I wanted to get some idea how many hours does trazadone make you sleep. I am considering bringing trazadone up for discussion with my doctor.
Trazodone - How many hours do you sleep on trazadone?
Question posted by cant_sleep01 on 17 Aug 2017
Last updated on 26 July 2019 by Saphire87
I would be curious to know if you get restful sleep using it. There might be some depression involved in my case as well, can't be sure. A PCP gave me paxil 15 years ago to help with sleep saying that I might be depressed or anxious. It did help me sleep but towards the later years it had gotten strange. I would wake up at 2 am and then feel sleepy around 5-6am. If I didn't take that sleep it would leave me with tremendous headache all day.
I tapered off of it, tried 5 htp, tryptophan, etc, nothing helped. I slept a few hours every night using St Jon's wort. After coming off of Paxil it was the first time I truly got depressed. Then a nurse practitioner started me on Mirtazapine 15-30 mg. It would knock me out for 10 hours and it would not a restful sleep.
I have stopped everything for the last 2-1/2 months and I am sleeping a few hours every 3-4 days. I do not feel depressed. But it might be lurking in there somewhere I can't be sure. I am just unable to function because of lack of sleep. I've been looking around and there are two things I want to bring up next - trazodone and doxepin.
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13 Answers
A warning about Trazodone. I have never experienced so many side effects whilst taking it and withdrawing from it!
I was on Trazodone for over a year because I was suffering from chronic Insomnia and panic attacks. I liked it for the first couple of weeks because it did help me get to sleep for up to 4 hours, however, you have to take it so early otherwise you feel so tired the next morning and the effects can last into the day. The doctor kept increasing my dose because the sedative effect at night was not working as well as time went on. The only good thing about them was that they did reduce my panic attacks. After increasing them to 200mg and then to 250mg I was struggling to do any activity without getting out of breath, I only had to hoover and I would get dizzy and short of breath. It was a sacrifice I made for a few more months so I could sleep at night on the high dose for a few months.
I had enough after a while of constantly being short of breath and feeling really tired if I didn't take the medication really early, that I asked if I could come off them. It just so happens that I had recently changed doctors surgeries and when I asked the new surgery if I could start reducing them, they couldn't understand why I had been put on them in the first place as 2 different doctors from that same surgery said they NEVER prescribe Trazodone to their patients because of all of the effects that have been reported. The new doctors wanted me to come off them so quickly so that I could start a new medication for my anxiety that I have gone from 250mg to nothing within 3 weeks and that's when things got a whole lot worse.
I've always had Insomnia and the most sleep I can ever get in one night is 3-4 hours with a regular night of no sleep at all but I could deal with that. Since I have been withdrawing from Trazodone I have been going for up to 3 days at a time with NO SLEEP at all quite often. As I am writing this I have actually had no sleep for 3 days again and I have lost my job now because of it. The panic attacks have gotten worse than they used to be in the last couple of weeks and the Insomnia is even worse.
Please never let any doctor put you on this medication or at least don't come off of it so quickly. I have actually been on other medication for anxiety in the past and I never had any of these effects whilst on it or coming off of it. I only came off of the other one Sertraline because it wasn't the best for sleep but at least it didn't cause me all of these problems.
All the best guys, and maybe it works better for others that it did for me but for 2 doctors to say they don't prescribe it is a warning to me.
I just started on 50-100 mg of Trazodone for help with sleep. It has been WONDERFUL. I can easily get 6-8 hours of uninterrupted sleep. One potential unintended side effect (for men) is that it can cause erections, or (in extreme cases) a very painful and dangerous condition known as Priapism which requires an immediate trip to the ER.
I had taken it previously many years ago and tolerated it well, which is why my doc suggested it. I also take 300 mg of Wellbutrin during the day. So far it's only been about a week on this combo, but I seem to be doing well overall. We'll see what the next few months bring.
I’m curious how long you were off of Paxil. Was it 2 1/2 months after you got off Paxil that you got off everything and we’re trying St Johns?
I’m asking because I got off Zoloft this summer and for the first time felt depressed as well. I couldn’t sleep and had to get back on it and my sleep just never recovered so I’ve been taking trazodone. Honestly I’m not sure how well it’s working. I’ll get a solid 4-5 hrs sleep with deep deep sleep but wake up and find it hard to fall back asleep. Also, my sleep patterns have been like you said yours were- wake up around 2/3 and can’t go back to bed until 5/6 if ever.
