Side effects include the following: dizziness; drowsiness; vision changes; double vision; fast, repeating eye movements that cannot be controlled; diarrhea; constipation; heartburn; stomach pain; loss of appetite, changes in the way food tastes; dry mouth; weight gain; shaking of a part of the body that you cannot control; difficulty coordinating movements; falling down; slowed movements or thoughts; speech problems; forgetfulness; difficulty concentrating; nervousness; mood swings; back pain; muscle weakness or sudden tightness; acne; toothache; earache; hot flashes; increased sweating; cold symptoms; nosebleed; swelling; redness; irritation, burning, or itching of the vagina; or white vaginal discharge. 

Serious side effects include the following: swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs; seizures that last longer or happen more often than in the past; headache; unusual thirst; nausea; vomiting; weakness; confusion; decreased alertness; rash; bumps or blisters in the mouth, on skin, or genitals; red or purple-colored blotches or dots on skin; red, irritated eyes; itching; fever; swollen glands in the neck or under the arms; yellowing of the skin or eyes; unusual bruising or bleeding; bleeding from the rectum or blood in stool; sore throat, cough, chills, and other signs of infection; increased, decreased, or painful urination; joint pain; or chest pain. 

The administration of Trileptal may also cause Stevens Johnson Syndrome, Toxic Epidermal Necrolysis, or organ hypersensitivity. It can also cause hyponatremia, which is a deficiency of sodium in the blood which causes severe fatigue. Hyper sensitivity to the sun, severe sunburns as a result of sun exposure and skin sensitivity, an increased craving for salty foods, and increased impulsiveness may also be noted.

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