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Antabuse Medication Assisted Treatment

Overcoming alcohol addiction is a difficult journey that impacts both the individual and their loved ones. The road to recovery starts with a brave first step.

At CMAR, our Antabuse treatment program is designed to assist those grappling with alcohol dependence.

Antabuse, which contains disulfiram, is a medication that helps deter alcohol consumption by inducing unpleasant effects when alcohol is consumed. We empower individuals to conquer addiction and attain long-lasting recovery with a compassionate and personalized approach.

At CMAR, we are committed to delivering comprehensive care and support to help you take back control of your life.

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What is Antabuse

Antabuse, also known by its generic name disulfiram, is a medication specifically designed to support individuals struggling with alcohol dependence. When taken as prescribed, Antabuse causes unpleasant effects if alcohol is consumed, such as nausea, vomiting, and headache, which act as a deterrent to drinking. This medication is part of a comprehensive treatment plan aimed at helping patients maintain sobriety. At CMAR, we provide personalized treatment plans and ongoing support to ensure the best outcomes for our patients using Antabuse.
  • FDA-approved injectable
  • Blocks euphoric effects
  • Personalized treatment plans
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Benefits of Antabuse Treatment

Prevention of Relapse

  • By causing unpleasant effects when alcohol is consumed, Antabuse significantly reduces the likelihood of relapse, helping individuals maintain their sobriety.

Deterrent Effect

  • The adverse reactions to alcohol provide a strong deterrent against drinking, supporting patients' commitment to abstinence.

Supportive of Long-term Recovery

  • When combined with comprehensive therapy and support programs, Antabuse promotes sustained recovery and overall well-being. This holistic approach enhances the effectiveness of the treatment and helps individuals achieve lasting sobriety.

HOW Antabuse WORKS

Antabuse works by blocking the enzyme acetaldehyde dehydrogenase, which is responsible for metabolizing alcohol in the liver.

When alcohol is consumed, it is converted into acetaldehyde, a toxic substance. Usually, acetaldehyde is quickly broken down into non-toxic substances. However, Antabuse prevents this breakdown, causing a buildup of acetaldehyde in the body.

This leads to unpleasant symptoms such as nausea, vomiting, headache, and flushing. These negative reactions serve as a deterrent, discouraging individuals from drinking alcohol and supporting their efforts to remain sober.

  • Mechanism of Action: Antabuse contains disulfiram, which inhibits the enzyme acetaldehyde dehydrogenase, causing a buildup of acetaldehyde when alcohol is consumed, leading to unpleasant symptoms like nausea, vomiting, and headache.
  • Administration Frequency: Antabuse is typically taken daily or as prescribed by a healthcare provider.
  • Eligibility: Patients must undergo a thorough medical evaluation to determine their suitability for Antabuse treatment.
  • Support: Comprehensive support services, including regular check-ins and personalized care plans, are provided to ensure the best possible outcomes and support long-term sobriety.

Antabuse Evidence of Effectiveness

Effectiveness in Maintaining Abstinence

Recent studies have shown that Antabuse is effective in helping individuals maintain abstinence from alcohol when taken consistently. A meta-analysis indicated that supervised administration of Antabuse leads to better treatment outcomes compared to non-supervised use, highlighting the importance of adherence and consistent monitoring in its effectiveness​.

Long-Term Use

The longer a person stays on Antabuse, the more effective it is in supporting abstinence. This is likely due to the reinforcement of the habit of not drinking. However, the decision to continue long-term use should be made in consultation with a healthcare provider, considering the patient's overall treatment plan and progress.

Who Are the Best Candidates for Antabuse?

It’s important to remember that Antabuse is best suited for individuals who meet specific eligibility criteria.

To ensure the best outcomes, patients should be:

Diagnosed with alcohol use disorders. Also, be alcohol-free for at least 7-10 days before starting Antabuse to avoid precipitating withdrawal symptoms.

Have attempted other forms of treatment and found them ineffective.

Are healthy enough to take the prescribed medications and can commit to regular check-ups.

A comprehensive medical assessment is carried out to evaluate suitability, taking into account factors such as the patient’s overall health, history of substance use, and any co-occurring mental health conditions.