Just wondering if you solved your sleep after Paxil.
I got off of Paxil and within about a week or so I started St Johns. Within about 3 months I was depressed as hell.
I have tried almost everything in the world and nothing worked for sleep. I have had to go back to Lexapro (doctor said this is better than Paxil). However, I am using only half the dosage recommended by them. I am using 5mg in place of 10 mg. And this time I take it in the afternoon, as against after dinner, which is when I was taking Paxil. This time I am able to sleep through the night, but I do wake up 2 or 3 times. I just go have a cigarette and come back and sleep. The pattern of waking up at 2/3 am and going to back to sleep at 5/6 was happening because I was taking Paxil at night.
Strangely, Paxil and Lexapro are supposed to make it harder to sleep. But this is the only thing in the world that can make me sleep. I asked at Mayo clinic, Minnesota. No answer.
That’s really disheartening in terms of you having to get back on an antidepressant, but I’m glad the lexapro helped. Did you have a hard time starting it?
I use 100mg Trazodone at night, one hour before bedtime and I sleep a full 7-8 hours, I can get up to use the bathroom if I have to and I can fall back asleep without any problems, I started with Ambien 5mg/10mg (I don’t remember the milligram of the ambien) however that stuff made me feel very tired during the day, it’s also a very dangerous medicine to use if you’re using other medications as well, my PCP said that trazodone would be a better alternative for me. I just felt like a zombie with Ambien, it’s effects are long lasting and it’s just overall not a safe medication.
So I have been using Trazodone for a year now, a little over a year actually. And it’s been a big help for me, I’ve always had problems staying asleep and falling asleep. But trazodone worked well for me.
I take 150mg of trazodone and four hours later I'm still awake.I usually take 2mg lorazepam then.then I sleep maybe 6 hours.My doctor wants me to add amitriptyline 25mg but I'm kind of afraid to.
Because of a medication I am on, I am unable to take sleep aids including Benadryl. I suffered from chronic insomnia, so my pharmacist suggested magnesium. It took about 2 weeks to build in my system and now I sleep great. That was more than 5 years ago and it still works. Research the different salts it is compounded in and which ones are most effective for sleep. I am also way under the limit and it works. You will also find in your research that insomnia is a sign of low magnesium levels. Also, stay away from sweets as much as possible, especially at night, because I have read it also depletes your magnesium.
Hi Can't,
I take trazodone 25 mg to help me sleep and it works like a charm. I take it a half hour before bed, and normally it takes me a half hour to fall asleep. Used to take me 1.5+ hours, and I couldn't stay asleep for the life of me. Now I sleep through the night, even with the crazy amount of stress in my life. *just started college, and I inherited the lifelong insomnia from both my parents :/* Trazodone is an antidepressant, but in small doses doesn't have much effect on the mental state. *i was adamant that I wanted to stay Me, not be a shell like some antidepressants make you* I can take it up to 4.5 hours before I have to be up *haven't wanted to risk any less than that* and I wake up as easily as I can with the alarm *I'm a morning monster lol* Of course talk to your doctor, but I say trazodone is a great way to go.
Side note, If you ever get allergic skin reactions that stop you from sleeping ask the allergist/doctor about hydroxyzine. It's an antihisthamine that completely knocks you out. Needs to be taken at least 8.5 hrs before you need to wake up though. You've probably already tried this, but in case you haven't, melatonin is a naturally occurring substance in the body that affects sleep. They sell supplement tablets at those weird health stores. I would try that before any medications, because its naturally occurring. Sometimes a lack of it can cause sleep issues. Worked for me for a while. Best of luck with the sleep issues. Feel free to reach out with any more sleep questions, I might not have all the answers but I have quite a few
Sydney-Paige
Hi Sydney, I was wondering if trazodone is still working for you? It worked great for about six months now I can only sleep for 3 or 4 hrs then I wake up. This happened before and I tapered off, but did it roo fast and got seriously depressed. When it works it is a miracle drug but I don’t want to just keep taking higher doses.
You mentioned a rash, I have an awful rash on my chest, am wondering if this could be from The trazodone?
Kathy
Hi Sydney, I was wondering if trazodone is still working for you? It worked great for about six months now I can only sleep for 3 or 4 hrs then I wake up. This happened before and I tapered off, but did it roo fast and got seriously depressed. When it works it is a miracle drug but I don’t want to just keep taking higher doses.
