Off-Label Medications for Alcohol Use Disorder Among Patients With HIV: Pilot Study 2

This pilot study is testing whether the medication varenicline (used for quitting smoking) can also help people living with HIV who drink heavily and currently smoke cigarettes reduce their alcohol use. **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 - You currently smoke cigarettes - You are taking 5 or more medications **You may NOT be eligible if:** - You are already in formal alcohol treatment - You are pregnant, nursing, or trying to conceive - You have a life-threatening medical or psychiatric condition - You have an untreated moderate-to-severe opioid use disorder - You do not speak or read English - You already take the study medication or medications that would interact with it Talk to your doctor to see if this trial is right for you.