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Trileptal helps reduce the frequency of partial epileptic seizures, a form of epilepsy in which neural disturbances are limited to a specific region of the brain and the victim remains conscious throughout the attack. Trileptal may be prescribed by itself to treat the problem in adults. The usual dose ranges from 300 to 1,050 milligrams taken twice daily. Trileptal should be used during pregnancy only if the potential benefits justify the risk. However, any medication taken in excess can have serious consequences. If Trileptal gives you an allergic reaction, you won't be able to use it. Stopping Trileptal suddenly could cause an increase in the frequency of your seizures. In people with kidney disorders, the starting dose is 150 milligrams twice daily. The doctor will increase the dose of Trileptal weekly until the most effective dose is reached.