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Acamprosate Information
Introduction
Acamprosate is an oral medication used to support abstinence in adults with alcohol dependence. It is widely prescribed in the United Kingdom as part of a comprehensive alcohol‑reduction programme that includes counselling and psychosocial support. The active compound is acamprosate, and it belongs to the therapeutic group for alcoholism. The drug is produced by several manufacturers; in the UK the most recognised brand name is Campral.
What is Acamprosate?
Acamprosate is the generic version of Campral, containing the same active compound acamprosate. Our online pharmacy provides this generic alternative as a cost‑effective treatment option. The medication is supplied as a calcium‑salt tablet (acamprosate calcium) that is orally. It was developed in the 197s and received European Medicines Agency (EMA) approval for the maintenance of abstinence after detoxification in 2004.
How Acamprosate Works
Acamprosate modulates the brain’s glutamatergic system. Chronic alcohol intake up‑regulates NMDA (N‑methyl‑D‑aspartate) receptors and alters the balance between excitatory and inhibitory neurotransmission. After detoxification, this imbalance can drive cravings and relapse. Acamprosate acts as a functional antagonist at the NMDA‑type glutamate receptor and a positive modulator of the GABA‑A receptor. By dampening hyper‑excitatory signalling, it reduces the urge to drink and stabilises neuronal activity. The drug is poorly absorbed (≈57 % oral bioavailability) and is eliminated unchanged by the kidneys; steady‑state concentrations are reached after about five days of regular dosing.
Conditions Treated with Acamprosate
- Alcohol‑dependence (maintenance of abstinence) – Approved by the Medicines and Healthcare products Regulatory Agency (MHRA) for adults who have achieved initial abstinence following detoxification.
- Adjunct to psychosocial therapy – Clinical guidelines (NICE CG115) recommend acamprosate as part of a structured programme that includes behavioural support.
In the UK, approximately 1.3 million adults meet criteria for alcohol dependence, yet only a fraction receive sustained treatment. Acamprosate addresses a core neurochemical driver of relapse, offering an evidence‑based option for long‑term recovery.
Who is Acamprosate For?
- Adults who have completed medically supervised detox and are motivated to remain abstinent.
- Individuals with a good renal function (creatinine clearance ≥ 30 mL/min), because the drug is excreted unchanged in urine.
- Patients who prefer a non‑sedating pharmacological aid; acamprosate does not produce euphoria or dependence.
Contra‑indications / situations where use is not advised
- Severe renal impairment (creatinine clearance < 30 mL/min).
- Known hypersensitivity to acamprosate or any tablet excipients.
- Ongoing acute alcohol intoxication (the drug does not treat withdrawal).
Risks, Side Effects, and Interactions
Common
- Diarrhoea
- Nausea or abdominal discomfort
- Flatulence
- Metallic taste
These events are usually mild to moderate and tend to resolve within the first two weeks of therapy.
Rare
- Depression or mood changes
- Dizziness or headache
- Elevated liver enzymes (transient)
Patients reporting persistent mood alterations should seek medical advice promptly.
Serious
- Anaphylactic reaction (rash, swelling, breathlessness) – requires immediate emergency care.
- Severe renal dysfunction secondary to accumulation in patients with unrecognised impairment.
Drug–Drug Interactions
Acamprosate has limited metabolic pathways, but clinically relevant interactions include:
- Nephrotoxic agents (e.g., NSAIDs, aminoglycosides) – may compound renal clearance issues.
- Diuretics – can increase the risk of dehydration, potentially elevating serum acamprosate concentrations.
- Metformin – though not a direct interaction, both are renally excreted; dose adjustment of metformin may be needed in reduced renal function.
No significant pharmacokinetic interactions with antidepressants, antipsychotics, or opioid substitution therapies have been demonstrated.
Practical Use: Dosing, Missed Dose, Overdose
- Standard adult dose: 666 mg (one tablet) three times daily (total 1998 mg) taken with water. Dosing is independent of meals.
- Renal adjustment: If creatinine clearance is 30–50 mL/min, the recommended dose is reduced to 666 mg twice daily.
- Missed dose: Take the missed tablet as soon as remembered if there is at least a six‑hour gap before the next scheduled dose. Otherwise, skip the missed dose and resume the regular schedule; do not double‑dose.
