Trileptal, also known by its generic name oxcarbazepine, is an anticonvulsant medication that is sometimes used to treat bipolar disorder. The exact mechanism of action of Trileptal in bipolar disorder is not well understood, but it is believed to work by stabilizing the electrical activity in the brain.
Trileptal is typically used as a mood stabilizer in the treatment of bipolar disorder, particularly in the management of manic episodes. It can be used alone or in combination with other medications, such as antidepressants or antipsychotics, depending on the specific needs of the patient.
The use of Trileptal in bipolar disorder is typically started with a low dose that is gradually increased over time, in order to minimize the risk of side effects. The goal is to find the lowest effective dose that can help stabilize the patient’s mood and prevent the recurrence of manic or depressive episodes.
Dosage Information
The dosage of Trileptal (oxcarbazepine) can vary depending on the individual patient and the severity of their symptoms. Trileptal is not FDA-approved for the treatment of bipolar disorder, so dosages may be prescribed off-label by healthcare providers based on their clinical judgment and the individual needs of the patient.
In general, the starting dose of Trileptal for bipolar disorder is usually 300-600 mg taken orally twice daily, and the dose may be increased by 300 mg per day every 2-3 days, depending on the individual response and tolerability. The maintenance dose is typically in the range of 1200-2400 mg per day, taken in divided doses. However, some patients may require higher doses, up to a maximum of 2400 mg per day, in order to achieve symptom control.
It is important to note that Trileptal should always be taken exactly as prescribed by a healthcare provider, and the dosage should not be changed without first consulting with them. Patients taking Trileptal should be monitored regularly for any side effects or changes in symptoms, and they should inform their healthcare provider of any concerns they may have.
Side Effects of Trileptal
Like all medications, Trileptal (oxcarbazepine) can cause side effects in some people. Some of the most common side effects of Trileptal include:
- Dizziness
- Drowsiness
- Nausea
- Vomiting
- Headache
- Double vision
- Fatigue
- Weakness
- Balance problems
- Tremors
Most of these side effects are mild and go away on their own as the body adjusts to the medication. However, some people may experience more serious side effects, such as:
- Skin rash
- Severe allergic reaction
- Hyponatremia (low sodium levels in the blood)
- Hepatitis (inflammation of the liver)
- Blood disorders
It is important to note that these serious side effects are rare, but they can be life-threatening. Patients taking Trileptal should be monitored closely for any signs of these side effects and should seek medical attention immediately if they occur.
It is important for patients to discuss any concerns they have about Trileptal with their healthcare provider, including any side effects they may be experiencing. The dose of the medication may need to be adjusted or a different medication may need to be considered if the side effects are severe or persistent.
Other Mood Stabilizers
- Lithium (Lithobid, Eskalith)
- Valproate (Depakote)
- Carbamazepine (Tegretol)
- Lamotrigine (Lamictal)
- Topiramate (Topamax)
Your doctor may put you on one of the above medications or a different medication. You can read more about medications used to treat bipolar disorder here: medications.