PBS listed for 'alcohol dependence, with a goal of abstinence in a comprehensive treatment program'
can prescribe one month's supply and one repeat at a time; there is no limit on duration of treatment
acamprosate is effective at maintaining abstinence, but has less impact on relapse to heavy drinking once alcohol consumption is recommenced, whereas naltrexone is effective in preventing relapse to heavy drinking and is less effective at maintaining abstinence
may be used in combination
doses: acamprosate two tablets TDS (less if <60kg); naltrexone one tab daily.
not PBS listed; cost to patient approx $80-90 per month
has been less well researched, but is well known by patients and their families
variable results with modest effect, enhanced by supervision of ingestion
small DASSA-funded program for existing clients in whom other treatment options have failed
can be used with acamprosate (not recommended with naltrexone).
Drug and Alcohol Clinical Advisory Service (DACAS). DACAS provides a telephone and email service for South Australian health professionals seeking clinical information and clarification around clinical procedures, guidelines and evidence-based practice.
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