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Patientstheir caregiversand families should be counseled that AEDsincluding TRILEPTALmay increase the risk of suicidal thoughts and behavior and should be advised of the need to be alert for the emergence or worsening of symptoms of depressionany unusual changes in mood or behavioror the emergence of suicidal thoughtsbehavioror thoughts about self-harmBehaviors of concern should be reported immediately to healthcare providerssee WARNINGS AND PRECAUTIONS

Tell your healthcare provider about all the medicines you takeincluding prescription and over-the-counter medicinesvitaminsand herbal supplementsTaking TRILEPTAL with certain other medicines may cause side effects or affect how well they workDo not start or stop other medicines without talking to your healthcare provider.

The safety and effectiveness for use as adjunctive therapy for partial seizures in pediatric patients below the age of 2 have not been established.

Anyone considering prescribing TRILEPTAL or any other AED must balance the risk of suicidal thoughts or behavior with the risk of untreated illnessEpilepsy and many other illnesses for which AEDs are prescribed are themselves associated with morbidity and mortality and an increased risk of suicidal thoughts and behaviorShould suicidal thoughts and behavior emerge during treatmentthe prescriber needs to consider whether the emergence of these symptoms in any given patient may be related to the illness being treated.

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some of the other side effects of trileptal include problems with speech, balance, or coordination, blurred vision, mental slowness, trouble concentrating, tremors or shaking, dizziness, drowsiness; or skin rash.

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