FIGURE 1.

Decision tree for patients with ALD and AUD. *Behavioral Treatment is ideally offered as part of multidisciplinary care within the clinic. + Consider naltrexone as a first-line treatment for individuals with decompensated liver disease if the benefits outweigh the risks. ^Due to the risk of medication-induced hepatitis, including fulminant liver injury, disulfiram can be offered to carefully selected patients with Child-Pugh Class A ALD cirrhosis after a risk-benefit discussion. Abbreviations: ALD, alcohol-associated liver disease; AUD, alcohol use disorder; MAUD, medications for alcohol use disorder.