Off-Label Medications for Alcohol Use Disorder Among Patients With HIV: Pilot Study 1

This pilot study is testing whether a medication used off-label (spironolactone) can help people living with HIV who also have an alcohol use disorder reduce their drinking. **You may be eligible if:** - You are 18 or older and living with HIV - You receive care at the Atlanta VA Healthcare System - You have a diagnosed alcohol use disorder (mild, moderate, or severe) - You are taking 5 or more medications - You have a cell phone or reliable contact number **You may NOT be eligible if:** - You are already in a formal alcohol treatment program or on medications for alcohol use - You are pregnant, nursing, or trying to conceive - You have an untreated moderate-to-severe opioid use disorder - You have poor kidney function or high potassium levels - You live outside the state - You take medications that interact with the study drug (such as lithium or digoxin) Talk to your doctor to see if this trial is right for you.