What medication is most commonly used for MAT for alcohol use disorder?

Naltrexone (oral or injectable/Vivitrol) and acamprosate are the most commonly prescribed MAT medications for AUD. Naltrexone reduces cravings and blocks the rewarding effects of alcohol. Acamprosate helps manage post-acute withdrawal symptoms that can trigger relapse. Your provider will determine which medication is appropriate for your specific situation.

Can I start MAT the same day I decide to quit drinking?

For naltrexone in oral or injectable form, you generally need to be alcohol-free for a period before starting — the exact timeline depends on your situation. For acamprosate, it can often be started once acute withdrawal is complete. Your provider will determine the right timeline for you during your intake evaluation.

Does Icon Medicine offer MAT for both opioid use disorder and alcohol use disorder?

Yes. Icon Medicine provides MAT for opioid use disorder (using buprenorphine/Suboxone and naltrexone) and for alcohol use disorder (using naltrexone, acamprosate, and disulfiram). Both are available via telehealth across Maryland.

How long do patients stay on MAT for alcohol use disorder?

MAT duration is individualized. Some patients use MAT for months while building recovery skills; others benefit from longer-term maintenance. Your provider will discuss the appropriate timeline for you and revisit this question as treatment progresses.

Is telehealth MAT for alcohol use disorder legal in Maryland?

Yes. Maryland allows buprenorphine, naltrexone, and acamprosate to be prescribed via telehealth for substance use disorders. Icon Medicine is a licensed Maryland provider offering telehealth MAT across the state.

Can I receive MAT if I also have a mental health condition like anxiety or depression?

Yes — and treating co-occurring mental health conditions alongside AUD is often critical for recovery. Many patients use alcohol to self-medicate anxiety, depression, or trauma, and without treating the underlying mental health condition, relapse rates are higher. Icon Medicine provides integrated treatment that addresses AUD and mental health conditions together.

What happens if I relapse while on MAT?

Relapse is a common part of recovery, and MAT is designed to reduce relapse risk — not eliminate it. If relapse occurs, your provider will reassess your treatment plan, adjust medications if needed, and increase support. Relapse does not mean MAT has failed; it means the plan needs adjustment.

How do I book a MAT evaluation at Icon Medicine?

You can book online — same-day and next-day appointments available. Alternatively, call or text (240) 966-4266 to speak with our team and schedule your intake.

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