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FDA Approves Acamprosate for Treatment of Alcoholism

Campral Found Safe and Effective in Trials

By Buddy T, About.com

Updated: July 30, 2004

About.com Health's Disease and Condition content is reviewed by Steven Gans, MD

The U.S. Food and Drug Administration has approved the drug acamprosate for treating alcohol dependent individuals seeking to continue to remain alcohol-free after they have stopped drinking.

Acamprosate, marketed under the brand name Campral, has been used for years in Europe for treating alcoholics. Campral is the first new drug approved for alcohol abuse in a decade.

In approving acamprosate, the FDA said Campral may not be effective in patients who are actively drinking at the start of treatment, or in patients who abuse other substances in addition to alcohol.

According to the press release issued by the FDA in connection with the approval:

"While its mechanism of action is not fully understood, Campral is thought to act on the brain pathways related to alcohol abuse. Campral was demonstrated to be safe and effective by multiple placebo-controlled clinical studies involving alcohol-dependent patients who had already been withdrawn from alcohol, (i.e., detoxified).

Maintaining Alcohol Abstinence

"Campral proved superior to placebo in maintaining abstinence (keeping patients off alcohol consumption), as indicated by a greater percentage of acamprosate-treated subjects being assessed as continuously abstinent throughout treatment. Campral is not addicting and was generally well-tolerated in clinical trials. The most common adverse events reported for patients taking Campral included headache, diarrhea, flatulence, and nausea.

"Treatment with Campral should be part of a comprehensive management program that includes psychosocial support. Campral is manufactureed by Lipha Pharmaceuticals, Inc. in Lyon, France.

"Alcoholism, or alcohol dependence, is a disease. The consequences of alcohol misuse are serious and in many cases, life threatening. Heavy drinking can increase the risk for certain cancers, especially those of the liver, esophagus, throat, and larynx (voice box).

"Heavy drinking can also cause liver cirrhosis, immune system problems, brain damage, and harm to the fetus during pregnancy. Chronic alcoholism continues to be a widespread and debilitating disorder that places a tremendous burden on society in terms of healthcare costs, lost wages and personal suffering."

Source: FDA News Release

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