The most suitable candidates are those dedicated to a comprehensive recovery program, including therapy and support groups, as these complement the medication’s effectiveness. Our team is committed to working closely with each patient to create a personalized treatment plan that meets their unique needs.

Potential Side Effects

While Antabuse is effective in treating alcohol dependence, it may cause side effects in some patients.

Common side effects include:

  • Drowsiness
  • Headache
  • Metallic or garlic-like taste in the mouth
  • Skin rash or acne
  • Liver problems
  • Severe allergic reactions
  • Mental/mood changes (e.g., depression, psychosis)

Patients should promptly inform their healthcare provider of any adverse effects they experience. Regular monitoring and open communication with the medical team help manage and mitigate these side effects, ensuring the safety and well-being of each patient.

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What CMAR Patients Say

95% of CMAR customers recommend us.

Read the reviews

Alex HernandezAlex Hernandez
00:41 25 Dec 23
Like so many others… unfortunately, after having 13 years clean I had a hand surgery and opened up the doorway to a relapse… Luckily, it was only a couple months before making the decision to change my life once again…I found my way in to CMAR, which is medication assisted recovery… but beyond that, they do so much more after getting past that, the level of professionalism that you receive from the counselors, and everybody on staff is amazing! I was in multiple programs years ago…. Nothing compares to this one! CMAR has saved my life!
Scott ListerScott Lister
15:59 12 Oct 23
CMAR is a top notch program with an excellent staff. High integrity, clinical excellence, and solid core values. Everything you want for mental healthcare for your loved ones. As a mental health professional myself, I have sent many people their way and trust in the care they provide. Great work CMAR.
Chris ShermanChris Sherman
14:12 09 Oct 23
So grateful to this place
tara garciatara garcia
00:17 20 Apr 23
I have been to other iop programs and this is the only program that keeps my interest and is NOT boring. On Fridays we engage in art/music therapy or watch a movie, for example pixar’s Inside Out. I truly look forward to going and I am going to miss the staff and clients when I graduate. CMAR makes recovery fun!!
Jeremiah WhiteJeremiah White
21:58 16 Feb 23
In order for me to live a genuine life, I must be abstinent from alcohol. The pleasures of substance use disorder had left me with a DWAI, DUI, and many years of court ordered programs. This includes years of probation, ordered UA screenings, and countless hours of community service. Also, a handful of destroyed relationships, countless moments of remorse, and thousands, if not, hundreds of thousands of dollars. Who knows…Nothing would stand in my way of a drink. My actions revolved around minimizing consequences to decisions that would reap the best benefit of this disorder. This disease manipulates you and as a result, you manipulate everyone around you just to fulfill a falsely created ritual.After spending another round in rehab, I started an intensive outpatient program at CMAR. I recently graduated and started in their regular outpatient program. I get to see a certified counselor every week in addition to fixed flexible courses. This place saved my life. I don’t take that lightly and I’m not exercising my freedom of speech just to say it. I mean it, CMAR’s professional staff and programs saved my life.I just hit the 7 month mark of my sobriety. I’m happy, in every sense of the word, in a way that I haven’t been in many years. For anyone out there struggling, please recognize, I know exactly what you’re going through. I’m not unique in any way. I just decided that my life is worth living without substances.I believe that taking your first step to accepting this truth is going to be the hardest. Please consider allowing CMAR to help you ground this decision. It’s the most important choice you’ll ever make. The road to recovery is not an easy one. The greatest part of all the difficulty is that we’re not alone. CMAR develops serious relationships with others through intense attributable work.Since this is working for me, I have no doubt in my heart that it will work for you. Please take action because it’s already too late. For a lot of people, they never got to this realization. I hope to see you soon in one of the classes.Peace and grace be with you,Jeremiah White
Kori RileyKori Riley
02:34 16 Dec 22
I can’t say enough about CMAR. Their responsiveness in a time of need made all the difference in the world. The groups are scheduled so that outpatient therapy is convenient. The group therapy is invaluable. The staff is approachable, and relates exceptionally well to their clients. Highly recommend.
Kandice EakesKandice Eakes
17:32 15 Jan 21
I was fortunate enough to have the opportunity to work with Michael and his team at CMAR. They provide exceptional, patient-centered care and are a wonderful community resource when it comes to state-of-the-art addiction treatment. They provide an integrative and evidenced based approach to addiction treatment; above all, they truly care about each individual patient. You can’t go wrong putting your trust in CMAR. I highly recommend!!
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There’s hope for a better, drug and alcohol-free life. If you or a loved one is seeking help for an opioid, benzo, or alcohol addiction, CMAR can provide the support and resources needed to get you on the path to recovery.

