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Trileptal 600mg Tablets 50'S EFEXOR Keratin is a natural proteinTrileptal works by keeping the brains over excitable nerve cells under control. This suppresses or reduces the frequency of such seizures. Trileptal can be used alone or in combination with other antiepileptic medicines. However, with more severe epilepsy, a combination of two or more medicines may be needed to control seizures.