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Trazodone is the active ingredient, usually supplied in the form of trazodone hydrochloride.
Primary use: antidepressant for major depressive disorder. It is commonly prescribed off-label for sleep disturbance, some anxiety presentations, and as an adjunct in certain pain syndromes.
Typical immediate-release strengths available in the United States include 50 mg, 100 mg, and 150 mg tablets. Extended-release formulations have been marketed in doses such as 150 mg and 300 mg; availability depends on the manufacturer and pharmacy stock.
Before starting anything or changing treatmentneeds review the safety notes before use under Cautions and Warning alerts and scrutinize the inputs potential people engage through a series of collaborative interactions. listed at Drug Interaction Terminology. Practical use tips appear under How to Take Safely.
Markers
Trazodone is prescribed primarily for the treatment of depression in adults. Clinicians may also consider it for other uses not formally approved on the product label, for example:
- Treatment of insomnia, particularly when it coexists with mood disorders
- Reduction of anxiety-related tension and restlessness
- Adjunct use in some chronic pain conditions to improve sleep and mood
All use should be guided by a licensed health care professional who is familiar with your medical history.
A Guide for Taking
Follow the directions provided by your prescriber in addition to the Medication Guide included with each prescription. General recommendations include:
- Take with or soon after a meal or snack to reduce stomach upset.
- Because trazodone often causes drowsiness, many patients take it in the evening or at bedtime.
- Do not stop treatment suddenly unless instructed by your clinician; tapering may be recommended.
- If you have an extended-release tablet, swallow it whole. Do not crush, chew, or split extended-release forms.
Dosing is individualized. For depression, prescribers usually begin at a low dose and adjust over weeks to balance benefits and tolerability. For off-label insomnia use, lower bedtime doses are commonly used. Ask your provider for a schedule tailored to you.
How It Comes Together
Trazodone is classified as an atypical antidepressant that modifies serotonin signaling in the brain by multiple the mechanism in effects. Its sedative effects are partly due to antihistamine activity and blockade of alpha-1 adrenergic receptors, which can also lead to drops in blood pressure in some people.
Dose not taken this time incident
If you miss a scheduled dose of trazodone, take it as soon as you remember unless the next dose is coming soon. If the next dose is near, skip the i failed to take a dose and continue with your normal dosing times. Do not take two doses to make up for the one you missed.
Short term data at rest resides in storage until it is accessed.
- Recommended temporary storage helps stage tasks before final processing. temperature: 68 to 77 degrees F (20 to 25 degrees C).
- It is acceptable to experience brief temperature excursions in the 59 to 86 F (15 to 30 C) range.
- Keep medication away from moisture, excessive heat, and direct sunlight; do not store in the bathroom.
- Store out of reach of children and pets, in the original labeled container when possible.
Notices of warning and Safeguards
Do not take trazodone in the event that you have a known allergy to trazodone or related compounds, or if another specific contraindication has been identified by your clinician.
Tell your prescriber about these conditions before starting trazodone:
- For those who are pregnant, planning pregnancy, or currently breastfeeding
- History of heart disease, arrhythmias, prior heart attack, or low blood pressure
- Previous or current suicidal thoughts or behaviors
- Liver, kidney, or thyroid disease; glaucoma; seizure disorders
- Regular use of alcohol or sedative medications; planned surgeries
- Current use of prescription, over-the-counter, herbal medicines, or supplements
- Risk factors for low sodium or syndrome of inappropriate ADH secretion (SIADH), such as older age or concurrent diuretic therapy
Key imminent risks to be aware of:
- Boxed warning: Antidepressants can increase suicidal thinking and behavior in children, adolescents, and young adults. Close real time monitoring is important, especially during dose changes or treatment initiation.
- Serotonin syndrome: risk increases when trazodone is combined with other serotonergic agents. Symptoms include high fever, agitation, sweating, rapid heartbeat, muscle rigidity, and confusion. Seek emergency care if these occur.
- Priapism: painful, prolonged erections have been reported; this is a medical emergency requiring immediate attention.
- Orthostatic hypotension: dizziness or fainting may occur when standing; stand slowly and use caution when driving until you know how the drug affects you.
- QT interval prolongation and other cardiac rhythm disturbances have been reported in susceptible patients.
If severe allergic reactions, chest pain, fainting, sudden severe dizziness, worsening depression, or other alarming symptoms occur, obtain urgent medical care.
Drug Interaction Steps to prevent harm
Provide your clinician with a complete list of medications and supplements. Core interplay between parties opportunities include:
- Other serotonergic medicines: SSRIs, SNRIs, triptans, tramadol, MAO inhibitors, linezolid, The herb Hypericum perforatum. Combining may cause serotonin syndrome. Avoid MAOIs and heed recommended washout periods.
- Strong CYP3A4 inhibitors: ritonavir, certain antifungals, and some macrolide antibiotics; these may raise trazodone blood levels and side effect risks.
- CYP inducers such as carbamazepine, phenytoin, or rifampin may reduce trazodone levels and efficacy.
- CNS depressants including alcohol, benzodiazepines, opioids, and sedating antihistamines increase drowsiness and impairment risk.
- Drugs that affect cardiac conduction: caution when combining with other QT-prolonging agents.
- Anticoagulants and antiplatelet medicines: the combination may raise bleeding risk; health monitoring may be needed.
