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acamprosate Side Effects

Also known as: Campral

Analysis of 299 adverse event reports submitted to the FDA from 2006 to 2025.

Total Reports

299

Death-Related

25

8.4% of reports

Hospitalizations

144

48.2% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

HYPOTENSION
14
ASTHENIA
13
CONDITION AGGRAVATED
13
OFF LABEL USE
13
ACUTE KIDNEY INJURY
12
COMA
12
FATIGUE
11
TOXICITY TO VARIOUS AGENTS
11
DRUG ABUSE
10
HEADACHE
10
BRADYCARDIA
9
CYTOLYTIC HEPATITIS
9
DEPRESSION
9
HEPATIC CYTOLYSIS
9
HYPOGLYCAEMIA
9
NEUTROPENIA
9
OVERDOSE
9
ATRIOVENTRICULAR BLOCK
8
DRUG INEFFECTIVE
8
PRODUCT DOSE OMISSION ISSUE
8

Who Reports Side Effects

Gender Distribution

Female 108 (40%)
Male 159 (60%)

Age Distribution

18-44 67 (30%)
45-64 113 (50%)
65-74 42 (19%)
75+ 2 (1%)

Reporting Trend by Year

2006 2025

Reactions in Death Reports

Top reactions reported in 25 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
TOXICITY TO VARIOUS AGENTS 8
COMPLETED SUICIDE 6
DEATH 5
INTERSTITIAL LUNG DISEASE 3
OFF LABEL USE 3
CARDIAC ARREST 2
GASTROINTESTINAL HAEMORRHAGE 2
ASPHYXIA 1
CARDIO-RESPIRATORY ARREST 1
CIRCULATORY COLLAPSE 1
DRUG INTOLERANCE 1
DRUG TOXICITY 1
INTENTIONAL OVERDOSE 1
MULTIPLE DRUG OVERDOSE INTENTIONAL 1
PRODUCT USE IN UNAPPROVED INDICATION 1
SUICIDE ATTEMPT 1
TRANSPLANT 1

Reactions in Hospitalization Reports

Top reactions in 144 reports where hospitalization was an outcome.

Reaction Reports
ACUTE KIDNEY INJURY 12
CONDITION AGGRAVATED 11
COMA 10
CYTOLYTIC HEPATITIS 9
DRUG ABUSE 9
HYPOGLYCAEMIA 9
HYPOTENSION 9
OVERDOSE 9
ATRIOVENTRICULAR BLOCK 8
BRADYCARDIA 8
ALCOHOL WITHDRAWAL SYNDROME 7
DEPRESSION 7
DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS 7
FATIGUE 7
HEPATIC CYTOLYSIS 7
RESPIRATORY DISTRESS 7
TACHYCARDIA 7
AGITATION 6
ASTHENIA 6
CHOLESTASIS 6

Nearby — Related Medications

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What the FAERS Data Reveals About acamprosate Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 299 voluntary reports linked to acamprosate and its brand equivalents (Campral), spanning 2006 through 2025. Of those, 25 (8.4%) listed death as an outcome and 144 (48.2%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 40% were female and 60% male; age distribution skews toward 45-64, with 113 reports in that bracket. The single most reported reaction is hypotension with 14 submissions, followed by asthenia and condition aggravated.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.