Topiramate: A Clinical Trial for Alcoholism
Total Running Time: 9:23 min.
An estimated 17 million Americans suffer from alcohol-
use disorders, but only 13% are being treated with medication proven to be effective.
While there are three approved medications currently available in the U.S. - disulfiram
(brand name: Antabuse), acamprosate (Campral) and naltrexone (Revia) - a new
medication called topiramate is currently being tested at the CARE Clinic in
Charlottesville, VA. This segment focuses on two test subjects who have turned to the
drug as a way to combat chronic alcoholism. One is Tom, a "functional drunk" who
drank morning, noon and night when he retired. Now, "My drinking's killing me, and I
desperately need help." The other is Adam, who "went crazy" in college, and has put his
music career on hold as he plunges deeper into solitary beer binges at home. For 12
weeks, Tom and Adam both take topiramate, which may correct imbalances in several
brain systems, thereby reducing the urge to drink. The results are promising: six weeks
into the study: Tom doesn't want a drink, and Adam's drinking has decreased
appreciably. After ten weeks, the improvement continues. Says a grateful Tom, "It's too
bad I didn't come to this realization a long time ago. I can't change that, but I can
determine what's going to happen tomorrow." As for Adam, he's returned to writing
music, and recently decided to stop drinking altogether. Although these results are
encouraging, Dr. Mark Willenbring cautions that "One of the things that's most important
for people to understand here is that the medicines won't do the work for you. You've got
to work at this."
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