- Brand name Lanoxin: rare reports of increased levels; clinical system monitoring may be advised.
If uncertain about a specific combination, consult your pharmacist or prescriber for individualized advice. See Critical Public safety warnings and Safety health and safety measures for serious concerns.
Potential medication lingering reactions
Common, generally mild incidental outcomes reported by patients include:
- Sleepiness or persistent fatigue
- Vertigo or lightheadedness, particularly on rising
- Dehydrated mouth
- Throbbing head pain
- Nausea plus GI upset or constipation
- Vision dimmed
- Obstructed nasal passages
- Muscle aches or mild tremor
- Poor appetite or general low energy
- Changes to sleeping patterns
Serious adverse events requiring immediate medical attention:
- Severe allergic reactions: widespread rash, hives, swelling of face or throat, breathing difficulty
- Cardiac symptoms: chest pain, fainting, fast or irregular heartbeat
- Severe mental changes: hallucinations, marked confusion, stroke-like signs
- Priapism: prolonged or painful erections
- Recurrent seizures
- Severe dizziness on standing, persistent vomiting, or inability to keep fluids down
Report persistent or worsening symptoms to your health care provider. If life threatening symptoms occur, call emergency services immediately.
Drugs That Are Similar or Alternative
Depending on diagnosis and personal medical factors, prescribers may offer different antidepressants or sleep agents. Examples include:
- The SSRI family includes sertraline, fluoxetine, escitalopram, citalopram, and paroxetine.
- Serotonin-norepinephrine reuptake inhibitors (SNRIs): venlafaxine, desvenlafaxine, duloxetine, levomilnacipran
- Other antidepressants: bupropion, mirtazapine, vortioxetine, vilazodone, and tricyclic antidepressants such as amitriptyline or nortriptyline
- Drugs focused on sleep when insomnia is primary: low-dose doxepin, zolpidem, eszopiclone, suvorexant, lemborexant, ramelteon, and melatonin supplements
Selection depends on prior treatment response, side effect profiles, drug combination subtle the back and forth between peoples can reinforce culture., and patient preferences. Discuss risks, benefits, and likely costs with your treating clinician.
USA Prices (USD) - approximate
Out-of-pocket costs vary widely by pharmacy, dosage, quantity, manufacturer, and insurance status. The following are approximate cash-price windows for generic trazodone based on typical U.S. retail billing rates:
- Trazodone 50 mg tablets: approximately $4 to $15 for 30 tablets; $8 to $30 for 90 tablets
- Trazodone 100 mg tablets: approximately $6 to $25 for 30 tablets; $12 to $40 for 90 tablets
- Extended-release formulations: commonly much more expensive when available, often in the $60 to $200+ range per 30 tablets without discounts
Rough costing model comparison across products for common a different possibility generics (30-day supply when taken once daily):
- The SSRI sertraline or fluoxetine amounts to roughly $5 to $20.
- The cost of duloxetine or venlafaxine is around $10 to $40.
- Bupropion is priced approximately between $8 and $35.
- The cost for Mirtazapine prescription medication is about $6 to $25.
- Zolpidem sleep medication price is roughly $5 to $30.
Many patients reduce costs with insurance, pharmacy discount programs, manufacturer coupons, or price-comparison services such as GoodRx. Mail-order pharmacies often offer lower per-month prices for chronic use.
Eligibility and Access Under United States Law
- Prescription requirement: Trazodone is available only by prescription in the United States. A valid prescription from a licensed clinician is required.
- Not a controlled substance: Trazodone is not scheduled by the Drug Enforcement Administration, so federal controlled-substance refill restrictions do not apply. Normal prescription and state rules for refills still govern use.
- Prescription validity: Many states allow non-controlled prescriptions to remain valid for up to one year, but state laws and pharmacy policies may differ.
- Electronic prescribing and telemedicine: Electronic prescriptions are commonly used. Telehealth prescribing for non-controlled drugs like trazodone is widely permitted but subject to state licensing and telemedicine rules.
- Consent and minors: Minors generally require parental or guardian consent for prescriptions, though state exceptions exist for certain services.
- Importation limits: Importing prescription drugs into the U.S. is generally restricted. The FDA has a narrow personal importation policy that applies in limited circumstances; consult official FDA guidance before attempting to import medication.
- Travel advice: When traveling domestically or internationally, carry medication in original labeled containers and keep a copy of the prescription or a note from your prescriber.
- Labeling and patient information: Trazodone products include Medication Guides and relevant safety labeling. The drug has an antidepressant boxed warning about increased risk of suicidal thinking in younger populations.
Additional Info and Useful Guidance
- Read the Medication Guide every time you get a refill; content can change.
- Avoid alcohol and use caution with tasks requiring full alertness until you know how trazodone affects you.
- If stomach upset occurs, taking the dose after food may help. For keep your items in secure storage until you need them. detailspeer review the relevant a section. Storage.
- Do not lend your prescription to others. Trazodone should only be used by the person for whom it was prescribed.
- If you have questions about clear a reciprocal exchanges reduce confusion.scrutiny the Drug Interaction Monitoring workflow section and consult your pharmacist or prescriber.
- Follow the guidance under Medication dose was not taken if you skip a dose.
If you are experiencing side effect risks or have concerns about your medication, contact your prescriber, pharmacist, or another qualified health care professional promptly.