Deterrent Action of Acamprosate: A Case Report

Background: Among the three pharmacological agents available for alcohol de-addiction, acamprosate and naltrexone are considered anti-craving agents. Among these two, acamprosate is better tolerated, has low abuse potential, and is safe in overdose. But the mechanism of action of acamprosate still r...

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Main Authors: MAMIDIPALLI SAI SPOORTHY, Sanghamitra Godi, Lokesh Kumar Singh
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2019-12-01
Series:Addiction and Health
Subjects:
Online Access:https://ahj.kmu.ac.ir/article_89570_4a68403a8c8f6b05ed165abfc652d130.pdf
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author MAMIDIPALLI SAI SPOORTHY
Sanghamitra Godi
Lokesh Kumar Singh
author_facet MAMIDIPALLI SAI SPOORTHY
Sanghamitra Godi
Lokesh Kumar Singh
author_sort MAMIDIPALLI SAI SPOORTHY
collection DOAJ
description Background: Among the three pharmacological agents available for alcohol de-addiction, acamprosate and naltrexone are considered anti-craving agents. Among these two, acamprosate is better tolerated, has low abuse potential, and is safe in overdose. But the mechanism of action of acamprosate still remains unclear. Case Report: This case report gives a description of a 46-year-old male patient diagnosed with alcohol dependence syndrome with prior admissions and failed treatments with naltrexone and baclofen. He developed skin reaction after relapsing with alcohol use while receiving acamprosate therapy. The severity of the adverse effects varied with the amount of alcohol consumed by the patient. This suggests the possibility of deterrent-like action of acamprosate in our patient. The symptoms reduced after abstinence from alcohol and the patient was continued on acamprosate and relapse prevention therapy (RPT). Conclusion: Clinicians should consider the possible deterrent effect of acamprosate and manage such patients accordingly.
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spelling doaj.art-76cb88d79a7b4a9b9d6d16de7b0dc9ba2023-09-19T06:46:12ZengKerman University of Medical SciencesAddiction and Health2008-46332008-84692019-12-0111427628010.22122/ahj.v11i4.24889570Deterrent Action of Acamprosate: A Case ReportMAMIDIPALLI SAI SPOORTHY0Sanghamitra Godi1Lokesh Kumar Singh2Department of Psychiatry, All India Institute of Medical Sciences, Raipur, IndiaDepartment of Psychiatry, All India Institute of Medical Sciences, Raipur, IndiaDepartment of Psychiatry, All India Institute of Medical Sciences, Raipur, IndiaBackground: Among the three pharmacological agents available for alcohol de-addiction, acamprosate and naltrexone are considered anti-craving agents. Among these two, acamprosate is better tolerated, has low abuse potential, and is safe in overdose. But the mechanism of action of acamprosate still remains unclear. Case Report: This case report gives a description of a 46-year-old male patient diagnosed with alcohol dependence syndrome with prior admissions and failed treatments with naltrexone and baclofen. He developed skin reaction after relapsing with alcohol use while receiving acamprosate therapy. The severity of the adverse effects varied with the amount of alcohol consumed by the patient. This suggests the possibility of deterrent-like action of acamprosate in our patient. The symptoms reduced after abstinence from alcohol and the patient was continued on acamprosate and relapse prevention therapy (RPT). Conclusion: Clinicians should consider the possible deterrent effect of acamprosate and manage such patients accordingly.https://ahj.kmu.ac.ir/article_89570_4a68403a8c8f6b05ed165abfc652d130.pdfadverse effectsacamprosateurticaria
spellingShingle MAMIDIPALLI SAI SPOORTHY
Sanghamitra Godi
Lokesh Kumar Singh
Deterrent Action of Acamprosate: A Case Report
Addiction and Health
adverse effects
acamprosate
urticaria
title Deterrent Action of Acamprosate: A Case Report
title_full Deterrent Action of Acamprosate: A Case Report
title_fullStr Deterrent Action of Acamprosate: A Case Report
title_full_unstemmed Deterrent Action of Acamprosate: A Case Report
title_short Deterrent Action of Acamprosate: A Case Report
title_sort deterrent action of acamprosate a case report
topic adverse effects
acamprosate
urticaria
url https://ahj.kmu.ac.ir/article_89570_4a68403a8c8f6b05ed165abfc652d130.pdf
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