Sweet and starch cravings are what make you fall off your diet, not hunger. There are several prescription
medications than can safely and signficantly decrease your carbohydrate cravings. Topemax (a migraine
medication), Zonegran (a seizure medication) and Naltrexone (an alcohol medication) are all standard of care
treatment in bariatric (weight management) medicine. These drugs can help curb your sweet and starch cravings,
and keep you from falling off your diet.. 30% of the members of the American Society of Bariatric Physicians,
the professional society of weight loss physicians, use these medications as part of their standard treatment of
obesity. If you are having trouble with out of control carbohydrate cravings, these medications can help you lose
weight by curbing your cravings. Two combination drugs are in the pipeline for FDA approval. Qnexa contains
Topemax in combination with Phentermine (the good half of Phen-Fen), and Contrave contains Naltrexone in
combination with Bupropion (the anti-depressant Wellbutrin).