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Doctor insights on: Trazodone Dosage Insomnia

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I have sleep apnea what is the safest dosage of trazodone for insomnia?

I have sleep apnea what is the safest dosage of trazodone for insomnia?

Safest is none: I am concerned when sleep apnea and sleeping meds are used in the same sentence. You don't mention if your apnea is being treated. Do you routinely use a cpap? Why the insomnia? Things to consider include caffeine intake, regular exercise, bedroom darkness, temperature . Consult with the sleep specialist who diagnosed your apnea for advise with the insomnia. They know the severity of your apne. ...Read more

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Dr. Joseph Boland
52 doctors shared insights

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Many women complain that they have trouble sleeping when they are pregnant. Try not to eat just before bedtime. Consider taking a warm bath at bedtime to help you relax. As your abdomen gets bigger, you may want to lie on your side with a pillow under your abdomen and a pillow between ...Read more


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For insomnia, is trazodone at a 25 mg dose adequate? At 50 mg I got a 'high'.

For insomnia, is trazodone at a 25 mg dose adequate?  At  50 mg I got a 'high'.

Variable: Doses of Trazodone needed for insomnia are variable, and depend on the person plus other medications being taken. Please discuss this "high" with your prescribing physician. The 25mg dose may be helpful -- if you've tried it and it works, you have your answer. ...Read more

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I started taking Trazodone for chronic insomnia. It worked great for 7 days. Then last night I took it, and even upped the dose, and got nothing. Does this mean it's never going to work again? Normal?

I started taking Trazodone for chronic insomnia. It worked great for 7 days. Then last night I took it, and even upped the dose, and got nothing. Does this mean it's never going to work again? Normal?

May continue to work: Trazodone may continue to work for you. I would keep trying it as it is one of the safest sleep medications. Sometimes your body just does not respond for one reason or another but this does not mean that it will not work in the future. Try these tips too 1)avoid caffeine for 12 hours before sleep 2) do not use any electronics 2 hours before sleep 3) do not exercise just before sleep ...Read more

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I want something to replace trazodone for insomnia?

I want something to replace trazodone for insomnia?

Talk to your doctor: Ask your doctor if you need a change in medication. You may want to try another medication as long as it does not interact with other medications you take or aggravate a pre-existing medical condition. Examples of medications that may be helpful for sleep include silenor, doxepin, mirtazapine, hydroxyzine, or diphenhydramine. You can take this last medication in several over the counter product. ...Read more

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How long should Trazodone take to work if only used for insomnia?

How long should Trazodone take to work if only used for insomnia?

Quick and slower: To help you get to sleep, should work that night. To help you stay asleep, will take longer. Sleep initiation has more to do with relaxing the mind. Staying asleep has more to do with chronic worry and/or chronic problems that need to be fixed (manifestations of which may include anxiety or depression). ...Read more

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I'm taking 300mg of trazodone for insomnia and it still doesn't work. Why not?

Not effective for: everyone. Let you doctor know as you may need a different medication. Retire & rise same time each day. Keep bedroom dark & cool & use only for sex & sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs & no alcohol or tobacco w/i 2 hrs of sleep. Keep dinner moderate sized & finish at least 2 to 3 hrs before sleep. Can try warm milk, Chamomile tea or > ...Read more

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I was recently prescribed 100 mg of trazodone to help with my insomnia. Do I have to take it every night or can I take it only when i really need it?

As needed: Trazadone is actually an antidepressant, but only in very high doses. Sedation is a side effect even in low doses and not necessary to take regularly when used for insomnia. In fact regular use may lead to tolerance of sedative effect. Usually best to take it an hour or 2 before you plan to go to sleep. Some people do get a hangover feeling the next morning. ...Read more

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I'm prone to headaches. Do trazodone headaches ever go away? I'm on 50mg for insomnia.

I'm prone to headaches. Do trazodone headaches ever go away? I'm on 50mg for insomnia.

Most of the time: Headaches tend to be a short term side effect but like everything else you need to way the pros and cons. If the trazadone helps with your insomnia and you can tolerate the headaches until they stop, usually within a weeks time, then do so. If the headaches do not cease, they are too troublesome or medicine is not effective for insomnia then go back to your prescriber for an alternative. Take care. ...Read more

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Can I take my trazodone 300mg with my newly prescribed ambien (zolpidem) for my severe insomnia?

Can I take my trazodone 300mg with my newly prescribed ambien (zolpidem)  for my severe  insomnia?

