About: Acamprosate     Goto   Sponge   NotDistinct   Permalink

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http://linked.open...gbank/description
  • Acamprosate, also known by the brand name Campral™, is a drug used for treating alcohol dependence. Acamprosate is thought to stabilize the chemical balance in the brain that would otherwise be disrupted by alcoholism, possibly by blocking glutaminergic N-methyl-D-aspartate receptors, while gamma-aminobutyric acid type A receptors are activated. Reports indicate that acamprosate only works with a combination of attending support groups and abstinence from alcohol. Certain serious side effects include allergic reactions, irregular heartbeats, and low or high blood pressure, while less serious side effects include headaches, insomnia, and impotence. Acamprosate should not be taken by people with kidney problems or allergies to the drug. (en)
http://linked.open...y/drugbank/dosage
http://linked.open...generalReferences
  • # Williams SH: Medications for treating alcohol dependence. Am Fam Physician. 2005 Nov 1;72(9):1775-80. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/16300039 # Mason BJ: Treatment of alcohol-dependent outpatients with acamprosate: a clinical review. J Clin Psychiatry. 2001;62 Suppl 20:42-8. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/11584875 # Mason BJ, Goodman AM, Chabac S, Lehert P: Effect of oral acamprosate on abstinence in patients with alcohol dependence in a double-blind, placebo-controlled trial: the role of patient motivation. J Psychiatr Res. 2006 Aug;40(5):383-93. Epub 2006 Mar 20. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/16546214 # Feeney GF, Connor JP, Young RM, Tucker J, McPherson A: Combined acamprosate and naltrexone, with cognitive behavioural therapy is superior to either medication alone for alcohol abstinence: a single centres' experience with pharmacotherapy. Alcohol Alcohol. 2006 May-Jun;41(3):321-7. Epub 2006 Feb 8. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/16467406 # Tsai G, Coyle JT: The role of glutamatergic neurotransmission in the pathophysiology of alcoholism. Annu Rev Med. 1998;49:173-84. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/9509257 # Wilde MI, Wagstaff AJ: Acamprosate. A review of its pharmacology and clinical potential in the management of alcohol dependence after detoxification. Drugs. 1997 Jun;53(6):1038-53. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/9179530 (en)
http://linked.open...gy/drugbank/group
  • approved (en)
  • investigational (en)
http://linked.open...drugbank/halfLife
  • 20 - 33 hours (en)
http://linked.open...ugbank/indication
  • For the maintenance of abstinence from alcohol in patients with alcohol dependence who are abstinent at treatment initiation (en)
http://linked.open...bank/manufacturer
sameAs
Title
  • Acamprosate (en)
adms:identifier
http://linked.open...mechanismOfAction
  • 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. <i>in vitro</i> and <i>in vivo</i> 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. It seems to inhibit NMDA receptors while activating GABA receptors. (en)
http://linked.open...drugbank/packager
http://linked.open...outeOfElimination
  • Following oral administration of CAMPRAL®, the major route of excretion is via the kidneys as acamprosate. (en)
http://linked.open.../drugbank/synonym
  • 3-Acetamido-1-propanesulfonic acid (en)
  • N-Acetylhomotaurine (en)
  • Acamprosato (en)
  • Acamprosatum (en)
  • N-acetyl homotaurine (en)
http://linked.open...drugbank/toxicity
  • In all reported cases of acute overdosage with acamprosate (total reported doses of up to 56 grams of acamprosate calcium), the only symptom that could be reasonably associated with acamprosate was diarrhea. (en)
http://linked.open...umeOfDistribution
  • * 72 to 109 L (en)
http://linked.open.../drug/hasAHFSCode
http://linked.open...k/foodInteraction
  • Take without regard to meals. (en)
  • Taking the product with food reduces its C<sub>max</sub> by 42% and total drug exposure by 23% (not considered significant). (en)
http://linked.open...nk/proteinBinding
  • Non detectable (en)
http://linked.open...ogy/drugbank/salt
  • (en)
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  • The absolute bioavailability of acamprosate after oral administration is about 11%. The food effect on absorption is not clinically significant and no adjustment of dose is necessary. (en)
http://linked.open.../affectedOrganism
  • Humans and other mammals (en)
http://linked.open...casRegistryNumber
  • 77337-76-9 (en)
http://linked.open...drugbank/category
  • (en)
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