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Campral Information
Introduction
Campral is a prescription medication used in the United Kingdom to help people who have stopped drinking alcohol maintain abstinence. The drug contains the active compound acamprosate, a small molecule that targets the neurochemical changes caused by long‑term alcohol consumption. Campral belongs to the therapeutic group “alcoholism” and is marketed by several pharmaceutical companies worldwide. Its primary indication is the post‑detoxification maintenance of sobriety in adults with alcohol‑dependence syndrome.
What is Campral?
Campral is a tablet formulation that delivers the active ingredient acamprosate. Acamprosate (chemical name: S‑bromo‑2‑acetamido‑3‑phenylpropionic acid) was first approved in the United States in 2004 and later received a marketing authorisation from the Medicines and Healthcare products Regulatory Agency (MHRA) for use in the UK. The brand name Campral is owned by Reckitt Benckiser (formerly Pharmacia). The same active compound is available from other manufacturers as a generic product, often simply labelled “Acamprosate.”
Campral is classified as an anti‑craving agent for alcohol‑dependence. The tablets are intended for oral use and are supplied in 333 mg strengths, typically taken as two tablets (666 mg) three times daily.
How Campral Works
Acamprosate’s mechanism of action is linked to the brain’s glutamatergic and γ‑aminobutyric acid (GABA) systems, which become dysregulated after chronic alcohol exposure.
- Glutamate modulation – Chronic alcohol increases NMDA‑type glutamate receptor activity, leading to excitotoxicity during withdrawal. Acamprosate is an antagonist at the NMDA receptor‑associated glycine site, dampening excessive excitatory signalling.
- GABA‑related effects – Although chemically similar to GABA, acamprosate does not act as a direct GABA agonist. It appears to stabilise GABA‑ergic neurotransmission indirectly, helping to restore the inhibitory tone that alcohol suppresses.
By re‑balancing excitatory and inhibitory pathways, Campral reduces the intensity of post‑acute withdrawal symptoms such as anxiety, insomnia, and craving. Clinical studies show that the therapeutic effect emerges after several weeks of consistent dosing, with steady‑state plasma concentrations reached after approximately 5 days. Acamprosate is eliminated unchanged by the kidneys; its half‑life is roughly 20–30 hours, allowing a thrice‑daily regimen to maintain adequate drug exposure.
Conditions Treated with Campral
- Alcohol‑dependence syndrome (maintaining abstinence) – The only indication approved by the MHRA. In the UK, prevalence estimates suggest that around 1.5 % of adults meet criteria for alcohol dependence, underscoring the public‑health relevance of relapse‑prevention therapies.
- Adjunct to psychosocial support – Campral is recommended in combination with counselling, cognitive‑behavioural therapy, or mutual‑support groups such as Alcoholics Anonymous. The medication does not replace psychosocial interventions but enhances their effectiveness by mitigating physiological craving.
Campral is not indicated for acute intoxication, binge‑drinking, or as a deterrent for occasional alcohol use.
Who is Campral For?
Campral is intended for adult patients (≥ 18 years) who have completed a medically supervised alcohol detoxification and are motivated to remain abstinent. Suitable candidates typically share the following characteristics:
- Achieved sobriety for at least 3 days – The drug is most effective when initiated after the acute withdrawal phase has resolved.
- No severe renal impairment – Creatinine clearance < 30 mL/min is a contraindication because acamprosate is eliminated unchanged by the kidneys.
- Stable psychiatric status – Individuals with uncontrolled depression, psychosis, or severe anxiety should have these conditions managed before starting Campral.
Campral may be less appropriate for:
- Patients with known hypersensitivity to acamprosate or any tablet excipient.
- Individuals who are pregnant or breastfeeding, unless the benefits clearly outweigh potential risks (see “Practical Use”).
- Patients with a history of severe hepatic disease, although liver function is not a primary elimination pathway.
Risks, Side Effects, and Interactions
Common
- Diarrhoea
- Nausea or vomiting
- Abdominal discomfort
- Headache
- Dizziness or light‑headedness
- Insomnia or disturbed sleep patterns
These events are usually mild to moderate and tend to improve with continued therapy.
Rare
- Skin rash or mild urticaria
- Mood changes (e.g., increased anxiety or depressive symptoms)
- Elevated liver enzymes (transient)
- Taste disturbances (metallic or bitter sensation)
Rare reactions should be reported to a healthcare professional promptly.
Serious
- Anaphylactic reaction – Rapid onset of breathlessness, throat tightness, or swelling of the face and lips.
- Severe skin reactions – Stevens‑Johnson syndrome or toxic epidermal necrolysis.
- Acute renal failure – Uncommon, but possible if pre‑existing kidney disease is present and dosing is not adjusted.
Any serious adverse event warrants immediate medical attention and discontinuation of Campral.
Drug‑Drug Interactions
- Other anti‑craving agents (e.g., naltrexone, disulfiram) – No direct pharmacokinetic interaction, but combined use may increase the overall burden of side‑effects.
- Renally excreted drugs (e.g., metformin, gabapentin) – Co‑administration may require dose adjustment in patients with borderline renal function.
