Hi Cedar,
I'm sorry to hear that your epi would not order a drug level test to be done. From everything you are describing it sounds just like what happened with me when I was on trileptal and it became toxic. If you should decide to cut back on the trileptal do it very slowly like a half a pill for 1 week then cut back on the other half because if you cut back on the trileptal to quickly it can lead to severe sz. and I don't want that to happen to you. Here's wishing you the best of luck and May God Bless You!

Sue