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Alcohol relapse prevention medication in NYC

Relapse-prevention medication is not one-size-fits-all. Some patients need a deterrent such as Disulfiram. Others need craving reduction, monthly injection support, counseling, or a higher level of care after detox or rehab.

Nao Medical evaluates adults for alcohol-use-disorder medication support, including Disulfiram, also known by the brand name Antabuse, when it is clinically appropriate. Care can include medical evaluation, safety review, follow-up visits, counseling coordination, telehealth support, and insurance verification.

Disulfiram should never be taken while intoxicated or without a patient's full knowledge. Alcohol must be avoided before starting, during treatment, and for up to 14 days after the last dose because reactions can continue after medication is stopped.

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Medication decisions need context Recent alcohol use, withdrawal risk, medical history, current medications, and recovery support all affect whether Disulfiram is a safe fit.

What to know before treatment

Disulfiram deterrence

A medication that discourages drinking by creating a reaction risk if alcohol is consumed.

Naltrexone and Vivitrol

Medication options that may reduce heavy drinking or support alcohol-dependence treatment in appropriate patients.

Counseling and routines

Relapse prevention often depends on trigger planning, social boundaries, sleep, stress, and accountability.

Medication fit depends on the goal

  • Avoiding any alcohol may point toward one strategy.
  • Reducing heavy-drinking risk may point toward another.
  • Recent opioid use, liver disease, kidney disease, pregnancy, and medication interactions all matter.
  • A provider should explain the tradeoffs before treatment starts.

Relapse prevention also needs structure

  • Follow-up visits help adjust the plan when cravings, side effects, or stress change.
  • Counseling can address triggers, secrecy, relationships, and routines.
  • Family or recovery-program support may help with accountability.
  • Emergency or detox care is needed when withdrawal or safety risk is high.

Alcohol treatment locations across the network

Choose the care access point that fits your schedule, privacy needs, and follow-up plan.

174th Street alcohol use disorder medication clinic

Bronx

174th Street

932 E 174th St, Bronx, NY 10460

A Bronx access point for alcohol-use-disorder medication evaluation, follow-up planning, and confidential care for patients in West Farms, Crotona Park East, and nearby Bronx neighborhoods.

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Astoria alcohol use disorder medication clinic

Queens

Astoria

37-15 23rd Ave, Astoria, NY 11105

A Queens access point for alcohol-use-disorder medication evaluation, follow-up planning, and confidential care for patients in Astoria, Ditmars, East Elmhurst, and nearby Queens neighborhoods.

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Bartow Mall alcohol use disorder medication clinic

Bronx

Bartow Mall

2063A Bartow Ave, Bronx, NY 10475

A Bronx access point for alcohol-use-disorder medication evaluation, follow-up planning, and confidential care for patients in Co-op City, Pelham Bay, Baychester, and nearby Bronx neighborhoods.

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Crown Heights alcohol use disorder medication clinic

Brooklyn

Crown Heights

341 Eastern Pkwy, Brooklyn, NY 11216

A Brooklyn access point for alcohol-use-disorder medication evaluation, follow-up planning, and confidential care for patients in Crown Heights, Prospect Heights, and nearby Brooklyn neighborhoods.

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Hicksville alcohol use disorder medication clinic

Long Island

Hicksville

232 W Old Country Rd, Hicksville, NY 11801

A Long Island access point for alcohol-use-disorder medication evaluation, follow-up planning, and confidential care for patients in Hicksville, Plainview, Bethpage, and nearby Nassau County communities.

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Jackson Heights alcohol use disorder medication clinic

Queens

Jackson Heights

80-10 Northern Blvd, Jackson Heights, NY 11372

A Queens access point for alcohol-use-disorder medication evaluation, follow-up planning, and confidential care for patients in Jackson Heights, Elmhurst, Corona, and nearby Queens neighborhoods.

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Jamaica alcohol use disorder medication clinic

Queens

Jamaica

90-18 Sutphin Blvd, Jamaica, NY 11435

A Queens access point for alcohol-use-disorder medication evaluation, follow-up planning, and confidential care for patients in Jamaica, Briarwood, Richmond Hill, and nearby Queens neighborhoods.

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Long Island City alcohol use disorder medication clinic

Queens

Long Island City

30-07 36th Ave, Astoria, NY 11106

A Queens access point for alcohol-use-disorder medication evaluation, follow-up planning, and confidential care for patients in Long Island City, Astoria, Sunnyside, and nearby Queens neighborhoods.

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Mineola alcohol use disorder medication clinic

Long Island

Mineola

135 Mineola Blvd, Mineola, NY 11501

A Long Island access point for alcohol-use-disorder medication evaluation, follow-up planning, and confidential care for patients in Mineola, Garden City, Westbury, and nearby Nassau County communities.

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StuyTown alcohol use disorder medication clinic

Manhattan

StuyTown

259 1st Ave, New York, NY 10003

A Manhattan access point for alcohol-use-disorder medication evaluation, follow-up planning, and confidential care for patients in StuyTown, East Village, Gramercy, and nearby Manhattan neighborhoods.

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Williamsburg alcohol use disorder medication clinic

Brooklyn

Williamsburg

308 Graham Ave, Brooklyn, NY 11211

A Brooklyn access point for alcohol-use-disorder medication evaluation, follow-up planning, and confidential care for patients in Williamsburg, Greenpoint, Bushwick, and nearby Brooklyn neighborhoods.

