I have been taking Trileptal for 6.5 years. In the past year the intense skin all over itching has occured on 4 occasions each lasting one to four days. This is unbearable. Not related to dry skin or anxiety. It seems to occur when I had taken a tylenol the day before or had a beer or glass of wine. I am not a heavy drinker. I am concerned that trileptal is starting to damage my liver. I had normal LFTs 6 months ago but I am thinking I may need an ultrasound of the liver. I am very concerned because this is the only medication I have found that effectivly treated my BP disorder. I did make an appointment finally to see my dr.