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Common side effects:

• Headache
• Shaking
• Drowsiness
• Tiredness
• Dizziness
• Unsteadiness
• A feeling of spinning
• Nausea
• Vomiting

Less common but important to monitor:

• Rapid or uncontrollable eye movements
• Blurred or double vision
• Loss of balance or coordination
• Signs of infection such as a persistent sore throat, fever, or chills
• Easy bruising or bleeding
• Pale skin

Serious side effects:

• Depression
• Suicidal thoughts
• Other mood changes
• Signs of liver disease such as persistent nausea, dark urine, stomach pain, or yellowing of the eyes or skin
• Symptoms of low sodium levels like severe nausea, extreme drowsiness, confusion, or muscle weakness
• Allergic reactions including fever, swollen lymph nodes, rash, swelling, severe dizziness, or trouble breathing

Interactions with high risk of serious adverse effects and should be avoided:

• Oxcarbazepine

Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:

• Orlistat
• rilpivirine
• hormonal birth control (e.g., pills, patch, ring)

Interactions with low risk that usually do not require a change in therapy:

• alcohol
• marijuana (cannabis)
• antihistamines (e.g., cetirizine, diphenhydramine)
• drugs for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem)
• muscle relaxants (e.g., carisoprodol, cyclobenzaprine)
• opioid pain relievers (e.g., codeine, hydrocodone)