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Drug side effects

oxcarbazepine Side Effects

The reactions most often reported to the FDA for oxcarbazepine (also sold as Trileptal), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

31,347
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2001 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of oxcarbazepine come from 31,347 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 31,347 reports to the FDA Adverse Event Reporting System (FAERS) for oxcarbazepine (Trileptal): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

31,347

Reports Mentioning Death

2,109

6.7% of reports — not proof the medicine caused the death

Hospitalizations

9,541

30.4% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

SEIZURE
2,805
FATIGUE
1,607
DIZZINESS
1,519
CONVULSION
1,463
HEADACHE
1,434
SOMNOLENCE
1,410
NAUSEA
1,299
HYPONATRAEMIA
1,274
FALL
1,183
VOMITING
1,120
DRUG INTERACTION
1,027
RASH
985
ANXIETY
967
DEPRESSION
939
ASTHENIA
929
PAIN
911
EPILEPSY
887
CONDITION AGGRAVATED
844

Who Reports Side Effects

Gender Distribution

Female 16,765 (59%)
Male 11,696 (41%)
Unknown 103

Age Distribution

0-17 4,137 (21%)
18-44 7,102 (37%)
45-64 5,433 (28%)
65-74 1,654 (9%)
75+ 1,118 (6%)

Reporting Trend by Year

2001 2025

Reactions in Death Reports

Top reactions reported in 2,109 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
COMPLETED SUICIDE 537
DEATH 470
TOXICITY TO VARIOUS AGENTS 200
CARDIAC ARREST 162
CARDIO-RESPIRATORY ARREST 141
SEIZURE 100
RESPIRATORY ARREST 92
PNEUMONIA 81
CONVULSION 71
METABOLIC ACIDOSIS 56
PYREXIA 54
RESPIRATORY FAILURE 54
SUDDEN UNEXPLAINED DEATH IN EPILEPSY 53
ARRHYTHMIA 52
FALL 50
ELECTROCARDIOGRAM QT PROLONGED 48
STATUS EPILEPTICUS 48
SEPTIC SHOCK 47

Reactions in Hospitalization Reports

Top reactions in 9,541 reports where hospitalization was an outcome.

Reaction Reports
SEIZURE 848
HYPONATRAEMIA 751
FALL 648
DIZZINESS 534
DRUG INTERACTION 529
CONVULSION 521
VOMITING 513
PYREXIA 478
NAUSEA 441
FATIGUE 440
HEADACHE 432
SOMNOLENCE 425
DYSPNOEA 415
PAIN 376
ASTHENIA 374
TOXICITY TO VARIOUS AGENTS 357
DEPRESSION 349
RASH 335

Compare oxcarbazepine vs acamprosate →

What the FAERS Data Reveals About oxcarbazepine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 31,347 voluntary reports linked to oxcarbazepine and its brand equivalents (Trileptal), spanning 2001 through 2025. Of those, 2,109 (6.7%) listed death as an outcome and 9,541 (30.4%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 59% were female and 41% male; age distribution skews toward 18-44, with 7,102 reports in that bracket. The single most reported reaction is seizure with 2,805 submissions, followed by fatigue and dizziness.

How to read these numbers

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice, speak with a licensed clinician about any side-effect concerns.