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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 22 of 22. This is the beginning of the thread.
Posted by ajax1 on December 21, 2008, at 16:13:43
I need to take a med for sleep. Are there any bad side effects, especially sexual ones, with either Trazodone or Seroquel?
Thanks
Posted by jms600 on December 21, 2008, at 16:37:45
In reply to Trazodone vs Seroquel, posted by ajax1 on December 21, 2008, at 16:13:43
I never found Seroquel to be that sedating at all - but then I only went up to about 250mg. Just my own experience.
Posted by bleauberry on December 21, 2008, at 16:55:16
In reply to Trazodone vs Seroquel, posted by ajax1 on December 21, 2008, at 16:13:43
Either one in low doses could be pro-sex as well as pro-sleep. But of course, individual reactions differ.
Why not try Lunesta first? I mean, instead of taking an antipyschotic or a very sedating antidepressant, why not take a med that is made especially for sleep? If that isn't good enough, then move on to other choices. Of the two you mentioned, Traz has the fewest longterm risks. You can develope a tolerance to the sedating effects of either one, but that seems anecdotally to happen far less with traz.
Posted by linkadge on December 21, 2008, at 17:45:37
In reply to Re: Trazodone vs Seroquel, posted by bleauberry on December 21, 2008, at 16:55:16
I'd prefer low dose trazodone myself. It seems a bit cleaner.
Linkadge
Posted by ajax1 on December 21, 2008, at 17:48:41
In reply to Re: Trazodone vs Seroquel, posted by bleauberry on December 21, 2008, at 16:55:16
Lunesta can be addictive, very like a benzo. Otherwise, I'd have no problem with it.
Posted by Phillipa on December 21, 2008, at 20:15:27
In reply to Re: Trazodone vs Seroquel, posted by ajax1 on December 21, 2008, at 17:48:41
I just stopped three mg of lunesta no side effects was on other benzos. Can't trazadone cause priapism in men? Love Phillipa
Posted by ajax1 on December 21, 2008, at 20:36:37
In reply to Re: Trazodone vs Seroquel » ajax1, posted by Phillipa on December 21, 2008, at 20:15:27
Yes it can cause priapism, but no big deal (ha-ha).
Are you still on benzos? If yes, they would have covered a lot of w/d from Lunesta...also, it depends on how long you took it.
Posted by Orangecat on December 22, 2008, at 2:46:01
In reply to Trazodone vs Seroquel, posted by ajax1 on December 21, 2008, at 16:13:43
My brain/body is really drug resistant - I need a load of anything to work usually. When I took Seroquel, I found it to be better than Trazadone, which I now take. I did find the side effect of increased appetite/weight on Seroquel, whereas the Trazadone is kinder to me in that respect. However, it isn't as great for sleep for me.
Posted by psychobot5000 on December 22, 2008, at 11:07:13
In reply to Re: Trazodone vs Seroquel, posted by ajax1 on December 21, 2008, at 17:48:41
> Lunesta can be addictive, very like a benzo. Otherwise, I'd have no problem with it.
Do you have a personal history with addiction that makes you wary? You're right of course, but as I understand it, the conventional wisdom is that the Lunesta and its ilk are substantially less addictive than benzodiazepines. It was one of their big selling points, initially. Periodic breaks can help break whatever addiction there is, too (as well as letting you know whether you actually are dependent on it). I guess I'm just suggesting that their might be worse risks than those ambien and lunesta have re: addiction. But you know, just a thought.
Best,
psychbot
Posted by Maria3667 on December 22, 2008, at 14:23:06
In reply to Trazodone vs Seroquel, posted by ajax1 on December 21, 2008, at 16:13:43
Hi Ajax,
Currently I'm taking both Seroquel & Trazodone.
A high dose of Seroquel dampened my libido. But Trazodone lifts it up. It might depend on gender though. I've read some posts from women claiming low dose Trazodone boosts their sex drive.
Just my 2 cents.
Maria> I need to take a med for sleep. Are there any bad side effects, especially sexual ones, with either Trazodone or Seroquel?
> Thanks
>
Posted by greywolf on December 22, 2008, at 16:59:28
In reply to Re: Trazodone vs Seroquel, posted by linkadge on December 21, 2008, at 17:45:37
I would definitely go with a low dose of Traz rather than Seroquel. Fewer SEs.
Posted by ajax1 on December 22, 2008, at 21:09:57
In reply to Re: Trazodone vs Seroquel, posted by greywolf on December 22, 2008, at 16:59:28
I've been taking 50mg Traz for the last couple of nights, but I've been feeling nauseous and depressed. Don't know if it's the right thing for me. Also, I find it has bad sexual side effects.
