Medications

Acamprosate

Acamprosate

Previously Found with Medfinder

Comprehensive medication guide to {drug} including estimated pricing, availability information, side effects, and how to find it in stock at your local pharmacy.

Estimated Insurance Pricing
$10–$50 copay; Tier 2 preferred generic on most plans, prior authorization sometimes required by Medicaid.
Estimated Cash Pricing
$68–$340 retail for a 30-day supply (180 tablets); as low as $68 with GoodRx or SingleCare coupons.
Medfinder Findability Score
35
/100
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Post Author

Peter Daggett

Last Updated

February 14, 2026

Acamprosate 2026 Availability, Prices, and Tips to Find

What Is Acamprosate?

Acamprosate (Acamprosate Calcium) is an FDA-approved medication used to help maintain abstinence from alcohol in adults who have alcohol dependence and are already abstinent when starting treatment. It was originally marketed under the brand name Campral, which has since been discontinued — only generic versions are currently available.

Acamprosate is classified as a GABA analogue and works by restoring the chemical balance in the brain that is disrupted by chronic alcohol use. It is one of only three FDA-approved medications for alcohol use disorder, alongside Naltrexone and Disulfiram.

It is not a controlled substance and does not have abuse potential, making it a safe option for patients in recovery.

How Does Acamprosate Work?

Acamprosate is a structural analogue of gamma-aminobutyric acid (GABA) that modulates glutamatergic neurotransmission. Chronic alcohol use disrupts the balance between excitatory (glutamate) and inhibitory (GABA) signaling in the brain. When a person stops drinking, this imbalance causes neurological hyperexcitability — contributing to cravings, anxiety, insomnia, and restlessness.

Acamprosate helps restore this balance by reducing excessive glutamate activity, which eases the discomfort of protracted withdrawal and supports long-term abstinence. It does not prevent intoxication or cause adverse reactions if alcohol is consumed — it simply reduces the drive to drink.

What Doses Are Available for Acamprosate?

  • 333 mg delayed-release tablets — the only available dosage form. The standard dose is two tablets (666 mg) taken three times daily, for a total of 1,998 mg per day.

Patients with moderate renal impairment (CrCl 30–50 mL/min) take a reduced dose of 333 mg three times daily. The brand name Campral has been discontinued; only generic Acamprosate Calcium tablets remain on the market.

How Hard Is It to Find Acamprosate in Stock?

Acamprosate currently has a findability score of 35 out of 100, meaning it is significantly harder to find than most medications. There is an active shortage driven by Zydus temporarily discontinuing production of Acamprosate 333 mg tablets. With limited manufacturers still supplying the market — primarily Viatris (Mylan) — many pharmacies are out of stock or receiving inconsistent shipments.

If your local pharmacy doesn't have Acamprosate, try using Medfinder to search pharmacies near you that currently have it in stock. You may also want to call independent pharmacies, which sometimes have better access to limited-supply generics.

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Who Can Prescribe Acamprosate?

Because Acamprosate is not a controlled substance, any licensed prescriber can write a prescription. Common prescribing specialties include:

  • Addiction Medicine Specialists — the most common prescribers
  • Psychiatrists — especially those treating co-occurring mental health conditions
  • Primary Care Physicians / Internal Medicine
  • Family Medicine Doctors
  • Gastroenterologists — particularly for patients with alcohol-related liver concerns

Acamprosate can also be prescribed via telehealth platforms, making it accessible for patients who may not have a local addiction specialist. Use Medfinder to find providers and pharmacies near you.

Is Acamprosate a Controlled Substance?

No. Acamprosate is not a controlled substance and has no DEA scheduling. It does not produce euphoria, does not have abuse potential, and is not addictive. This makes it easier to prescribe and refill compared to some other medications used in addiction treatment. There are no special prescribing restrictions — any licensed healthcare provider can prescribe it, and refills do not require a new prescription each time.

Common Side Effects of Acamprosate

Most side effects of Acamprosate are mild and often improve over time. The most commonly reported include:

  • Diarrhea — the most frequent side effect
  • Nausea
  • Flatulence
  • Insomnia
  • Anxiety
  • Depression
  • Dizziness
  • Dry mouth
  • Sweating
  • Itching (Pruritus)
  • Weakness (Asthenia)
  • Loss of appetite

Serious but rare side effects include suicidal thoughts or behavior, acute kidney failure, severe allergic reactions, and irregular heartbeat. Patients should be monitored for signs of depression or suicidality, especially early in treatment. Contact your doctor immediately if you experience any serious symptoms.

Alternative Medications to Acamprosate

If you cannot find Acamprosate in stock or it is not the right fit for you, several alternatives may help with alcohol use disorder:

  • Naltrexone — An opioid antagonist that reduces alcohol cravings and the rewarding effects of drinking. Available as a 50 mg oral tablet (daily) or as an extended-release injection called Vivitrol (380 mg monthly). Considered a first-line alternative to Acamprosate.
  • Disulfiram (Antabuse) — An aldehyde dehydrogenase inhibitor that causes unpleasant reactions (flushing, nausea, vomiting) if alcohol is consumed. Taken at 250 mg daily as an aversion therapy approach.
  • Gabapentin — An anticonvulsant sometimes used off-label for alcohol use disorder, especially in patients with anxiety or insomnia. Typical dose is 900–1,800 mg per day.
  • Topiramate — Another anticonvulsant used off-label that may reduce heavy drinking days. Typical dose is 200–300 mg per day.

Always consult your prescriber before switching medications. For help finding any of these alternatives, visit Medfinder.

Drug Interactions with Acamprosate

Acamprosate has very few drug interactions, which is one of its advantages over some other medications. Notable interactions include:

  • Naltrexone — Taking Naltrexone with Acamprosate may increase Acamprosate blood levels. However, this combination is sometimes used clinically under medical supervision and does not typically require dose adjustment.
  • Tetracycline and Quinolone Antibiotics — Theoretical interaction due to the calcium component (divalent cation chelation), which could reduce antibiotic absorption. Separate dosing times if possible.

Acamprosate does not interact with alcohol (it won't cause a reaction if you drink), benzodiazepines, or most common medications. Food decreases its bioavailability slightly, but no dose adjustment is needed — it can be taken with or without food.

Final Thoughts on Acamprosate

Acamprosate is a well-established, FDA-approved medication that plays an important role in supporting long-term sobriety for people recovering from alcohol dependence. Its favorable safety profile — no abuse potential, no controlled substance restrictions, and minimal drug interactions — makes it an accessible treatment option for many patients.

However, the ongoing shortage caused by Zydus discontinuing production has made Acamprosate significantly harder to find in 2026. With a findability score of just 35 out of 100, patients and providers may need to check multiple pharmacies or use tools like Medfinder to locate available stock.

If you're having trouble finding Acamprosate, don't give up — explore independent pharmacies, ask about alternatives like Naltrexone, and check discount programs to reduce your costs when you do find it.

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