I've been binge eating since my teens, about 40 years.

Been treated for depression last 5 yrs. Various ssri meds which helped me gain even more weight, until a reached an all-time high of 230 lbs. Doc said my A1C was prediabetic, and I needed to start metformin.
Or lose the weight.
I knew I couldn't do it by diet and exercise. I binge eat due to stress. My life stresses aren't going away.....
Wellbutrin 150 mg helps me w depression and is weight neutral vs the ssri group.

I've been on very low dose topapax 50mg? for about 8 months and it definitely controls the craving to binge. I still enjoy pretty much any food, just don't use a bag of Oreos at one sitting the way I used to.
I'm down to 180 lbs which is still about 20 lbs over "acceptable" for my age and height, but I feel SO much better physically, blood work is in line, and doc is no longer badgering me.

Not sure what my exit plan is. Will the cravings crash back in?
Guess I'll deal with it soon.

I know many others have had mixed results, for me it's been a home run.