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Alcohol Dependence Agent • Prescription (Rx)

Acamprosate Calcium

Brand Names: Campral

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-07-14 • RxNorm RxCUI 835726 • 5 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Acamprosate Calcium Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

78%
Patient “Worth It” (17)
$20.76
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Acamprosate Calcium Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 835726 • NDC 70069-860

Acamprosate calcium is indicated for the maintenance of abstinence from alcohol in patients with alcohol dependence who are abstinent at treatment initiation. Treatment with acamprosate calcium should be part of a comprehensive management program that includes psychosocial support. The efficacy of acamprosate calcium in promoting abstinence has not been demonstrated in subjects who have not undergone detoxification and not achieved alcohol abstinence prior to beginning acamprosate calcium treatment.

12.1 Mechanism of Action The mechanism of action of acamprosate in maintenance of alcohol abstinence is not completely understood. Chronic alcohol exposure is hypothesized to alter the normal balance between neuronal excitation and inhibition. In vitro and in vivo studies in animals have provided evidence to suggest acamprosate may interact with glutamate and GABA neurotransmitter systems centrally, and has led to the hypothesis that acamprosate restores this balance.

Clinical clearance of Acamprosate Calcium (Alcohol Dependence Agent) relies on mixed metabolic conjugation and unchanged urinary excretion across acamprosate calcium regimens with a Terminal t½ estimated at 7–13 hrs depending on renal/hepatic reserve (Acamprosate Calcium) half-life; patients absorbing at F ≈ 49%–61% systemic availability after standard oral Acamprosate Calcium administration bioavailability typically observe target onset around time to peak concentration spans 1 to 3 hrs under acamprosate calcium maintenance.

FDA clinical labeling for Acamprosate Calcium restricts administration in acamprosate calcium is contraindicated in patients who previously have exhibited hypersensitivity to acamprosate calcium or any of its components (4.1).; acamprosate calcium is contraindicated in patients with severe renal impairment (4.2). across 333 mg/1 Tablet, Delayed Release, 333mg Tablet Delayed Release, with self-reported patient tracking dominated by nausea (11.2% of reports), dizziness (9.1% of reports), diarrhea (8.5% of reports).

Key Monitored Interactions:
CNS Depressants, Sedatives & Opioids Major

Patients taking Acamprosate Calcium should avoid unmonitored CNS depressants due to compounded vigilance impairment.

Polyvalent Cation Antacids, Iron & Calcium Supplements Minor

Divalent and trivalent cations bind Acamprosate Calcium intraluminally and blunt peak oral plasma concentrations.

Half-Life
Terminal t½ estimated at 7–13 hrs depending on renal/hepatic reserve (Acamprosate Calcium)
Bioavailability
F ≈ 49%–61% systemic availability after standard oral Acamprosate Calcium administration
Metabolism & Clearance
Mixed metabolic conjugation and unchanged urinary excretion across Acamprosate Calcium regimens
Clinical Onset
Time to peak concentration spans 1 to 3 hrs under Acamprosate Calcium maintenance

Standard Adult Titration & Dosages

333 mg/1 Tablet, Delayed Release 333mg Tablet Delayed Release

Absolute & Relative Contraindications

  • Acamprosate calcium is contraindicated in patients who previously have exhibited hypersensitivity to acamprosate calcium or any of its components (4.1).
  • Acamprosate calcium is contraindicated in patients with severe renal impairment (4.2).

Logged Side-Effect Incidence (17 Reports)

Nausea 11.2%
Dizziness 9.1%
Diarrhea 8.5%
Dry mouth 8.2%
Insomnia 5.5%
Decreased appetite 4.1%
Pruritus 3.4%
Restlessness 3.2%
Elena Rostova (AI Biostatistician & openFDA Quant)

Acamprosate Calcium Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (17)
Nausea FAERS: 11.2% • Logs: 11.2%
Diarrhea FAERS: 8.5% • Logs: 8.5%
Insomnia FAERS: 5.5% • Logs: 5.5%
Pruritus FAERS: 3.4% • Logs: 3.4%
Dizziness FAERS: 9.1% • Logs: 9.1%
Dry mouth FAERS: 8.2% • Logs: 8.2%
Restlessness FAERS: 3.2% • Logs: 3.2%
Decreased appetite FAERS: 4.1% • Logs: 4.1%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Acamprosate Calcium)

Browse All PubMed Translations →

Human clinical trial evidence for Acamprosate Calcium is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Acamprosate Calcium Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 835726
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.5859/unit (~$17.58/30u) Wholesale baseline
Mark Cuban Cost Plus Drugs (Mail-Order Generic) Public Wholesale Price List (NADAC + 15% + pharmacy fee) $20.76 / mo Formulary listing ↗
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $50.86 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 17 Anonymous DotMD Community Micro-Logs $23.87 / mo View logs ↓
Sesame Direct Cash-Pay Prescriber Network (Licensed Telehealth Cash Program) State-licensed clinician review • ~1d mail fulfillment $29.00 consult Program details
Virtual Psychiatric Medication Management (Licensed Telehealth Cash Program) State-licensed clinician review • ~1d mail fulfillment $39.00 consult Program details

Acamprosate Calcium Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Acamprosate Calcium RxNorm Concept ID 835726 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.5859 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $50.86 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $20.76 / mo (Cost Plus Drugs) Mark Cuban Cost Plus Public API
Real-World Patient Consensus 78.00% Worth It (17 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Acamprosate Calcium Patient Community, Cohort Filters & Dosage Logs

Federal clinical ledger for Acamprosate Calcium integrating DailyMed SPL (2026-07-14), CMS NADAC ($0.5859/unit), and 17 Zero-PHI patient logs.

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