Skip to main content

Two medicines, side by side

Acamprosate vs aflibercept

Acamprosate is labeled for alcohol use disorder; aflibercept for colorectal cancer. Their labels share no use, so they are not alternatives to each other. Drugs@FDA records approvals of acamprosate since 2004 and of aflibercept since 2011.

Check it at the source: the acamprosate FDA label on DailyMed (effective July 14, 2026); the aflibercept FDA label on DailyMed (effective April 6, 2026).

Highlights of the acamprosate record

Acamprosate (Campral) · label of July 14, 2026

Used for

From the label: indications

Acamprosate calcium is indicated for the maintenance of abstinence from alcohol in patients with alcohol dependence who are abstinent at treatment initiation. Treatment with acamprosate calcium should be part of a comprehensive management program that includes psychosocial support. […]

On the market

Earliest approval on file
July 29, 2004
Generic labelers
10 labelers
Pharmacy cost
$0.589 per tablet

Supply and safety

Shortage
No current entry
Recalls
1

Highlights of the aflibercept record

Aflibercept (Eylea) · label of April 6, 2026

Used for

From the label: indications

EYLEA HD is indicated for the treatment of: EYLEA HD is a vascular endothelial growth factor (VEGF) inhibitor indicated for the treatment of patients with: Neovascular (Wet) Age-Related Macular Degeneration (nAMD) ( 1.1 ) Diabetic Macular Edema (DME) ( 1.2 ) Diabetic Retinopathy (DR) ( 1.3 ) Macular Edema Following Retinal Vein Occlusion (RVO) ( 1.4 ) 1.1 Neovascular (Wet) Age-Related Macular Degeneration (nAMD) 1.2 Diabetic Macular Edema (DME) 1.3 Diabetic Retinopathy (DR) 1.4 Macular Edema Following Retinal Vein Occlusion (RVO) […]

On the market

Earliest approval on file
November 18, 2011
Generic labelers
none listed
Pharmacy cost
Not in the survey

Supply and safety

Shortage
No current entry
Recalls
2

Source: FDA drug labels via openFDA (Acamprosate label of July 14, 2026, Aflibercept label of April 6, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do acamprosate and aflibercept differ on the record?

How each works, in its label's words: Acamprosate, “Chronic alcohol exposure is hypothesized to alter the normal balance between neuronal excitation and inhibition.”; Aflibercept, “Vascular endothelial growth factor-A (VEGF-A) and placental growth factor (PlGF) are members of the VEGF family of angiogenic factors that can act as mitogenic, chemotactic, and vascular permeability …”

Generics: acamprosate since 2013; aflibercept none approved (Drugs@FDA).

AcamprosateAflibercept
Labeled forAlcohol use disorderColorectal cancer
Pharmacologic classn/aVascular Endothelial Growth Factor Inhibitor
How it works (label)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.Vascular endothelial growth factor-A (VEGF-A) and placental growth factor (PlGF) are members of the VEGF family of angiogenic factors that can act as mitogenic, chemotactic, and vascular permeability factors for endothelial cells.
Half-life (label)Elimination After oral dosing of 2 x 333 mg of acamprosate calcium, the terminal half-life ranges from approximately 20 to 33 hours.n/a
Earliest approval on file (Drugs@FDA)July 29, 2004November 18, 2011
First generic approvedJuly 16, 2013none
Generic labelers (NDC)10 labelersnone listed
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.589 per tablet (Acamprosate calc DR 333 mg tablet)n/a
12-month price change-1%n/a
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded12
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)32232,367
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to acamprosate
every medicine labeled for the same conditions