GF is a 60-year-old male with a long-standing history of alc…
GF is a 60-year-old male with a long-standing history of alcohol dependence who wishes to quit and he is presenting with early withdrawal symptoms. He has experienced alcohol withdrawal seizures in the past. He has severe liver impairment due to his alcohol consumption. He is also diagnosed with depression, which is managed with citalopram and bupropion. Current CIWA-Ar score is 19. Labs are normal with the exception of LFTs, which are significantly elevated. He has been admitted to an inpatient medical unit due to concerns for severe withdrawal. GF has made it through withdrawal and would like to initiate a medication for treatment of his alcohol dependence. Given his disease states and medications, which of the following would be the most appropriate treatment option at this time?