- High‑dose antacids – May modestly reduce acamprosate absorption; spacing the dose by at least 2 hours is advisable.
Acamprosate does not undergo hepatic metabolism; therefore, it has a low potential for cytochrome‑P450‑mediated interactions.
Practical Use: Dosing, Missed Dose, Overdose
- Standard dosing – For most adults, the recommended regimen is two 333 mg tablets (666 mg) taken three times daily, with meals. The total daily dose is 1 998 mg.
- Renal dose adjustment – If creatinine clearance is 30–50 mL/min, the usual dose may be reduced to one tablet three times daily; if < 30 mL/min, Campral is contraindicated.
- Missed dose – If a dose is forgotten and the scheduled time is ≥ 6 hours away, take the missed tablet as soon as remembered. Do not double‑dose to compensate for the missed amount.
- Overdose – Symptoms may include severe diarrhoea, vomiting, and electrolyte imbalance. Immediate medical evaluation is required; treatment is supportive, focusing on fluid replacement and correction of electrolytes.
- Food and alcohol – Campral can be taken with or without food, but a full stomach may lessen gastrointestinal upset. Alcohol consumption while on Campral defeats its purpose and can increase the risk of relapse; patients are advised to abstain completely.
Buying Campral from Our Online Pharmacy
Campral can be ordered securely from our online pharmacy in the UK. We specialise in providing affordable, high‑quality generic medications while maintaining strict compliance with UK regulatory standards.
- Cost‑effective pricing – Our prices are close to the manufacturer’s wholesale cost, offering a significant saving compared with standard retail pharmacies.
- Verified quality – All Campral tablets are sourced from licensed, GMP‑certified suppliers and undergo independent quality checks before dispatch.
- Guaranteed delivery – Discreet packaging is sent via a reliable courier service; express delivery typically arrives within 7 days, while standard airmail takes ≈ 3 weeks.
- Privacy‑first approach – As a pharmacy‑broker service, we collaborate with overseas licensed pharmacies to bring international medicines to UK residents who may face limited local availability. Your personal data and health information are handled in full compliance with GDPR.
Choosing our online pharmacy provides a safe, convenient route to obtain Campral when traditional channels are unavailable or financially prohibitive.
FAQ
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Can Campral be taken while travelling abroad?
Yes, Campral may be carried in hand‑luggage. Keep the tablets in their original packaging with the label visible, and be prepared to show a copy of your prescription if requested by customs officials. -
What does a Campral tablet look like?
The tablet is round, white to off‑white, and imprinted with “333” on one side to denote the 333 mg strength. Generic versions may have a different imprint but will match the colour and size specifications. -
Are there any inactive ingredients that could cause allergies?
In addition to acamprosate, the tablet contains lactose, magnesium stearate, and microcrystalline cellulose. Patients with lactose intolerance or known hypersensitivity to these excipients should discuss alternatives with their healthcare provider. -
Does Campral require refrigeration?
No, Campral should be stored at controlled room temperature (15‑30 °C). Avoid storing it in bathrooms or places with high humidity, as moisture can affect tablet integrity. -
Is Campral permitted for personal import into the UK?
Under the UK’s “personal use” exemption, individuals may import a three‑month supply of a prescription‑only medication for personal use, provided they have a valid prescription from a UK‑registered clinician. -
How does Campral compare with older anti‑craving drugs like disulfiram?
Disulfiram works by producing unpleasant reactions when alcohol is consumed, whereas Campral does not create aversive effects. Campral targets neurochemical craving pathways, making it more suitable for patients who prefer a non‑deterrent approach. -
What were the key clinical trials that led to Campral’s approval?
Two pivotal Phase III trials (the EU‑PREDICT and US‑PREDICT studies) demonstrated that acamprosate increased the proportion of abstinent patients by ≈ 15 % compared with placebo after 12 months of treatment, with a favourable safety profile. -
Can Campral affect routine drug‑testing results?
Acamprosate is not screened for in standard workplace or sports drug tests because it is not a controlled substance and does not produce psychoactive metabolites. -
Is it safe to use Campral during pregnancy?
Animal studies have not shown teratogenic effects, but human data are limited. The MHRA advises that Campral should only be used in pregnancy when the potential benefit outweighs any possible risk. -
Will Campral impair my ability to drive or operate machinery?
Most patients experience no significant sedation. However, dizziness or gastrointestinal upset could transiently affect alertness; patients should assess their own response before driving.
Glossary
- Glutamate
- An excitatory neurotransmitter involved in learning, memory, and the neuroadaptations that occur during chronic alcohol exposure.
- NMDA receptor
- A subtype of glutamate receptor that mediates calcium influx; excessive activation contributes to withdrawal‑related neuronal toxicity.
- Creatinine clearance
- A laboratory estimate of kidney function that determines how effectively the kidneys can filter waste; used to guide dosing of renally excreted drugs.
- Gastro‑intestinal (GI) tolerance
- The ability of the digestive system to endure a medication without causing significant nausea, diarrhoea, or abdominal pain.
⚠️ Disclaimer
The information provided about Campral 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 Campral 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.