Topiramate is an anticonvulsant medication that has also been used to treat alcohol use disorder (AUD). It is thought to work by increasing levels of the neurotransmitter gamma-aminobutyric acid (GABA) in the brain, which can help to reduce the pleasurable effects of alcohol and decrease cravings for alcohol. It may also help to reduce anxiety and other symptoms associated with alcohol withdrawal.

Topiramate is typically prescribed in combination with other therapies, such as cognitive-behavioral therapy (CBT) or a 12-step program, as part of a comprehensive treatment plan for alcoholism. It is not a cure for alcoholism, but rather a tool that can be used to help manage cravings and reduce the risk of relapse. As with any medication, it is important to work closely with a healthcare provider to determine if topiramate is an appropriate treatment option and to monitor for any potential side effects or interactions with other medications.