Posted by Phillipa on December 22, 2008, at 21:25:13
In reply to Re: Trazodone vs Seroquel, posted by ajax1 on December 22, 2008, at 21:09:57
What were the side effects than cause you to want maybe want to switch? Phillipa
Posted by desolationrower on December 23, 2008, at 10:42:44
In reply to Re: Trazodone vs Seroquel » ajax1, posted by Phillipa on December 22, 2008, at 21:25:13
haven't tried quetipine but trazadone i get morning wood again.
-d/r
Posted by Sigismund on December 23, 2008, at 15:34:40
In reply to Re: Trazodone vs Seroquel, posted by desolationrower on December 23, 2008, at 10:42:44
How long into the next day does trazadone last?
With Remeron it lasted until after lunch.
Could anyone compare the effect of trazadone with mirtazepine?
Posted by psychobot5000 on December 23, 2008, at 16:57:44
In reply to Re: Trazodone vs Seroquel vs Mirtazepine, posted by Sigismund on December 23, 2008, at 15:34:40
> How long into the next day does trazadone last?
>
> With Remeron it lasted until after lunch.
>
> Could anyone compare the effect of trazadone with mirtazepine?I can take a stab at it. For me, mirtazipine was much more sedating than trazadone, and the effect lasted all through the day, fading only slightly toward afternoon and evening. Trazodone's sedating effects were less pronounced during the day, and I found it had fewer other side-effects. However, I also found it less helpful for sleep. But that's just one user's experience. I doubt most people would find mirtazipine quite as sedating as I do. I do think, however, that trazodone has a substantially shorter half-life than Remeron, so that probably would suggest less of a 'hangover' during the day.
Ajax, I would also note that, when I took trazodone, the first few days were the worst--it got better after that. I've read that many patients have that experience: an initial negative effect (dysphoria), that lasts only a few days or a couple weeks, and which afterward changes to something more positive. So I think there's hope the trazodone's effects will likely become less unpleasant before too long (and hopefully turn into a positive)
Psychbot
Posted by X-ray on December 23, 2008, at 17:08:01
In reply to Re: Trazodone vs Seroquel vs Mirtazepine, posted by Sigismund on December 23, 2008, at 15:34:40
Hi Sigismund,
The half-life of trazodone is 4-7 hours.
Half-life of mirtazapine: 20-40 hours.Best regards,
X-ray
Posted by greywolf on December 23, 2008, at 19:25:05
In reply to Re: Trazodone vs Seroquel vs Mirtazepine, posted by X-ray on December 23, 2008, at 17:08:01
I've been on all 3 at therapeutic levels. I thought Traz was most immediately sedating; Seroquel's sedating effect lasted the longest; and Remeron was sedating but was most quickly overcome (within 2 weeks or so).
Greywolf
Posted by Phillipa on December 23, 2008, at 20:05:30
In reply to Re: Trazodone vs Seroquel vs Mirtazepine, posted by greywolf on December 23, 2008, at 19:25:05
Why did it never sedate me at l5mg even with benzos, chloral hydrate and seroquel. Don't get it. So after a month just stopped it. Phillipa
Posted by Sigismund on December 23, 2008, at 21:05:02
In reply to Re: Trazodone vs Seroquel vs Mirtazepine » greywolf, posted by Phillipa on December 23, 2008, at 20:05:30
I have heard about nasal (sinus?) congestion with trazodone.
I would expect to get that.
Any experiences?
Posted by ajax1 on December 24, 2008, at 13:51:18
In reply to Re: Trazodone vs Seroquel vs Mirtazepine, posted by Sigismund on December 23, 2008, at 21:05:02
For some reason all these meds (not sure about Remeron) can cause upper respiratory problems. As for me, I've decide against the Trazodone because I felt nauseous and down the following days and that was at only 50 mg. I find that on 12.5 Seroquel I sleep well and feel pretty good the next day. The only problem is it pretty much wipes out my libido. Hopefully, that may change over time.
Posted by Quintal on December 25, 2008, at 16:00:57
In reply to Re: Trazodone vs Seroquel vs Mirtazepine, posted by ajax1 on December 24, 2008, at 13:51:18
I too have been looking for a non-benzo sleep aid for a while. I couldn't tolerate trazodone or Seroquel due to sinus problems. I haven't read all of the responses, but have you considered doxepin?
This is the end of the thread.
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