Usage

• Trileptal is approved for use in children as young as 4 years old. To avoid side effects, doctors usually start children on a low dose and increase it slowly if necessary.
  
  

Skin Reactions

• The U.S. Food and Drug Administration requires a warning on Trileptal labeling regarding the possibility of serious skin reactions in both children and adults. Stevens-Johnson syndrome and toxic epidermal necrolysis can occur, causing severe blistering rashes.
  
  

Suicidal Thoughts and Behavior

• Another warning addresses the association between antiepileptic drugs, such as Trileptal, and suicidal thoughts and behavior that can occur in children and adults.
  
  

Hyponatremia

• Another rare side effect associated with Trileptal is low sodium levels, or hyponatremia. The child may feel very fatigued and have cravings for salty food.
  
  

Other Side Effects

• Additional side effects are possible but uncommon for children who take Trileptal. These include abnormal walking, blurred vision, dizziness, fatigue, abdominal pain, indigestion, nausea, sleepiness, tremors and weakness.
  
  

Infections

• Unlike adults, children are more prone to catching infections when taking Trileptal.