Topiramate is a medication that is used to treat seizures and migraines. However, it has also been studied for its potential to help with alcoholism. Topiramate has been found to reduce the urge to drink and increase the number of days of abstinence in people with alcohol dependence. It is believed to work by affecting the brain’s reward system and reducing cravings for alcohol. While more research is needed to fully understand its effectiveness in treating alcoholism, topiramate may be a useful tool in combination with other treatments such as therapy and support groups.