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Related alcohol-use resources

Alcohol addiction treatment

Review the broader alcohol-use treatment treatment path, including counseling, relapse-prevention planning, and medication discussion.

Vivitrol treatment

Compare injectable naltrexone support for alcohol dependence when Disulfiram is not the best medication fit.

Addiction counseling

Counseling can help with triggers, routines, accountability, stress, secrecy, and relapse-prevention planning.

Insurance coverage

Review insurance, Medicaid, pharmacy benefit, testing, and visit coverage questions before care begins.

Questions about alcohol medication treatment

No. Disulfiram does not cure alcohol use disorder and does not directly treat withdrawal. It can support abstinence by creating a deterrent to drinking, but long-term recovery usually needs follow-up, counseling, support systems, mental-health care when needed, and a practical plan for triggers and relapse risk.
Disulfiram can help some patients prevent relapse when they are committed to not drinking and want an accountability tool. It may be especially useful when medication adherence is supported by structure, follow-up, therapy, recovery programs, or a trusted accountability plan. It is not the right medication for every patient.
Common side effects can include drowsiness, fatigue, headache, acne, and a metallic or garlic-like aftertaste. More serious but less common risks include liver problems, nerve problems, skin reactions, psychiatric symptoms, and severe alcohol-disulfiram reactions. Medical monitoring matters because symptoms can be missed when treatment is unsupervised.
Yes, Disulfiram can be part of medication-assisted treatment for alcohol use disorder when clinically appropriate. MAT for alcohol addiction usually combines medication with counseling, recovery planning, monitoring, and treatment for co-occurring mental-health concerns when needed. Medication alone is usually not enough for durable recovery.
Disulfiram may not be appropriate for people with severe heart disease, coronary occlusion, psychosis, certain liver problems, allergy to disulfiram or thiuram derivatives, or people taking medications such as metronidazole or paraldehyde. A provider must review medical history, medication list, pregnancy considerations, and recent alcohol use before prescribing.
Pregnancy requires an individualized medical discussion. Do not start or stop Disulfiram during pregnancy without a clinician who understands both alcohol-use risk and medication risk. The provider may review obstetric care, liver health, alcohol withdrawal risk, behavioral support, and safer treatment planning before deciding whether the medication is appropriate.
Insurance coverage can vary by plan, visit type, medication benefit, pharmacy rules, counseling, testing, and prior authorization requirements. Nao Medical can help verify benefits for addiction-medicine visits and related care. Some patients may also ask about self-pay options when insurance is not usable or privacy is a concern.
Some parts of alcohol-use-disorder treatment may be available by telehealth when clinically appropriate, but Disulfiram still requires medical evaluation and safety review. A prescription should not be issued without discussing recent alcohol use, withdrawal risk, contraindications, medication interactions, liver history, pregnancy considerations, and the patient's plan to avoid alcohol.

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Focused care or a more supported outpatient program

Nao Medical operates a New York State OASAS-certified outpatient addiction treatment program. The first visit can focus on the immediate clinical question and medication planning when relevant, or the care plan can include counseling, recovery support, and closer follow-up when that is wanted or clinically recommended.

Focused clinical visits

Patients can request a private evaluation centered on the immediate concern, prescribing or injection planning when applicable, monitoring, and practical next steps. Medication is never automatic; eligibility and safety still require clinician review.

Counseling is available

Patients who want more support can add counseling, relapse-prevention work, care coordination, and recovery follow-up through the outpatient addiction program.

Confidential intake first

After scheduling, complete the confidential addiction intake form when it is sent. It helps the team review current substance use, prior treatment, medications, insurance, and the safest visit type.

Nao Medical accepts Medicaid and many major insurance plans, including Medicare, Healthfirst, MetroPlus, Fidelis, UnitedHealthcare and UnitedHealthcare Community Plan, EmblemHealth, Aetna, Cigna, and Blue Cross Blue Shield. Coverage varies by visit, medication, pharmacy benefit, testing, counseling, and prior authorization. Review addiction-treatment insurance support.

Vivitrol can be part of alcohol-use-disorder treatment

Vivitrol is extended-release injectable naltrexone. Its FDA-approved uses include alcohol dependence in patients who can abstain before treatment and relapse prevention after opioid detoxification. The alcohol pathway can be medication-focused or combined with counseling and recovery support.

Monthly medication option

Vivitrol is administered every four weeks or once monthly by a healthcare provider after eligibility and safety review.

Alcohol-specific evaluation

The visit reviews current drinking, withdrawal risk, liver history, opioid exposure, other medicines, treatment goals, and whether outpatient care is appropriate.

More support when wanted

Counseling, relapse-prevention planning, and follow-up are available through Nao Medical's OASAS-certified outpatient program.

Compare alcohol-use-disorder medications, Vivitrol treatment, oral naltrexone, acamprosate, and disulfiram. Medication does not replace emergency care for dangerous alcohol withdrawal.

Health information notice

General information only. The information here is not medical advice and does not replace diagnosis, treatment, or guidance from a licensed clinician.

Content was updated August 2, 2026 from the cited sources and Nao Medical's current service information. Medical guidance, prescribing information, medication availability, and insurance rules can change. A licensed clinician must confirm current information and determine each patient's eligibility, testing, treatment, administration setting, and follow-up. Call 911 for a medical emergency. Contact Nao Medical with a question or correction.