You mentioned a rash, I have an awful rash on my chest, am wondering if this could be from The trazodone?
Kathy
Trazadone is something I take when I have that feeling that I'm just not going to fall asleep easily (sometimes you just KNOW, LOL). It's difficult to tell you how long it will make you sleep as everyone reacts to it differently. When I take it an hour before I want to go to sleep, I end up sleeping about 7-10 hours.
Trazadone can give some people that hangover effect the next morning, some won't.
Some men can get a priapism (usually at higher doses) as a side effect
If you take it daily for any amount of time, you can have serious and/or annoying withdrawal side effects so it's recommended to only take as needed or to taper the dose down VERY slowly (10% per month!). Depending on your therapeutic dose of 50-300 mg, it can take 6-24 months or more to taper off as recommended.
There are other medicines that are safer for sleep so it may be worth it to try something other than trazadone. Remember trazadone is an old type of antidepressant so it also can interact with other meds.
What other medicines are you thinking about? I am aware of 2 sedative antidepressants for now - mirtazapine and trazadone apart from non benzos ambien and lunesta.
I have used many different sleep products. I quit trazadone as it left me with a sleep hangover. It would last until noon and made it hard to focus.
As for the specific sleep mefs I am one of those that it makrs me do strangr stuff while I am still asleep. Walking, talking, rating, sitting by the wall. My son used to love it and would ask qurstions.
There are a few drugs that actually help deepen sleep, that is put the brain in the deeper sleep stages. I believe Gabapentin is one and it does help me sleep and I have little to no nightmares on it which is important to me. I only take 100mg but it is enough to help with sleep for me. I also have Fibromyalgia. Another one that is listed in my Fibro Manual book as helpful to induce deep sleep is Baclofen. I do still have trouble getting to sleep though, that's another story! Some nights I take Ambien but I never take it for more than 4 nights in a row as to lessen tolerance. I have resorted to NyQuil some nights too. Good luck, you're right- good sleep is crucial.
Hi Can't,
I went through years of sleeping 3-4 hours every 3 days despite Ambien.
Do NOT continue this way. You needthe restorative powers of sleep to be healthy.
I now take Trazadone 100mg plus Ambien 10 mg. I probably get 6 hours now but it's quality sleep.
Remeron (which you mentioned) and Seroquel were disasters !
Best wishes
:-)
I wish there was a better way! Drug induced sleep ~ on any drug ~ is not healthy sleep. Fortunately for me, although I only sleep 4 ~6 hours a night, I feel energetic all day.
As you get older you don't sleep as many hours. It's not that you are really sleep deprived but it's nature.
Pathology occurs with sleep apne or insomnia where you do feel sleep deprived.
Have you had a sleep study?
You know how when you don't sleep well and you say "Im off work in two days and I'll make up for it"?
There is no making up for it. Sleep deprivation is cannot be made up for.
However it causes your immune system to be lowered making your susceptible to chronic illness.
I would research good sleep hygiene. If it doesn't work, you should consider a sleep study.
Untreated insomnia can cause weight gain, high blood pressure and other problems.
You want a med that allows you to dream or you will not feel well rested.
Be well
:-)
I think it IS that I'm getting older ~ much older!!! My doctor is not concerned for me ~ he says if I sleep 5 restful hours and feel great then what's the problem?
My husband, though, gets very little therapeutic sleep. Despite his trazadone, which is an antidepressant, but not particularly effective for depression or anxiety at the dosage he's taking. He's had medical work-ups for chronic fatigue for everything from sleep apnea to hypothyroidism to Epstein-Barr and more. Trouble is he won't admit to depression or anxiety and refuses to seek professional medical help in the mental health realm. :-(
If he is satisfied with life then there is little you can do except get frustrated.
I don't think I could sleep with Trazadone alone. The Ambien dose becomes tolerant. The combination seems to put me to sleep and keep me asleep.
I was a shift worker all my life so now I'm suffering from the results.
I also have my tonsils which causes sleep obstruction.
Sleep studies are the best way to take care of this problem.
I have restless leg syndrome but since I developed chronic fatigue syndrome, I am moving my toes constantly because it takes less energy. Lol...
Try and get him to a pulmonary or sleep specialist. He may listen to the doctor.
My sympathy is with you because I know he's probably not in the best mood.
