Trileptal for Bipolar (Oxcarbazepine)
by Sarah from Bipolar-Lives
(FL, US)
US BRAND NAME: Trileptal
GENERIC NAME: Oxcarbazepine
TYPE: Anticonvulsant
USE: Another anticonvulsant originaly developed to treat epilepsy, Trilepal is also used to treat bipolar disorder. It works by decreasing abnormal electrical activity in the brain.
COMMENTS: Similar to Tegretol but fewer effects. Dr Jim Phelps suggests Trilepal may be a good choice for patients whose symptoms are relatively mild, allowing them to risk a possibly weaker medication. It does have significant anti-manic properties though and so is a good alternative to Depakote, especially form women. The fewer side effects and low long-term risk make it an appealing option to some.
EVIDENCE: Most studies show Trilepal to be about as good as Tegretol (on which is was based) which is about as good as Depakote.
SIDE EFFECTS: Include but not limited to: Dizziness, sleepiness, double vision, fatigue, nausea, vomiting, ataxia (a movement disorder where cordination is impaired), abnormal vision, abdominal pain, tremor, upset tummy, abnormal gait.
CAUTIONS: Can disturb sodium levels or cause an unpleassant or even deadly rash.