What is Trazodone?

An example of Trazodone

Trazodone is a modified cyclic antidepressant used to treat depression. It may also be used for relief of an anxiety disorder (e.g., sleeplessness, tension), or chronic pain.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
706 206 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
511 131 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
226 60 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
114 23 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
110 28 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
85 19 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none

See all 1,617 patients currently taking Trazodone

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Reported Side Effects

Side effects as an overall problem

Severe
55
Moderate
90
Mild
118
None
189

Commonly reported side effects, conditions, and hospitalizations associated with Trazodone

51
40
39
32
20
18
See all 132 reported side effects See top 6 reported side effects

Reported Dosages

Frequently reported dosages based on patients currently taking Trazodone. See all 76 dosages

  100mg as needed 50mg as needed 1 mg daily 25 mg daily 50 mg daily 75 mg daily 100 mg daily 150 mg daily 200 mg daily 300 mg daily
  25 Number of Patients: 25 58 Number of Patients: 58 52 Number of Patients: 52 63 Number of Patients: 63 455 Number of Patients: 455 45 Number of Patients: 45 403 Number of Patients: 403 200 Number of Patients: 200 128 Number of Patients: 128 58 Number of Patients: 58  

Reported Stop Reasons

Why Patients Stopped Taking Trazodone (multiple reasons could be selected)
Reason # Patients Percentage of patients
Did not seem to work 141   Did not seem to work: 35%
Side effects too severe 141   Side effects too severe: 35%
Doctor's advice 96   Doctor's advice: 24%
Other 84   Other: 21%
Course of treatment ended 24   Course of treatment ended: 6%
Personal research 10   Personal research: 2%
Expense 10   Expense: 2%
Not indicated 8   Not indicated: 2%
Change in health plan coverage 5   Change in health plan coverage: 1%

See all 388 patients who’ve stopped taking Trazodone

Currently Taking Trazodone

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Stopped Taking Trazodone

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Trazodone

Always
313 69%
Usually
89 20%
Sometimes
34 8%
Never
16 4%

Burden

Difficulty being on treatment

Burden of Trazodone

Very
26 6%
Somewhat
26 6%
A little
58 13%
Not at all
342 76%

Cost

Paid out of pocket

Cost of Trazodone

$200+
0 0%
$100-199
0 0%
$50-99
5 2%
$25-49
16 6%
< $25
264 93%

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85 patient evaluations for Trazodone

  • psyclops
    Sex: F
    Data Quality: 3 stars
    Bipolar II
    Depression: 1
    Mania: 0
    Emotional: 1
    Anxiety: 1
    Compulsion: 0
    External Stress: Moderate
    Rx Therapy
    52 F
    Function: High
    Distress: Low
  • 12317-thumb
  • See psyclops's full Trazodone history
Purpose: Difficulty falling asleep (Started May 13, 1993)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jan 23, 2011 300 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Nov 21, 2010 300 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Oct 20, 2010 300 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Aug 30, 2010 300 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Aug 30, 2010
Advice & Tips
it helps me to sleep
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
Purposes: Insomnia, Depressed mood, and Sleep problems (Started Sep 01, 2009)
Date Dosage Insomnia Perceived effectiveness Depressed mood Perceived effectiveness Sleep problems Perceived effectiveness Side Effects Adherence Burden
Jan 01, 2011 200 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_default Led_efficacy_2Led_efficacy_2Led_defaultLed_default Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4 NoneNoneNoneNone AlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at all
  • Icon_thumb_off 0 helpful marks
  • zoomer
    Sex: F
    Data Quality: 3 stars
    Bipolar I
    Depression: 1
    Mania: 0
    Emotional: 0
    Anxiety: 0
    Compulsion: 0
    External Stress: Moderate
    Rx Therapy
    57 F
    Function: High
    Distress: Low
  • 49991-thumb
  • See zoomer's full Trazodone history
Purpose: Insomnia (Started Jan 01, 2007)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Dec 26, 2010 As needed Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone SometimesSometimesSometimesSometimesSometimes Not at allNot at allNot at allNot at allNot at all
Oct 25, 2010 As needed Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate MildMildMildMildMild SometimesSometimesSometimesSometimesSometimes Not at allNot at allNot at allNot at allNot at all
Oct 24, 2009 As needed Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate MildMildMildMildMild SometimesSometimesSometimesSometimesSometimes Not at allNot at allNot at allNot at allNot at all
Jul 26, 2009 As needed Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate MildMildMildMildMild UsuallyUsuallyUsuallyUsuallyUsually Not at allNot at allNot at allNot at allNot at all
Side effects:
Hangover effect, Blurry vision, Dry mouth (xerostomia)
Date
Dec 26, 2010
Advice & Tips
I take Trazodone if I have had insomnia for a couple nights. So on the third night I sleep. I don't take it everynight or my tolerance requires me to up the dose. I can stay on 75mg if only using sometimes. This med has an antidepressant component. I also enjoy vivid dreams so that side effect is nice for me. For others it may be a negative.
Cost
< $25 monthly
Date
Oct 25, 2010
Advice & Tips
I take Take PRN now. Also has an antidepressant effect. i am Sleepless for more than a couple nights because of mania
Cost
< $25 monthly
Date
Oct 24, 2009
Advice & Tips
Efficacy varies with tolerence level. Better results using only sometimes. Side effect of hang-over effect diminishes with continued use.
Cost
< $25 monthly
Date
Jul 26, 2009
Advice & Tips
This works great for sleep until tolerance plays it's part....I need to use off and on to get desired results
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
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What is traZODONE?

