When used to treat depression, take trazodone after meals or with a light snack to decrease your risk for side effects such as dizziness and lightheadedness. Try to connect it with something you do each day (like eating breakfast or brushing your teeth) so that you don’t forget. You should take this medication at the same time(s) each day as directed by your doctor. When used to treat depression, trazodone needs to be taken regularly on a daily basis in order to be effective (even if you feel well). You and your doctor can discuss the best dosage to stay on based on how you tolerate this medication (how well the medication is working and how you are doing with the side effects of the medication) and how well it helps to decrease your symptoms. Your doctor will determine how much trazodone you should take, according to your symptoms and your response to this medication. Then, the dose is slowly increased every based on how you respond to it. When used to treat depression, your doctor may start with a lower dose that is taken two to three times daily. Discuss with your doctor how you should take this medication. Some patients may only need to take trazodone occasionally on an as-needed basis for sleep difficulties, while other patients may take it regularly. For sleep difficulties, usually a low dose is taken once daily at bedtime. Trazodone is available as tablets that are taken by mouth. If you are not asleep within 20 minutes, get up and go to another room. Use your bedroom only for sleep remove the clock from direct eyesight listen to soothing music or take a warm bath)
comfortable temperature, dark room, no pets in bed)ĭoing something relaxing or enjoyable before bedtime (e.g. computer or television time or exercise late in the evening)Įnsure a quiet and comfortable sleep environment (e.g. Keep a regular sleep/wake schedule every day avoid sleeping in or napping during the dayĪvoid stimulating activities before bedtime (e.g.
Whenever possible, adding good sleep hygiene strategies to trazodone therapy increases the chance you will benefit from this medication.Īvoid caffeine (from tea, coffee, colas or energy drinks) and alcohol, nicotine or other recreational drugs Sometimes, good sleep hygiene may be all that is needed to improve sleep difficulties.
Nonetheless, when the potential benefits (e.g., reducing symptoms) of using this medication outweigh the potential risks (e.g., side effects), doctors may prescribe it “off label” in children and adolescents.īefore starting treatment with trazodone for sleep, it is suggested that you try behavioural changes first to see if you have a need for medication. Like many other medications prescribed for children and adolescents, this medication is not officially approved by Health Canada for this age group. By enhancing the action of these neurotransmitters, trazodone helps you to fall asleep faster and increase total sleep duration, as well as improving symptoms of depression. Trazodone works by affecting the activity of the brain chemicals (neurotransmitters) called serotonin and histamine. If you are unclear why trazodone is being prescribed, please ask your doctor. Your doctor may be using this medication to you for another reason. Trazodone is approved by Health Canada for the treatment of depression in adults, however other common uses include sleep problems (insomnia). However, this medication is more commonly used to treat sleep problems (insomnia). doi:10.Trazodone (Desyrel® and generic forms) belongs to a group of medications called “antidepressants”.
Trazodone for insomnia elderly update#
An update on the use of sedative-hypnotic medications in psychiatric disorders. Antidepressants, anxiolytics, and hypnotics in pregnancy and lactation. Unintentional trazodone overdoses in children ≤6 years of age: data from poison center over a period of 16 years. Antidepressants and cardiovascular adverse events: A narrative review. Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: An American Academy of Sleep Medicine clinical practice guideline. Sateia MJ, Buysse DJ, Krystal AD, Neubauer DN, Heald JL. Histamine in the regulation of wakefulness. Rediscovering trazodone for the treatment of major depressive disorder. Trazodone for insomnia: a systematic review.
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