Topiramate for alcoholism treatment: novel pharmacogenetic evidence for the journey to personalized medicine?

Int J Neuropsychopharmacol

Laboratory of Clinical and Translational Studies,National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health,Bethesda, MD,USA.

Published: October 2014

Download full-text PDF

Source
http://dx.doi.org/10.1017/S1461145714000790DOI Listing

Publication Analysis

Top Keywords

topiramate alcoholism
4
alcoholism treatment
4
treatment novel
4
novel pharmacogenetic
4
pharmacogenetic evidence
4
evidence journey
4
journey personalized
4
personalized medicine?
4
topiramate
1
treatment
1

Similar Publications

Introduction: Alcohol use disorder (AUD) is prevalent and recognized as a chronic, relapsing disorder. Even though effective treatment options are available, AUD is strongly undertreated. As adjuvant treatment strategies accompanying psychosocial treatments, pharmacological strategies can increase the efficacy of AUD treatment options.

View Article and Find Full Text PDF

Comparative effects of topiramate and naltrexone on neural activity during anticipatory anxiety in individuals with alcohol use disorder.

Alcohol Alcohol

November 2024

Specialty of Addiction Medicine, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2050, Australia.

Article Synopsis
  • - Topiramate has shown effectiveness in reducing alcohol use and possibly lowering anxiety severity in patients with alcohol use disorder (AUD), compared to naltrexone, another medication used for AUD.
  • - In a study with 42 treatment-seeking AUD patients, participants were given either topiramate or naltrexone for 12 weeks, and their neural responses to an anxiety-inducing task were measured using fMRI after 6 weeks of treatment.
  • - The study found no major differences in brain activation between the two treatment groups, but it noted that changes in anxiety levels were linked to the brain's response to threat cues, providing insights into how these medications may work.
View Article and Find Full Text PDF
Article Synopsis
  • - The study reviews the safety concerns of various alcohol pharmacotherapies during pregnancy, as current options for pregnant individuals with alcohol use disorders (AUD) are limited due to unknown teratogenic risks.
  • - A total of 105 studies were analyzed, focusing on medications like naltrexone, acamprosate, disulfiram, and topiramate, with findings suggesting that naltrexone might be safer than other options for opioid use disorders, despite being less studied for AUD specifically.
  • - The review highlights significant safety concerns, noting disulfiram and topiramate's links to congenital anomalies, while acamprosate showed potential neuroprotective benefits without clear adverse effects, creating a complex picture of risks and benefits
View Article and Find Full Text PDF

Topiramate-induced acute eosinophilic pneumonia.

BMJ Case Rep

September 2024

AFMC Campus, Pune, Maharashtra, India.

Article Synopsis
  • * Investigations showed elevated eosinophil counts and serum IgE levels, leading to a diagnosis of eosinophilic pneumonia after other causes were ruled out.
  • * The condition was linked to the medication topiramate, which he started for alcohol withdrawal seizures, and stopping the drug resolved all symptoms and imaging abnormalities.
View Article and Find Full Text PDF

Topiramate Versus Naltrexone for Alcohol Use Disorder: A Genotype-Stratified Double-Blind Randomized Controlled Trial.

Am J Psychiatry

May 2024

Specialty of Addiction Medicine, Sydney Medical School (Morley, Adams, Montebello, Tremonti, Dali, Logge, Haber), School of Health Sciences (Baillie), and Matilda Centre for Mental Health and Substance Use (Teesson), Faculty of Medicine and Health, University of Sydney, Sydney, Australia; Edith Collins Centre for Translational Research in Alcohol, Drugs, and Toxicology (Morley, Jamshidi, Logge, Haber) and Department of Medical Genomics (Luquin, Trent), Royal Prince Alfred Hospital, Camperdown, Australia; Center for Studies of Addiction, Perelman School of Medicine, University of Pennsylvania, and Mental Illness Research, Education, and Clinical Center, Crescenz VA Medical Center, Philadelphia (Kranzler); Northern Sydney Local Health District Drug and Alcohol Services, St Leonards, Australia (Montebello); St Vincent's Hospital Sydney, Sydney, Australia (Tremonti).

Objective: There have been no well-controlled and well-powered comparative trials of topiramate with other pharmacotherapies for alcohol use disorder (AUD), such as naltrexone. Moreover, the literature is mixed on the effects of two polymorphisms-rs2832407 (in ) and rs1799971 (in )-on response to topiramate and naltrexone, respectively. The authors sought to examine the comparative effectiveness of topiramate and naltrexone in improving outcomes in AUD and to examine the role of the rs2832407 and rs1799971 polymorphisms, respectively, on response to these medications.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!