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Take the First Step Toward Recovery

There is always hope for a better, drug and alcohol-free life. If you or someone you care about is struggling with opioid, benzo, or alcohol addiction, CMAR is here to offer the support and resources needed to start the journey to recovery. Our MAT program combines medication-assisted treatment with psychotherapy, case management services, and peer support for sustained recovery.

Please don’t wait to get some help. Contact us at (833) 448-0127 or online to discover more about MAT and our addiction treatment services in Denver and the surrounding areas. With the proper support, you can take control of your life.

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Why Choose Colorado Medication Assisted Recovery

At CMAR, we understand that long-lasting recovery demands much more than a prescription. Recovery is a challenging personal journey of incremental change, and medication is only one element of treatment.

We know that many people suffering from substance use disorder may also have co-occurring other mental health conditions, such as depression and anxiety. We look at the family, social supports, and prior history of trauma and develop individual treatment plans accordingly. We believe treating mental health alongside addiction is an indispensable part of our opioid addiction treatment programs and alcohol addiction treatment programs.

We help our patients identify the causes of anger, fear, sadness, and loneliness and provide tools to cope effectively so they don’t cause a relapse.

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Cortland Mathers-Suter

MSSA
Managing Partner

Cortland Mathers-Suter entered the treatment space after his own battle with addiction. He first worked as a peer mentor, before starting clinical work while completing his Masters of Science in social administration from Case Western Reserve University where he focused on policy and direct practice. Cortland moved to Colorado in 2015 to start his first addiction treatment program, AspenRidge Recovery. Under his tenure, AspenRidge Recovery became a two-location, nationally accredited organization. He has since spent the last two years researching and developing what is now Colorado Medication Assisted Recovery (CMAR).

According to Cortland, “Colorado Medication Assisted Recovery is the most important organization I have had the honor to help build. We’re offering a service that seeks to not only improve the lives of our patients but also evolve how we look at medication-assisted treatment in Colorado entirely. Most individuals receiving medication-assisted care only receive medication and urinalysis. Sure you can call that ‘treatment,’ but you can’t call that ‘recovery.’ Our model is about adding the missing recovery component, and thus affords an opportunity to achieve lasting change for each patient and the industry.”

Cortland and his treatment programs have received numerous honors. These include Colorado Business Magazine’s “GenXYZ” award, the 2020 “Titan 100” award, and his program AspenRidge Recovery was both a finalist for “Best Healthcare Company” and named in the “Company’s to Watch” by Colorado Business Magazine as well. He has been interviewed and quoted by numerous publications for his “addiction expertise”, including News Week, 5280 Magazine, the Denver Post, Elephant Journal, Colorado Biz Mag, and TheRecoverySource.org.

Tyler Whitman

Compliance/HR Administrator

Tyler is originally from Omaha, Nebraska. He worked in manufacturing administration for 18 years until he chose to pursue recovery from alcohol addiction, which led him to Chicago, Illinois. Since then, Tyler gained experience in retail, retail pharmacy, and healthcare as a vaccine coordinator for a local Colorado clinic. At the clinic, Tyler discovered that healthcare was the career change he had been looking for. His newfound passion for healthcare, combined with his lived experience with addiction, brought him to Colorado Medication Assisted Recovery as an Office Administrator.

In his free time, Tyler enjoys cooking, hiking, and skiing. He is currently pursuing a master’s degree in Health Services Administration from Regis University.

