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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

5716 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.

Transcript

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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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