivatives.

45. The process of claim 42, wherein the composition includes a quantity of the accelerant sufficient to provide an in vivo concentration in the range from 1% to 100% of a maximum in vivo molar concentration of ethanol.

46. The process of claim 28, wherein the composition further includes a charge-transfer agent.

47. The process of claim 46, wherein the charge-transfer agent is selected from the group consisting of an isoflavanone and a pyranoside thereof.

48. The process of claim 47, wherein the isoflavanoid is daidezin and the pyranoside thereof is aloin.

49. The process of claim 46, wherein the charge-transfer agent is selected from the group consisting of methoxatin, pyridoxine, pyridoxamine, pyridoxamine phosphate and thiamine.

50. The process of claim 46, wherein the composition includes a quantity of the charge-transfer agent sufficient to provide an in vivo concentration of the charge-transfer agent in the range from 0.1% and 2% of a maximum in vivo molar concentration of ethanol.

51. The process of claim 28, wherein the composition further comprises a surfactant.

52. The process of claim 51, wherein the surfactant is selected from the group consisting of saponin, taurine, oleic acid and lecithin.

53. The process of claim 51, wherein the concentration of the surfactant in the composition is in the range 0.02% and 0.2% by volume.

54. The process of claim 51, wherein the surfactant is also a charge-transfer agent.

55. The process of claim 54, wherein the surfactant and charge-transfer agent is selected from the group consisting of lipoic acid, retinoic acid, retinal, retinol, and derivatives and analogs thereof wherein the derivatives and analogs are surfactants that are also charge-transfer agents from the group.

56. The process of claim 54, wherein the composition includes a quantity of the surfactant and charge-transfer agent sufficient to provide an in vivo concentration of the surfactant and charge-transfer agent between 0.1% and 2% of a maximum molar concentration of ethanol.

57. The process of claim 39, wherein the composition further comprises a stabilizing ion.

58. The process of claim 57, wherein the stabilizing ion is zinc.

59. The process of claim 58, wherein the concentration of zinc ion is 1% of the molar concentration of a dehydrogenase.

60. The process of claim 28, wherein the composition further comprises a dietary ingredient selected from the group consisting of garlic oil, onion oil and dietary fiber.

61. The process of claim 28, wherein the composition further comprises a medication.

62. The process of claim 61, wherein the medication is a pain-relief agent selected from the group consisting of aspirin, ibuprofen and acetaminophen.

63. The process of claim 28, wherein the composition is configured in a form selected from the group consisting of a solution, a suspension, a capsule, a gel caplet, a transdermal patch, and a nasal spray.

64. The process of claim 1, wherein the step of administering the composition is by a route selected from the group consisting of an oral route, a nasal route, a rectal route, a transdermal route, an intravenous route, an intraperitoneal route and a stomach lavage route.

65. The process of claim 8, wherein the step of administering the composition is by a route selected from the group consisting of an oral route, a nasal route, a rectal route, a transdermal route, an intravenous route, an intraperitoneal route and a stomach lavage route.

66. The process of claim 15, wherein the step of administering the composition is by a route selected from the group consisting of an oral route, a nasal route, a rectal route, a transdermal route, an intravenous route, an intraperitoneal route and a stomach lavage route.

67. The process of claim 17, wherein the step of administering the composition is by a route selected from the group consisting of an oral route, a nasal route, a rectal route, a transdermal route, an intravenous route, an intraperitoneal route and a stomach lavage route.

68. The process of claim 20, wherein the step of administering the composition is by a route selected from the group consisting of an oral route, a nasal route, a rectal route, a transdermal route, an intravenous route, an intraperitoneal route and a stomach lavage route.

69. The process of claim 26, wherein the step of administering the composition is by a route selected from the group consisting of an oral route, a nasal route, a rectal route, a transdermal route, an intravenous route, an intraperitoneal route and a stomach lavage route.

70. The process of claim 27, wherein the step of administering the composition is by a route selected from the group consisting of an oral route, a nasal route, a rectal route, a transdermal route, an intravenous route, an intraperitoneal route and a stomach lavage route.

71. The process of claim 28, wherein the step of administering the composition is by a route selected from the group consisting of an oral route, a nasal route, a rectal route, a transdermal route, an intravenous route, an intraperitoneal route and a stomach lavage route.