Medication Development for Opioid and Alcohol Abuse

Inclusion Criteria: 1. DSM-5 criteria for moderate-severe opioid use disorder with physical dependence. 2. DSM-5 criteria for moderate-severe alcohol use disorder without physical dependence. 3. No current major mood, psychotic, or anxiety disorder. 4. Physically healthy. 5. Able to perform study procedures. 6. 21-59 years of age. 7. Normal body weight/Within 20% of body weight (for appropriate frame) according to 1983 Metropolitan Weight tables. 8. Current or history of illicit opioid use. 9. Current use of opioids in amounts and/or frequencies that meet or exceed those used in the proposed study (e.g., 3-4 tablets of a Rx opioid medication per day or 1-2 bags of heroin per day). Not seeking treatment for opioid use disorder (neutral attitude or not wanting treatment only). 10. Participants will consume alcohol at least 3 times per week (15 drinks per week for men and 8 drinks per week for women). In addition, they will drink alcohol and use opioids simultaneously. Exclusion Criteria: 1. DSM-5 criteria for substance use disorder (moderate to severe) on drugs other than opioids, alcohol, nicotine or caffeine (must be less than 500 mg caffeine daily). 2. Participants requesting treatment. 3. Pregnancy or lactation. 4. Current or recent history of significant violent or suicidal behavior and/or suicidal/homicidal risk. 5. Cannot read or understand the self-report assessment forms unaided, or are so severely disabled that they cannot comply with the requirements of the study. 6. Elevated liver function tests (i.e., AST and ALT \> 3 times the upper limit of normal) or impaired renal function (creatinine must be within normal limits). 7. Physical disorders that might make participation hazardous such as AIDS, cancer, hypertension (blood pressure \> 140/90), uncontrolled diabetes, pulmonary hypertension or heart disease (please note that participants will be asked about previous visits to a cardiologist, chest pain, or strong palpitations; if these exist, they will be referred to a cardiologist and excluded unless cleared for participation by a cardiologist). 8. Current major Axis I psychopathology, other than OUD and AUD (e.g., mood disorder with functional impairment, schizophrenia), that might interfere with ability to participate in the study. 9. Sensitivity, allergy, or contraindication to opioids, alcohol, gabapentin or similar medications. 10. Taken an investigational drug within the past 30 days. 11. Current or history of chronic pain within the past 3 months. 12. Taking prescription psychotropic medications that would potentially interfere with study procedures.