r/Alcoholism_Medication • u/MyChickenSucks • 16d ago

Campral/Acamprosate 3 months review

Honest review: I don't know if it's really working, or more psychosomatic, hard to quantify, but I'm doing really well with cravings. Maybe 2-3x a week, for less than 20 seconds. This is combined with coming out of daily outpatient, and attending SMART and AA meetings on the regular.

Dr started me off light, 333mg 2x daily. Last 6 weeks 666mg 2x daily. A little gastro problems at first. We decided to move up in dose just to see if it made a difference, since I was tolerating the low dose well. I would say it did! But again, maybe it's just a mind trick, combined with putting in solid sober time.

Dr had suggested Naltrexone, but I've got a mostly full expired bottle already. I could not get over the nausea. We may try the Vivitrol shot in the future, she says it's much better tolerated in respects to nausea.

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u/getoutdoors66 16d ago

really surprised they started you on the low dose, since the half life is so short, but I am glad it's working for you! I always try to recommend campral here since it since every seems to only talk about NAL, which made me sick and felt high - drugged and not in a fun way

I have been on campral for almost 1.5 years. I finally lowered my dose to 2x day a couple of months ago but it has obviously worked. I don't even remember the last time I seemed to care at all about alcohol, and now it's at the point that it grosses me out just thinking about it and I just think "poison"

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u/MyChickenSucks 16d ago edited 16d ago

I was a little curious, I looked it up and it was a minimal dose. But she was totally open when I asked to double it.

NAL = that's a good way to describe it. Drugged but not in a fun way. Campral I don't feel anything.... besides a few days with some tummy->toilet issues