08/21/2026
: Reducing alcohol cravings improves PTSD treatment
When PTSD and alcohol use disorder occur together it can lead to worse outcomes, but VA San Diego Healthcare System researchers proved treating both together can lead to better results. The researchers split 100 Veterans with both PTSD and alcohol use disorder into two groups: both groups received 12 sessions of prolonged exposure therapy, but one group also received the medication topiramate, which has been shown to reduce alcohol cravings. By the sixth session, those receiving topiramate showed a greater reduction in alcohol cravings. By the ninth session, those receiving topiramate also had less PTSD symptoms than the other group. Analysis suggested the reductions in alcohol cravings drove the subsequent improvements in PTSD symptoms, providing a potential new path for Veterans to improve PTSD treatment.
https://www.research.va.gov/news_briefs/news_brief.cfm?RecordID=258452