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Re: Anyone Have Info On Trazadone 4 Sleep? » Tracer98

Posted by yxibow on September 12, 2006, at 1:49:49

In reply to Anyone Have Info On Trazadone 4 Sleep?, posted by Tracer98 on September 11, 2006, at 15:48:20

> I take 300mg of effexor for anxiety and panic. CANNOT sleep at all. My pdoc just wrote trazadone for sleep. Any info would be much appreciated. Thanx


Its not surprising that you cannot sleep on that much Effexor. Trazodone is frequently written by doctors who don't wish to prescribe medications that actually are meant for sleep, such as Ambien, because they may feel it promotes depression or have not had experience with patients taking it long term. (I have, just submitting my bias towards true sleep medications.)


My experience with it was not terribly pleasant, it tends to make you very lightheaded and you want to be in bed immediately when that happens. It is non habit forming, but it has a potential for dose escalation, as the patient becomes used to the side effect for what it is being used for, namely sleep.


It is an antidepressant that was introduced in December 1981 as Desyrel, and the average adult dose of it would put an individual asleep, which would probably cure depression as the patient is not terribly awake.


I experienced dose escalation with it, it usually starts at 50, and eventually sometimes one notices they're already up to 150, which begins to have serotonin activating features. Then you have to go down on it and rinse and repeat unless you want to have morning after hangovers.


If you're a male, there is more than a slight chance that a priapism can occur (unwanted and unprovoked erection), although in a younger patient this is probably not as dangerous. It happens more than the black box notes, or at least to me anyhow.


Do not drink alcohol around taking it as it can cause one to pass out (it already lowers the blood pressure typically).


But give it a shot -- your doctor knows your history and maybe it will work for you and you won't need medications like Lunesta. Do know though that there are quite a host of sleep medications out there that will help, including benzodiazepines, pseudobenzodiazepines (Ambien, etc.), tricyclics, etc.


-- tidings

Jay

 

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