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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. Heidi Fowler
1,638 doctors shared insights

Insomnia (Definition)

Insomnia is a sleep disorder in which you cannot fall or stay asleep. It usually accompanies another sleep, medical, or psychiatric disorder, and can lead to memory impairment, mood changes, and increased risk of ...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

Dr. Andrew Berry
297 doctors shared insights

Desyrel (Definition)

Desyrel is a serotonin antagonist and reuptake inhibitor which is a kind of ...Read more


Trazodone (Definition)

Is an antidepressant with known anticholinergic & sedative properties, leading to ...Read more