Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Lamotrigine (Lamictal) and oxcarbazepine (Trileptal) are both antiepileptic medications, but they have some key differences. Lamotrigine is used to treat various types of seizures and bipolar disorder, while oxcarbazepine is specifically for partial-onset seizures. Lamotrigine is available in multiple forms, including immediate-release and extended-release tablets, chewable tablets, and orally disintegrating tablets. In contrast, oxcarbazepine comes in immediate-release tablets, extended-release tablets, and oral suspension. Lamotrigine can cause serious skin reactions and has a risk of meningitis, while oxcarbazepine can lead to low blood sodium levels and severe allergic reactions, especially in people with certain genetic backgrounds. Both medications can cause dizziness and headaches, but oxcarbazepine is more likely to affect your ability to concentrate and react quickly. Lamotrigine is also known to interact with many medications, including birth control pills, whereas oxcarbazepine can make hormonal birth control less effective.
Lamotrigine (Lamictal)
Oxcarbazepine (Trileptal)
Lamotrigine (Lamictal)
Oxcarbazepine (Trileptal)
Summary of Lamictal vs. Trileptal
Summary for Antiepileptic
Prescription only
Lamotrigine (Lamictal) is an antiepileptic medication. The immediate-release version can treat different types of seizures as well as bipolar 1 disorder. But the extended-release version is only for seizures. Your dose depends on your age, the other medications you take, and what problem you're treating. Side effects can include dizziness, headache, and serious skin reactions. It can also cause withdrawal symptoms like seizures if you stop taking it suddenly.
Summary for Antiepileptic
Prescription only
Oxcarbazepine (Trileptal) is used to treat partial-onset seizures (also called focal aware seizures). This antiepileptic is for people 2 years of age and older. It helps calm the brain to keep seizures from happening. Oxcarbazepine (Trileptal) comes as immediate-release tablets and an oral suspension. You take it by mouth twice a day. Some common side effects include dizziness, nausea, and headaches. Immediate-release oxcarbazepine comes in both brand-name and generic versions. You can take it by itself or with other anti-seizure medications.