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Disulfiram prescription evaluation in NYC

A Disulfiram prescription should only follow a medical evaluation. The visit focuses on safety, recent alcohol use, medication interactions, liver and heart history, mental-health considerations, and whether the patient is committed to complete alcohol avoidance.

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

Eligibility review

The provider reviews contraindications, recent drinking, withdrawal risk, medications, and whether the patient understands the reaction risk.

Alcohol-free timing

Many prescribing references require alcohol abstinence before starting; the clinician decides the safest timing.

Monitoring

Follow-up may include side-effect review, liver-related questions, adherence, counseling, and medication fit.

Before a prescription is considered

  • Do not arrive intoxicated or take Disulfiram without full understanding of the risks.
  • Tell the provider about metronidazole, paraldehyde, heart disease, liver disease, psychosis, seizures, pregnancy, and all current medications.
  • Discuss any alcohol-containing medicines or products used regularly.
  • Review whether supervised dosing, therapy, or recovery-program support would improve adherence.

When another option may fit better

  • Naltrexone or VIVITROL may fit some patients who need craving reduction rather than a deterrent.
  • Acamprosate may be considered for some patients maintaining abstinence.
  • Detox or emergency care may be needed before outpatient medication when withdrawal risk is unsafe.
  • Psychiatry or therapy may be needed when depression, anxiety, trauma, or insomnia drives drinking patterns.

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

Disulfiram blocks an enzyme involved in alcohol metabolism. When alcohol is consumed, acetaldehyde can build up and trigger symptoms such as flushing, nausea, vomiting, headache, sweating, chest discomfort, palpitations, or weakness. The goal is not to reduce cravings directly; the goal is to create a strong deterrent that supports abstinence.
Disulfiram should never be taken while intoxicated. A clinician reviews recent alcohol use, withdrawal risk, and safety before starting. Many prescribing references require at least 12 hours without alcohol before the first dose, but your provider may recommend a longer waiting period based on your history, symptoms, and safety needs.
No. Alcohol should be avoided while taking Antabuse or disulfiram. Even small amounts can cause a reaction, and reactions can be serious. Patients also need to avoid hidden alcohol sources such as some mouthwashes, cough syrups, cooking extracts, certain sauces, and alcohol-containing topical products when exposure is meaningful.
Drinking alcohol on Disulfiram can cause flushing, nausea, vomiting, headache, sweating, chest discomfort, palpitations, breathing difficulty, weakness, low blood pressure, confusion, or collapse. Severe symptoms need emergency care. This risk is why Disulfiram treatment should be started only with full knowledge, medical supervision, and a clear abstinence plan.
Disulfiram's alcohol sensitivity effect can continue after the last dose. Prescribing information warns that reactions may occur for up to 14 days after stopping. Patients should keep avoiding alcohol during that period and should ask their clinician before restarting alcohol-containing medicines or products.
Disulfiram is an FDA-approved medication used as an aid in the management of selected patients with chronic alcohol use disorder who want to remain in a state of enforced sobriety. It should be used with medical supervision and as part of a broader plan that may include counseling and behavioral support.
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.

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