Medications for Alcohol Use Disorder: A Complete Treatment Guide

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Alcohol use disorder (AUD) affects millions of people around the world. It can harm health, relationships, and everyday life. While recovery is not always easy, treatment options are available. One of the best ways to treat alcohol problems is by using medicines that help people recover. These medicines can reduce cravings, ease withdrawal, and lower the chances of relapse.

Why Medications Matter in Alcohol Use Disorder Treatment

Quitting alcohol can be hard, especially for people who have been drinking a lot for a long time. Many people try to quit on their own but struggle with cravings and withdrawal symptoms. Medications can help by making the recovery process safer and easier.

Taking medicine and getting counseling can make it twice as likely that a person will stay sober. This shows how helpful the right support can be.

Benefits of Medication Treatment

  • Lowers cravings for alcohol
  • Helps prevent relapse
  • Makes withdrawal symptoms easier to manage
  • Supports long-term recovery
  • Works well with counseling and support groups

Common Medications Used for Alcohol Use Disorder

There are several FDA-approved medications for alcohol use disorder. Each one works differently, but they all aim to support recovery. Let’s look at the most common options.

1. Naltrexone

Naltrexone blocks the “feel-good” effects of alcohol. This means drinking is less rewarding, which helps reduce cravings. It is available as a daily pill or a monthly shot.

2. Acamprosate

Acamprosate helps restore the balance of brain chemicals affected by long-term drinking. It is often given to people who have already stopped drinking. It works best for maintaining sobriety rather than stopping drinking at the start.

3. Disulfiram

Disulfiram works by making you feel sick if you drink alcohol. You might get a headache, feel nauseous, or flush. It helps people who really want to stop drinking.

4. Topiramate (Off-label)

Topiramate is not officially approved for alcohol problems, but doctors may still prescribe it. It can lower cravings and help people drink less. Studies show it may work as well as some approved medicines.

Note: These medications should be taken only under the care and supervision of a qualified psychiatrist or healthcare professional, as treatment needs vary for each person.

Combining Medications with Therapy

Medicines help, but they work best with counseling or therapy. Getting better isn’t just about not drinking—it’s also about learning new habits and healthier ways to live.

Some effective therapy options include:

  • Cognitive Behavioral Therapy (CBT): Teaches people how to recognize triggers and avoid relapse.
  • Motivational Interviewing (MI): Helps people strengthen their motivation to change.
  • Support Groups: Groups like Alcoholics Anonymous (AA) offer community support and encouragement.

SAMHSA says people do best in the long run when they use medicine and therapy together.

Who Can Benefit from Medication Treatment?

Not everyone with alcohol use disorder needs medication. But for many, it can be life-changing. People who may benefit include:

  • Those who have tried to quit before but relapsed
  • People with strong cravings that make it hard to stay sober
  • Anyone with severe withdrawal symptoms
  • Individuals with health risks from continued drinking

Doctors pick the best medicine based on a person’s health, drinking history, and goals.

Safety and Side Effects

Like all medicines, those for alcohol use disorder can have side effects. Most are mild and can be managed with help from a doctor.

Common Side Effects

  • Nausea or stomach upset
  • Headaches
  • Fatigue
  • Trouble sleeping

It is important to talk openly with your healthcare provider. They can help adjust the treatment to fit your needs.

Taking the First Step Toward Recovery

If you or someone you love is struggling with alcohol use disorder, know that you are not alone. Many people recover and go on to live healthy, fulfilling lives. Medicines with support and counseling can help you do better and stay sober for a long time.

At Atlas Behavioral Health in Peachtree Corners, Georgia, we are here to help. We offer help for addiction, alcohol and drug problems, mental health support, and outpatient care. Our trained team uses proven therapies and personal care to support you in recovery. We believe everyone should get caring, affordable, and easy-to-access help.

Conclusion

Medicines can help people stop drinking, feel fewer cravings, and get better. When used with therapy and support from others, they can help people make lasting changes.