- Overdose: Symptoms may include severe gastrointestinal upset, vomiting, or electrolyte imbalance. Seek urgent medical attention; treatment is supportive, focusing on hydration and monitoring renal function.
- Precautions: Maintain adequate fluid intake (≥ 2 L/day) to support renal clearance. Avoid initiating acamprosate without a prior medical assessment of kidney function.
Buying Acamprosate from Our Online Pharmacy
Acamprosate can be purchased from our online pharmacy in the UK, offering a discreet, reliable pathway to obtain this essential medication:
- Affordable pricing – Our generic formulation is sourced near the manufacturer’s cost, providing substantial savings compared with brand‑name options.
- Verified quality – All stock originates from licensed overseas wholesalers that meet EU‑GMP standards; each batch is inspected for potency and purity.
- Guaranteed delivery – Discreet packaging shipped via a secure courier service; express delivery typically arrives within 7 days, regular airmail within 3 weeks.
- Pharmacy broker service – We act as a broker between you and internationally accredited pharmacies, ensuring compliance with UK import regulations while safeguarding your privacy.
Patients who encounter limited access through local pharmacies or who require a cost‑effective alternative may find our service a practical solution.
FAQ
-
Is Acamprosate available in both brand‑name and generic forms in the UK?
Yes. The original brand‑name product is marketed as Campral, while generic versions containing the same active compound are widely available. Generic acamprosate offers the same therapeutic effect at a lower price. -
What should I do if my Acamprosate tablets become damp or sticky?
Moisture can compromise tablet integrity. Store the medication in a dry place, away from humidity. If tablets appear damaged, discard them and obtain a fresh supply to ensure accurate dosing. -
Can I travel internationally with Acamprosate tablets?
Yes, you may carry a personal supply for personal use. Keep the medication in its original packaging with a copy of the prescription or a pharmacist’s label, and be aware of the destination country’s import rules for medicines. -
Does Acamprosate have any impact on drug testing for alcohol?
No. Acamprosate does not contain ethanol or metabolites that would trigger a positive alcohol test. However, some specialized tests might detect the compound itself, which is not relevant to standard workplace screenings. -
Are there regional formulation differences between EU and non‑EU Acamprosate products?
The active ingredient, acamprosate calcium, is identical across authorised markets. Inactive ingredients such as excipients may vary (e.g., filler type), but these differences do not affect efficacy. -
What is the history behind the development of Acamprosate?
Acamprosate originated from research into agents that could counteract alcohol‑induced neurochemical disturbances. Early studies in the 197s identified its glutamatergic modulatory properties, leading to clinical trials in the 199s that demonstrated reduced relapse rates, culminating in regulatory approval in the early 200s. -
How does Acamprosate compare with other anti‑craving medications like naltrexone?
Acamprosate primarily targets glutamate pathways, whereas naltrexone blocks opioid receptors involved in reward. Clinical guidelines suggest selecting the agent based on individual response, side‑effect profile, and co‑existing conditions; some patients may benefit from combination therapy under specialist supervision. -
Can Acamprosate be taken with food or should it be taken on an empty stomach?
The medication can be taken with or without food. Taking it with water and a meal may reduce gastrointestinal discomfort for some patients, but food does not significantly alter absorption. -
What are the storage requirements for Acamprosate tablets?
Store at controlled room temperature (15 °C–30 °C), away from direct sunlight, moisture, and heat sources. Do not refrigerate or freeze the tablets, as temperature extremes can affect tablet stability. -
Is there a specific warning for patients of Asian descent regarding Acamprosate?
No ethnicity‑specific safety warnings have been issued by regulatory agencies. However, all patients should undergo renal function assessment before initiation, as clearance is renal and not related to ethnicity.
Glossary
- Glutamatergic system
- The network of neurons that use glutamate as a neurotransmitter, responsible for excitatory signalling in the brain.
- Renal clearance
- The rate at which a drug is eliminated from the body through the kidneys, typically measured in millilitres per minute.
- GABA‑A receptor
- A receptor that mediates inhibitory neurotransmission via gamma‑aminobutyric acid (GABA), promoting neural calmness.
- Pharmacy broker service
- An intermediary model where a licensed entity arranges procurement of medicines from verified overseas pharmacies, ensuring compliance with local regulations and safeguarding patient privacy.
⚠️ Disclaimer
The information provided about Acamprosate is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Acamprosate for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.