Ive been on Trileptal for for 6yrs now. Im at 1200mg a day. the Drug has always made me tired I have to take it at night otherwise I fall a sleep to often during the day. have never experienced the hair loss. But have always experienced the metallic taste. Lately have also noticed that when I get angry, nervous or anxious I get this weird burnt plastic smell stuck in my nose that stays for hours. I also have had a gangland gland syst that comes and goes in my left wrist. I cant have it removed cause it disappears by the time I can see a doctor. my appetite comes and goes in cycles. Sometimes I cant put any thing down, other times I cant stop eating.I get aches in my ankle and back all the time. I should also metion that im on effexor xr 600mg.has any one else noticed the burnt plastic smell? or now how to stop it and the back aches and anke akes? I know I need to stay on it cause it truly helps me. I honestly don't think I would be alive to write on this board had it not been for effexorxr and Trileptal