Evidence map›Paper›PMID 25899459›Full record

ReviewCNS drugs2015

Topiramate in Alcohol Use Disorders: Review and Update.

Riccardo Guglielmo, Giovanni Martinotti, Marianna Quatrale, Lucia Ioime, Irket Kadilli, Marco Di Nicola, Luigi Janiri

Abstract readReview
PubMed Publisher
In one paragraph

Review in CNS drugs, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Naltrexone Is Superior to Placebo for Abstinence and Craving Reduction in Alcohol-Associated Cirrhosis: NAL-CI Trial.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Pharmacogenetics of alcohol addiction: current perspectives.The application of clinical genetics · 2019
    Article
  19. An Overview of Pharmacotherapy Options for Alcohol Use Disorder.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2018
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Riccardo GuglielmoDepartment of Geriatrics, Neuroscience and Orthopedics, Institute of Psychiatry, Catholic University Medical School of Rome, Rome, Italy. ricguglielmo@gmail.com.
Giovanni MartinottiDepartment of Neuroscience and Imaging, University "G. D'Annunzio", Chieti, Italy.
Marianna QuatraleDepartment of Geriatrics, Neuroscience and Orthopedics, Institute of Psychiatry, Catholic University Medical School of Rome, Rome, Italy.
Lucia IoimeDepartment of Geriatrics, Neuroscience and Orthopedics, Institute of Psychiatry, Catholic University Medical School of Rome, Rome, Italy.
Irket KadilliDepartment of Geriatrics, Neuroscience and Orthopedics, Institute of Psychiatry, Catholic University Medical School of Rome, Rome, Italy.
Marco Di NicolaDepartment of Geriatrics, Neuroscience and Orthopedics, Institute of Psychiatry, Catholic University Medical School of Rome, Rome, Italy.
Luigi JaniriDepartment of Geriatrics, Neuroscience and Orthopedics, Institute of Psychiatry, Catholic University Medical School of Rome, Rome, Italy.
Università Cattolica del Sacro Cuore · ITUniversity of Chieti-Pescara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To date, a limited number of pharmacological agents exist to treat alcohol use disorders (AUDs), and there is growing interest in new therapeutic tools. In this framework, topiramate may represent a useful treatment option, although its use is not yet approved for AUDs. The main focus of this review is to discuss all the existing data supporting the use of topiramate in AUDs, with an emphasis on the most recent and relevant clinical implications. In addition, the profile of the alcoholic patient who may benefit more from the use of topiramate is outlined. In this regard, the authors conducted a PubMed search of clinical human studies published in English using the following key words: topiramate alcohol dependence, topiramate alcohol withdrawal and topiramate alcoholism. The evidence suggests that topiramate could be an effective treatment option for the management of AUDs, while there are limited results for its use to treat alcohol withdrawal syndrome. In particular, topiramate shows a greater beneficial effect in subjects with a typology of craving characterised by drinking obsessions and automaticity of drinking. Topiramate, within the dosage range of 75-300 mg/day, could be considered as a first-line treatment option for the management of AUDs. Its use appears to be safe and well-tolerated, especially in light of very recent findings.

Indexed as

Alcohol DeterrentsAlcohol-Related DisordersFructoseHumansRandomized Controlled Trials as TopicSubstance Withdrawal SyndromeTopiramateAlcohol DeterrentsFructoseTopiramate

Identifiers

PMID25899459
OpenAlexW2077723068

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.