Depakote: hyperammonemia, thrombocytopenia Topamax (Dopamax): hyperammonemia, cognitive side effects Keppra: least side effects, paradoxical agitation/aggression in some elderly pts (not recommended for psychiatric pts w/ mania, aggression, or anxiety) Lamotrigine: 2-month titration, rare Stevens-Johnson syndrome risk (stop if rash develops, notify MD) Tegretol: rare agranulocytosis, liver dysfunction, Stevens-Johnson syndrome Trileptal: hyponatremia (monitor sodium levels) Vimpat (lacosamide): monitor for cardiac conduction abnormalities