Clinical recommendationEvidence ratingReferences
Naltrexone (Trexan) and acamprosate (Campral) are recommended as FDA-approved options for treatment of alcohol dependence in conjunction with behavior therapy.A5
Disulfiram (Antabuse) does not increase abstinence rates or decrease relapse rates or cravings compared with placebo, and it is not recommended for routine use in primary care.B6
Fluoxetine (Prozac) and other SSRIs are recommended for patients with comorbid depressive disorders.B13,14
Topiramate (Topamax) and ondansetron (Zofran) are recommendedto reduce drinking frequency and increase abstinence.B3,4