YES, trileptal may be helpful in this case, however I only say this after some thought. That said, it is not going to help at all if you are not taking it regularly (1-2x/day for 6 weeks), and if you are not taking it, taking it for the comedown is not safe do not do it. You should eat, you should try to sleep, you could go for a run or have sex or something to tire yourself out, you need to use some will power. However, if you are taking trileptal as a daily medication (for epilepsy or bipolar etc) then you should probably continue taking your medication as you would otherwise be had you not gotten high on coke. All that said, the best thing to do is to continue to do what you were doing prior to the coke, if you weren't on medication, then don't take it, if you are you need to take it, it is actually dangerous in my opinion if you don't. regardless though you shouldn't use cocaine, if you have trileptal in your medicine regiment as it treats illnesses that are directly exasperated and ultimately worsened by cocaine. Welcome to Blue Light