Simmeren Boanvala

BA
Outreach and Admissions Representative

Simmeren comes to CMAR after several years working admissions in inpatient psychiatry and addiction. A first-generation Colorado Native, Simmeren attended CU Boulder, where she earned a BA in psychology. Simmeren is currently completing her CAC III while working toward her master’s degree in marriage and family therapy.

According to Simmeren, “I joined CMAR because I believe in the quality and importance of the program whole-heartedly. My goal at CMAR is to guide each prospect who calls CMAR to find the best possible pathway to their recovery”. Simmeren currently lives in her hometown with her dog and cat.

Tyler Hale

Tyler Hale

Community Partnership Lead

Tyler Hale began his career in addiction treatment following a decades-long fight with his own substance abuse issues. Since achieving long-term recovery, Tyler has held various positions in direct care, client services, admissions and outreach departments at various addiction treatment organizations. From sober living program director to outreach director to admissions director at a drug and alcohol treatment program, Tyler consistently finds himself in leadership roles within the addiction treatment space.

Tyler is originally from Chicago, IL, where he graduated from Loyola University Chicago with a Bachelor of Arts in Sociology and Bioethics. Thereafter, Tyler built a successful career in the tech industry, before finding sobriety and a subsequent calling to help others. Tyler joined the team at CMAR because he believes in the efficacy of comprehensive and patient-centered outpatient treatment. In his free time Tyler enjoys camping, hiking and spending time with his newborn son.

Kirstin O’Carroll

MSW
Engagement and Relations Director

Kirstin O’Carroll started her career in addiction and mental health services 23 years ago after graduating with an MSW from The Oho State University. Hired directly from an internship program, she served as a case manager and vocational specialist on a community treatment team in Columbus, OH, working to help severely mentally ill adults remain at home and in a community setting. Within the same organization, she later transitioned to clinical assessment and crisis intervention services with children, adolescents, and adults. Through these experiences, she learned the importance of providing empathetic, high-quality care and the need to “start wherever the patient is” with regard to finding the best treatment & solutions for her patients.

After seven years, Kirstin made a career change to diagnostic sales and worked for several Fortune 500 companies as an acute care sales specialist. She is delighted to return “home” to her passion for helping others and believes her new role as community engagement coordinator for CMAR is the perfect alignment of both her clinical and sales skills. When not promoting CMAR, she can be found reading, running, hiking, watching movies, and spending time with her husband Dennis and senior canine son Reggie.

Thomas Mazzarella

LAC
Primary Therapist

Thomas is a Licensed Addiction Counselor (LAC) in the State of Colorado and a Licensed Addictions Specialist (LCAS) in the State of North Carolina with particular expertise in the treatment of chronic Substance Abuse Addiction and Dependency.

Thomas is dedicated to Individual, Couples, Family, and Group Counseling and Therapy for individuals with Substance Use and Mental Health issues and concerns.

James Jackman

CAS
Primary Therapist

James Jackman is a Certified Addiction Specialist and has been practicing addiction treatment in Colorado since 2015. James is pursuing his bachelor’s degree in psychology from Metropolitan State University Denver. James is a traditional CBT therapist specializing in childhood events that lead to adult addictions.

James has received special training in Family Systems, Inner Child, Maladaptive Schemas, and Adverse Childhood Experiences. James has worked in many treatment settings throughout his career and uses a client-centered treatment approach to help one recover from destructive patterns that facilitate addiction. In addition, James enjoys working with rescue animals and advocates for several local rescue organizations outside of work.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Megan Hanekom

LPC, LAC, NCC
Therapist & Clinical Compliance Officer

Megan is a licensed counselor who has worked in various mental health and addiction treatment environments. She practices cognitive behavioral therapy and motivational interviewing and believes in pulling from various therapeutic approaches to best support each individual. Megan received her bachelor’s in psychology and Spanish from Concordia College. She relocated from North Dakota to Colorado where she earned a master’s in counseling psychology from the University of Denver.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Maggie Coyle

MA, LPC
Primary Therapist

Maggie Coyle, MS, MA, LPP, LPCC has worked in the mental health and addictions counseling field for the past six years. She has extensive experience in working in the varying levels of mental health and addictions treatment as well as with diverse populations.