Insomnia, Depression: I understand your distress of insomnia. It is likely that your Insomnia is due to Stress and Trazodone. Using Ambien (zolpidem) with Trazodone may increase dizziness, difficulty concentrating, some impairment in thinking and judgment Stresses of relationship, s can cause Insomnia and Depression. See Psychiatrist for Therapy for depression, and follow up of Trazodone. Do Yoga, Breathing Relaxation, Meditation ...Read more

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Is it ok to take trazodone 100 mg and lunesta (eszopiclone) 3mg nightly for insomnia? neither one by themselves relieves the insomnia. Thank you

Is it ok to take trazodone 100 mg and lunesta (eszopiclone) 3mg nightly for insomnia? neither one by themselves relieves the insomnia. Thank you

Sleep disorder : There must be another type of sleep disorder than primary insomnia, or insomnia due to depression. Many breathing related sleep disorder, like sleep apnea, will not respond to medications but to other interventions. Using CPAP or surgery would be necessary to restore proper sleep ...Read more

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Can trazodone cause rebound anxiety? Been on it for 3 weeks for insomnia. Helps me sleep, but i wake up feeling really anxious. What's the deal?

Can trazodone cause rebound anxiety? Been on it for 3 weeks for insomnia. Helps me sleep, but i wake up feeling really anxious. What's the deal?

Rebound anxiety.: Good question--what's the deal? A good place to start to get you answer is with the doctor who prescribed the medication for you in the first place. I would be talking with that person rather than looking for an answer online. Is there some reason you aren't talking with your doc? ...Read more

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I have stopped taking Trazodone 100mg cold turkey. I was on it for 3 years. How long will rebound insomnia last? And how long until tolerance is reset

I have stopped taking Trazodone 100mg cold turkey. I was on it for 3 years. How long will rebound insomnia last? And how long until tolerance is reset

May take a while: Larry, It is best to taper these drugs gradually when discontinuing use. Anxiety, agitation, and trouble sleeping can occur if the drug is suddenly stopped.It may take 2 to 4 weeks before you notice the full effects of this medication, and it may take a similar time for all side effects to diminish. Have you replaced the Trazodone with the Effexor (venlafaxine)? Best not to take together. Talk with your doctor ...Read more

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I take 20MG Celexa (citalopram) around bedtime and I just got 50MG trazodone for insomnia. Is it alright if I take them both at the same time at bedtime?

I take 20MG Celexa (citalopram) around bedtime and I just got 50MG trazodone for insomnia. Is it alright if I take them both at the same time at bedtime?

Medication effects: Using Celexa (citalopram) with Trazodone can increase the risk of a rare but serious Serotonin Syndrome- confusion, hallucination, seizure, extreme changes in blood pressure; and increased risk of rare irregular heart rhythm that may be serious and potentially life-threatening. See your Psychiatrist to discuss medication interaction, benefits and side effects; or go to ER for Diagnosis and Treatment. ...Read more

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Does trazodone not work for geodon (ziprasidone) withdrawal insomnia?

I have used it: Successfully for this, but if you have restless legs or periodic limb movements of sleep it may actually worsen rather than improve the situation. Trazodone dose also has to be high enough to correct the insomnia, somewhere between 50-200 mg at bedtime or more. Best wishes. ...Read more

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I am taking 150 mg of trazodone for insomnia and want to stop, how should I taper off to prevent rebound insomnia?

I am taking 150 mg of trazodone for insomnia and want to stop, how should I taper off to prevent rebound insomnia?

Trazadone Dependence: I commend you for your desire to stop taking Trazadone and understand your concern for rebound insomnia. Let Wise Man within you reflect: •Stresses causing Anxiety leading to Insomnia •Dependence on Trazadone duration and 150mg/night •Reasons to stop taking Trazadone See Psychiatrist for •Therapy for stress •Decrease dose of Trazadone •Breathing Relaxation • Medication for Anxiety •Meditation ...Read more

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Dr. prescribed Trazodone (50mg) for insomnia, but I'm scared to take it. I have mildly low K & Trazodone can cause Long QT. Should I take it?

Dr. prescribed Trazodone (50mg) for insomnia, but I'm scared to take it. I have mildly low K & Trazodone can cause Long QT. Should I take it?

Not usually: Trazadone is not approved for insomnia unless it is associated with depressed mood. The low K should be corrected before taking the Trazadone. Other hypnotics may be tried first for insomnia and for brief periods. ...Read more

Dr. Heidi Fowler
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