Hi @bpcyclist. I'm fine. My recent balance and clumsiness have seemed subtle, but exist enough to cause these significant issues. IOWs, I don't feel vertigo or the like. I'm sorry you have. Do you know what it is causing yours?

Mine have made me reluctant over the years to do things like bicycling, which I loved in the past. Even when I have danced, my footing is not on the money. That's a real problem, especially when doing ballet moves.

Several years back, my balance was very notably affected, but that was on Depakote ER (divalproex sodium) and not carbamazepine. I couldn't even plie or squat without falling, or nearly falling.

I may have had mild dizziness early in my carbamazepine treatment, but it was years ago. Diplopia didn't help.