She practices cognitive-behavioral therapy and dialectical behavior therapy as primary intervention methods. She has earned a bachelor’s degree in sociology as well as a master’s degree in clinical mental health counseling both from Northern State University in Aberdeen, SD. She has also earned a master’s degree in addictions counseling from the University of South Dakota in Vermillion, SD. Maggie moved from South Dakota to Colorado in June 2020 and is excited to be a part of the CMAR team.

Michael Damioli

LCSW, CSAT
Clinical Director

Michael Damioli has been passionately working in the fields of addiction treatment and mental health since 2012. He has held a variety of different roles within the addiction recovery space, ranging from peer support to direct clinical practice. Notably, Michael was part of a leadership group that developed a small therapy practice into a nationally branded addiction treatment program, which offers multiple levels of care to recovering professionals. Michael is a strong believer in the family disease model of addiction and has focused much of his clinical work and training on supporting families impacted by addiction. He also specializes in treating individuals suffering from co-occurring chemical and process addictions.

Michael is honored to be leading the clinical care team at CMAR and believes that excellent clinical care begins by simply treating a patient with dignity and respect. Michael is a strong advocate for ethical reform within the addiction treatment field and is excited to promote CMAR as an ethical and thought leader throughout the treatment & recovery industry. Michael earned his master’s degree in social work from the University of Denver and is independently licensed as a clinical social worker with the state of Colorado. He holds an advanced post-graduate certificate in marriage and family therapy from the Denver Family Institute as well as an advanced certificate in sexual addiction counseling from the International Institute of Trauma and Addiction Professionals.

Dwight-Duncan

Dwight Duncan

Psy.D
Psychologist

Dr. Duncan was born and spent most of his early life in California. He received his doctorate in clinical psychology from the University of Denver in 1987. He is a licensed psychologist as well as a licensed addiction counselor. He has had extensive training and experience throughout his professional career in medical psychology, mindfulness, integrated behavioral healthcare, and substance abuse.

Dr. Duncan is married and has one daughter, a neurologic physical therapist in Los Angeles.

Susan-Miget

Susan Miget

NP
Medical Provider

Susan has been in healthcare for more than 20 years. She was an ICU nurse for nine years, then returned to school and completed her master of nursing and family nurse practitioner degree at the University of Missouri-St. Louis in 2007. She practiced pain management for many years before developing her current passion for addiction treatment.

Susan has transitioned her practice to focus entirely on addiction treatment. She has worked in residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Susan most enjoys working with patients one-on-one in a private office to protect their confidentiality and ensure top-rate care. Knowing that addiction can affect anyone, anywhere, and at any time, Susan continues to strive to make treatment more accessible and confidential.

Whitney-Grant

Whitney Grant

MSN, FNP-BC, ARNP, RN, CPN
Medical Provider

Whitney Grant is an experienced family nurse practitioner with experience and expertise in medication-assisted treatment. Whitney earned her BSN at the University of Miami before moving on to achieve a master of science in nursing degree there as well, becoming a nurse practitioner immediately thereafter.

Whitney has since achieved board certification from the ANCC as a family nurse practitioner. After spending her entire formative and educational years in South Florida, Whitney moved to Denver in 2018 to pursue a career as a provider in family practice, sub-specializing in addictions medicine. Whitney has worked under the guidance of Dr. Nathaniel Moore, CMAR’s medical director, since moving to Denver.

Nathaniel Moore

MD
Medical Director

Dr. Nathan Moore is board-certified by the American Board of Family Medicine. Dr. Moore attended Stanford University in Palo Alto, CA for his undergraduate work and then attended Duke University School of Medicine and obtained his M.D. in 1995. Dr. Moore then came to Colorado and completed his residency in family medicine at the University of Colorado’s Family Medicine Program at Rose Medical Center.

Dr. Moore practices primarily at our Aurora location. He provides comprehensive family medicine services and has a special interest in addiction medicine, treating patients with opioid use disorder as well as alcohol addiction.

Dr. Moore is married with three children. He enjoys mountain biking, running, and golf.