We are committed to guiding individuals and families toward better health. Our dedicated team ensures safe, professional, and effective treatment tailored to your needs. Recovery is possible, and we are here to walk that path with you. Want to learn more? Start your journey to recovery by contacting us today.

FAQ

Frequently Asked Questions

What types of therapy do you offer?

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

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Josh Camadeca, CARES, CPS-AD, CPS-MH, RCP, CIT (he/him)

Program Director

Josh Camadeca serves as the Program Director at Atlas Behavioral Health, where he oversees organizational workflows, supports program development, and ensures high-quality service delivery across clinical and peer-support departments. In this leadership role, Josh applies both his administrative expertise and his extensive recovery knowledge to strengthen team coordination, improve client care systems, and uphold the agency’s mission of providing accessible, person-centered behavioral health services. Josh is a Certified Addiction Recovery Empowerment Specialist (CARES), a Certified Peer Specialist in Addictive Diseases (CPS-AD), a Certified Peer Specialist in Mental Health (CPS-MH), and a nationally Certified Recovery Coach Professional (RCP). He is currently working on obtaining his Certified Addiction Counseling (CAC) certification through the Georgia Addiction Counselors Association (GACA). With over a decade in sustained recovery from substance use and more than 25 years of personal engagement with mental health therapy, he integrates lived experience with evidence-based recovery support to provide comprehensive peer-driven care. In his direct client work, Josh specializes in recovery coaching and mentoring, supporting individuals in developing personalized pathways to health, wellness, and long-term recovery. He is highly skilled in connecting clients and families with appropriate resources, recovery communities, and supportive services that enhance continuity of care and foster positive treatment outcomes. His clinical focus emphasizes recovery-oriented systems of care, the power of social connection, and the vital role of community integration. Josh’s strengths center on his ability to build trust, empathy, and empowerment within the therapeutic relationship. He is deeply committed to promoting resilience and helping clients move toward meaningful, self-directed lives in recovery. Outside of his professional work, Josh values healthy leisure and community engagement; his interests in hiking, biking, fitness, sports, and collecting sneakers and streetwear often serve as additional pathways for rapport-building and connection with individuals from diverse cultural backgrounds.

Julie River, M.S., LPC, NCC, CPS-MH, RCP, EMDR Trained (she/her)

Clinical Director

Clinical Director Julie River is the Clinical Director at Atlas Behavioral Health, where she provides leadership in clinical programming, staff development, and evidence-based service delivery. She is a Licensed Professional Counselor (LPC), National Certified Counselor (NCC), Certified Peer Specialist in Mental Health (CPS-MH), Recovery Coach Professional (RCP), and an EMDR-trained psychotherapist. Julie earned her Bachelor of Science in Human Services from Kennesaw State University and her Master of Science in Clinical Mental Health Counseling from Capella University. She specializes in the treatment of trauma, addictions, adoption-related issues, and identity development. Her clinical approach is postmodern, inclusive, and affirming, with a strong emphasis on the intersectionality of identity and culture. She integrates holistic and systems-based frameworks into her therapeutic modalities, supporting clients in developing deep self-understanding rooted in their formative experiences. With over a decade of experience across the continuum of care, Julie has worked in psychiatric hospitals, wilderness therapy programs, art therapy initiatives, outpatient treatment for addictions and eating disorders, trauma-focused therapy, private practice, and peer support. This diverse background informs her vision for Atlas: to provide evidence-based, client-centered, culturally competent, and identity-affirming care. She is equally committed to the wellbeing of the clinical team, recognizing that staff wellness directly impacts the quality of client care. Julie is passionate about psychology, neurobiology, and sociology, and actively pursues ongoing professional development in these fields. Outside of her clinical work, she enjoys training for marathons and ultramarathons, international travel, and exploring new cultures through hiking and meaningful connection with others.