8/7/2023 0 Comments Trazodone for insomnia![]() ![]() Selected causes of acute insomnia (< 30 days) * The better safety profile of the newer-generation non-benzodiazepines (i.e., zolpidem, zaleplon, eszopiclone, and ramelteon) makes them better first-line choices for long-term treatment of chronic insomnia. Benzodiazepines are most useful for short-term treatment however, long-term use may lead to adverse effects and withdrawal phenomena. Opiates are valuable in pain-associated insomnia. Alcohol has the potential for abuse and should not be used as a sleep aid. Routine use of over-the-counter drugs containing antihistamines should be discouraged. ![]() Hypnotics generally should be prescribed for short periods only, with the frequency and duration of use customized to each patient's circumstances. Exercise improves sleep as effectively as benzodiazepines in some studies and, given its other health benefits, is recommended for patients with insomnia. There is good evidence supporting the effectiveness of cognitive behavior therapy. Treatment should begin with nonpharmacologic therapy, addressing sleep hygiene issues and exercise. However, if insomnia is severe or long-lasting, a thorough evaluation to uncover coexisting medical, neurologic, or psychiatric illness is warranted. Physicians may initiate treatment of insomnia at an initial visit for patients with a clear acute stressor such as grief, no further evaluation may be indicated. With my insurance it costs almost nothing but it apparently isn’t expensive even without insurance.The frequency of sleep disruption and the degree to which insomnia significantly affects daytime function determine the need for evaluation and treatment. She said it didn’t work at all for depression but it was discovered to be a very good sleep medication with the least risk for side effects compared to even over-the-counter sleep medications. My doctor said it was a medication developed for depression. I don’t have to take it every night but if I’m having trouble sleeping it never fails to work. I can get to sleep as soon as I take one and sleep straight through the night but when I wake up I don’t feel like a zombie. I went to a psychiatrist and she prescribed trazodone 50mg and this has worked like a charm for the last three years. I hate narcotic-based sleep aids because they make you feel intoxicated and they seem to interfere with my REM (restful) sleep. "I had insomnia for many years and had taken over the counter anti-histamine sleep aids, but they always gave me a weird sleep hangover. It's best to work with a good psychiatrist or a doctor who knows what she or he is doing." It will take a little time to work out how much you should take to work for you. You can't just try a single dose of it one night and expect it to work. I usually wake up a little groggy but that goes away within 10-15 minutes. I take it at the same time each night just before bed, it puts me to sleep and I STAY ASLEEP for the night. Over a couple of months we figured out the best dosage for me. I finally consulted a psychiatrist who suggested trazodone, in part because it's been around for a while (on the market nearly 4 decades) and its effects are well documented. I had also had a doctor who didn't know what he was doing prescribing me various antidepressants for insomnia. ![]() Before that I was on klonopin, benadryl, tylenol pm, ambien, etc, none of which worked well. "I've been on 135 milligrams of trazodone nightly for insomnia for several years and it was absolutely lifesaving. I’m reconnecting with friends and family as well.Īgain this medication has given me my life back but in a more pleasant mood doing so.ĭownside: my eyes are a little blurry for about a half hour or so upon waking but I’ll take that over the nonexistent life I was living." I now get small and big tasks done every day. (I’ve been dealing with these for years now.)ĥ. My major depression, negative thinking, social anxiety are gone. I now have energy that lasts me until bed time.Ĥ. I wake up happy, relaxed and looking forward to the new day. I’d be consumed with thoughts and worry.)Ģ. If I do wake up to go to the bathroom, I’m back to sleep right away.( Before I’d wake up every few hours IF I did fall asleep. This medication has given me my life back.ġ. I take 75-100mg at night 30 mins before bed. "My doctor gave Trazodone to me for insomnia. ![]()
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