;-)
Hi Windchimes
I'm curious, when you wake in the morning after taking both sleeping meds how long does it take before you feel ready to go out the door?
Thanks
bestpup
Hi Bestpup,
I'm sorry for missing your question earlier.
It's difficult for me to answer your question because of my complicated history plus med effects.
Fortunately, I don't have to function until later in the day. I make all my appointments as late as possible because I'm not functioning until 3pm.
If I have to go somewhere in the morning,
I find it easier just to stay awake all night.
If you have next day drowsiness AND your tonsils, get a sleep study done.
Many people don't realize they have sleep apnea.
Medication-wise...
Sleeping aids are fine every now and then ( Ambien, Restoril, Lunesta, etc) causes you to become tolerant. You take the meds and they don't work.
Taking a drug holiday makes them more effective but you will go through insomnia just to make them work again.
I do not feel next day drowsiness from the Trazadone. It's also an anti-depressant so you cannot take it when you need it.
It's different than Ambien that puts you to sleep in a half an hour.
I DO find that the combo now is decreasing the tolerance. I've been on the two for over a year. When my pain syndrome is going on, I cannot sleep. It's like being in advanced labor and someone tells you to go to sleep. It ain't gonna happen !
Remeron and Seroquel made me gain weight and it didn't work at all.
You may want to look into Lorazepam (Ativan). It's like Valium but without the drugged feeling. 0.5mg is the starting dose to help you relax or get ahead of the anxiety.
For sleeping purposes, 1mg is helpful but I'd try the 0.5mg to avoid tolerance. As in most cases, start low so you can go higher if you need it.
Please do not worry about whether or not you have depression. It's impossible to figure out when you are sleep deprived.
Depression can cause insomnia but you are aware of it before you get sleep deprived.
Insomnia can cause severe stress night after night. It can have effects like gastritis, increasing blood pressure and gaining weight.
Sleep studies save months of trying different meds and trying to determine the origin. If you find out what is causing it then you can work on fixing it.
Insomnia can become chronic rather quickly so make it a priority.
Best wishes
:-)
Hi Windchimes
Thank you for your ideas and thoughts.
I too do not have a regular sleep pattern because of chronic pain.
Currently I take Ambien, but like you said you're apt to build up a tolerance.
I'll consult my doctor about the tolerance. Thanks for getting back to me!
Take care
bestpup
You are very welcome, Bestpup.
One thing I do know is the harder you try to go to sleep...
The harder it will be!
I do something that you will think crazy...
I have HuluNetflix on my iPad.
I pick a series that I have watched a million times. I stream it with the screen backwards so the light doesn't enter my brain. I've got it memorized so there is nothing exciting. It's almost like hypnosis.
White noise makes me crazy so this is my substitution.
The last 6 months I've done Downton Abbey a million times. Lol...
Whatever works!
Take care
:-)
How do you feel about Ambien?
I have tried various doses of trazodone and other drugs. I seldom sleep
Depending on depression etc or just for a sleeping aide. I take 50mgs and can sleep 7 hrs with getting up for the bathroom in the night once. You can wake up easily if you need to with an alarm.
What wouldn't I pay for 7 hours of restful sleep. Do you get a restful sleep?
Yes I do but have limited of stress in my life.
I also would pay any amount of money to sleep, rest or even nap!!
My husband takes 100mg trazadone and only gets about 4~5 hours of sleep. Since trazadone is actually an antidepressant that is prescribed off label have you tried or considered the approved sleep aids such as Lunesta, Rozerem, Sonata, Ambien, etc.?
I have some tablets of Ambien and I occasionally try it. But I am concerned about the message that it's a narcotic, not good for long term, you can become resistant, etc.
Ambien is not a narcotic, an opioid, or a benzodiazepine. Yes, resistance can occur, but my husband went from 25mg to 50mg, to 100mg of trazadone over a 6 month period to achieve the same lackluster result.
Is he getting restful sleep? 4-5 hours of restful sleep in my mind would be a better option that 10 hours of non restful sleep with mirtazapine. There might be some depression lurking around in me somewhere, can't be sure.
I have tried trazodone at various doses and it never worked for me.
Related topics
sleep disorders, trazodone, sleep, doctor, sleep disorder
Further information
- Trazodone uses and safety info
- Trazodone prescribing info & package insert (for Health Professionals)
- Side effects of Trazodone (detailed)
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