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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Acamprosate Pharmacology Podcast – Episode 306

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

4.9773 Ratings

🗓️ 21 December 2023

⏱️ 11 minutes

🧾️ Download transcript

Summary

On this podcast episode, I discuss acamprosate pharmacology, adverse effects, drug interactions, and much more!

Acamprosate’s most common adverse effect is diarrhea. It is a primary reason why patients will ask to stop taking this medication.

It is critical to assess renal function prior to using acamprosate. Dose adjustments are recommended when patients have a CrCl of less than 50 ml/min.

Unlike naltrexone, acamprosate avoids liver metabolism making it an alternative option in alcohol use disorder for patients who have liver impairment.

Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE!

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Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated)

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Pharmacy Technician Study Guide by Meded101

Transcript

Click on a timestamp to play from that location

0:00.0

Hey, all, welcome back to the Real Life Pharmacology podcast. I'm your host, pharmacist, Derek Christensen.

0:05.6

Thank you so much for listening today. As always, go check out Real Life Pharmacology.com. We've got your free 31 page PDF.

0:13.9

It's a little study guide I put together on the top 200 drugs. It's a great no-brainer.

0:18.7

If you're going through pharmacology classes or just need a little

0:22.5

refresher and you're out in regular practice. So go take advantage of that, simply an email. We'll get

0:29.3

you access to that, no charge to you at all. So with that said, let's get into the drug of the day

0:36.2

today. And that is a camprosate.

0:40.3

Brand name in this medication is campril, and this medication is used for alcohol use disorder.

0:49.4

So basically trying to reduce intake of alcohol in people that have struggled with that issue.

0:57.4

So this medication mechanistically works by basically stimulating or increasing GABA effects

1:08.7

and or reducing glutamate effects.

1:12.9

So if you remember, GABA is kind of that suppressing central nervous system molecule.

1:21.8

And glutamate is more of an excitatory neurotransmitter.

1:26.0

So GABA agonist action would obviously kind of drop down or blunt that central nervous system.

1:35.3

And then glutamate antagonist activity would also work to blunt kind of that central nervous system by blocking that excitatory neurotransmitter.

1:48.3

Now, how exactly this all works and this mechanism works in alcohol use disorder isn't well defined,

1:56.0

but that's essentially what the medication does in general.

2:01.9

So again, mechanism of action, not that well understood,

2:06.0

but certainly has been shown in studies to help maintain alcohol abstinence.

2:13.8

It is important to note, so with alcohol use disorder historically, many, many years ago,

2:20.3

we used to use dysulfram a little bit more, and basically that would cause a reaction if they

2:28.3

patient drank alcohol, so basically a negative feedback type situation where the patients would feel terrible if they

...

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