Trazodone is an antidepressant medication. It affects chemicals in the brain that may become unbalanced and cause depression

Trazodone is used to treat depression.

Trazodone may also be used for other purposes not listed in this medication guide.


Precautions

Do not use this medication if you are allergic to trazodone.

Before using trazodone, tell your doctor if you are allergic to any drugs, or if you have:

  • bipolar disorder (manic depression);
  • schizophrenia, or other psychiatric illness;
  • a history of drug abuse or suicidal thoughts; or
  • if you have recently had a heart attack.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

FDA pregnancy category C. It is not known whether trazodone is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment.

Trazodone may pass into breast milk and could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not give trazodone to anyone younger than 18 years old without the advice of a doctor.

Trazodone can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Do not drink alcohol while you are taking trazodone. Alcohol can increase drowsiness and dizziness caused by trazodone.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of trazodone can be fatal when it is taken with alcohol, barbiturates such as phenobarbital, or sedatives such as diazepam (Valium).

Overdose symptoms may include drowsiness, vomiting, penis erection that is painful or prolonged, uneven heart rate, seizure (black-out or convulsions), or breathing that slows or stops.

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

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Side Effects

Stop taking trazodone and call your doctor at once if you have a penis erection that is painful or lasts 4 hours or longer. This is a medical emergency and could lead to a serious condition that must be corrected with surgery.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

  • feeling light-headed, fainting;
  • fever, chills, body aches, flu symptoms; or
  • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; or
  • problems with urination.

Less serious side effects may be more likely to occur, such as:

  • dizziness or drowsiness;
  • headache;
  • sleep problems (insomnia);
  • dry mouth, stuffy nose;
  • nausea, vomiting, loss of appetite;
  • diarrhea or constipation;
  • muscle pain;
  • loss of coordination; or
  • blurred vision.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

Before taking trazodone, tell your doctor if you are using any of the following drugs:

  • an HIV medicine such as indinavir (Crixivan) or ritonavir (Norvir);
  • an antifungal medication such as ketoconazole (Nizoral) or itraconazole (Sporanox);
  • digoxin (Lanoxin, Lanoxicaps);
  • seizure medicine such as carbamazepine (Carbatrol, Tegretol) or phenytoin (Dilantin);
  • warfarin (Coumadin); or
  • if you have taken an MAO inhibitor within the past 14 days, such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).

This list is not complete and there may be other drugs that can interact with trazodone. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Other Names

Desyrel, trazodone, Desyrel Dividose, and traZODONE

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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