Alcohol Use Disorder

Overview

Alcohol use disorder (AUD) affects roughly 29 million U.S. adults and is under-treated because it's rarely asked about. Screening is a 3-question AUDIT-C; heavy drinking is >14 drinks/week for men or >7 for women. Clindle evaluates AUD over a confidential video visit and prescribes evidence-based medications: naltrexone 50 mg daily or the Sinclair Method (targeted dosing before drinking), acamprosate (Campral) for abstinence maintenance, and disulfiram (Antabuse) when appropriate. We order baseline liver labs, coordinate counseling, and refer for injectable Vivitrol. We do not manage acute alcohol withdrawal — DTs and seizures need in-person or inpatient care.