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Would be helpful if reviewers included dose; I'm at 600mg (300 twice a day) and this has worked 'like magic' to slow me down. I used to feel nearly constantly anxious, irritable and visual and auditory input would overwhelmed me. Certain people's voices felt like my ears were being poked; eye contact was overwhelming, like I was receiving too much input. Certain smells were like an 'instant headache'. Trileptal regulated my sleep cycle first, which was always a huge issue - now it's 10:00 PM to 5:30 AM almost the same every night with none of the previous wake-ups and morning exhaustion. I am one of the ones who has the 'low sodium' side effect but what a great side effect - I get to eat more salt. And my blood pressure is lower.
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It's only been a week and I am taking 450mg of Trileptal and I don't think it is helping the mania.

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Monotherapy in Adults Previously Treated with other AEDs: Table 3 lists treatment-emergent signs and symptoms that occurred in at least 2% of adult patients with epilepsy treated with Trileptal or placebo as adjunctive treatment and were numerically more common in the patients treated with any dose of Trileptal.

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