Treatment of Alcohol Use Disorder

This clinical guideline from the New York State Department of Health AIDS Institute presents evidence-based approaches to treating alcohol use disorder in adults. It reviews behavioral interventions and medication options, identifying acamprosate and naltrexone as preferred medications and discussing disulfiram, gabapentin, and topiramate as alternatives. Treatment selection considers individual preferences, health conditions, alcohol use patterns, and potential medication risks. The guidance emphasizes shared decision-making and individualized goals, including reducing alcohol-related harm or achieving abstinence. It also addresses alcohol withdrawal assessment, appropriate treatment settings, and ongoing follow-up to monitor progress and adjust care.