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Trazodone: Side Effects, Uses, and Overdose Information

What is Trazodone?

  • Trazodone is an antidepressant used to treat major depressive disorder.
  • It is approved by the FDA and available under the generic name trazodone hydrochloride.
  • Brand names for trazodone include Desyrel, Desyrel Dividose, and Oleptro.

Off-Label Uses

  • Trazodone may also be prescribed for conditions like generalized anxiety disorder, panic disorder, and insomnia, although these are off-label uses.

Common Side Effects

  • Drowsiness or sedation
  • Dizziness
  • Constipation
  • Blurred vision

Less Common Side Effects

  • Appetite changes
  • Diarrhea
  • Dry mouth
  • Muscle pain
  • Nausea or vomiting
  • Nervousness
  • Nightmares
  • Rash
  • Sexual issues
  • Stuffy nose
  • Tired, itchy, or red eyes
  • Shaking
  • Weakness

Serious Side Effects (Seek Immediate Medical Attention)

  • Unusual bleeding or bleeding that won't stop
  • Irregular heartbeat
  • Low blood pressure
  • Low blood sodium
  • Mania or hypomania
  • Painful and prolonged erection of the penis (priapism)

Black Box Warning

  • Trazodone carries a black box warning for increased risk of suicidal thinking or behavior in individuals under 24.
  • If you experience suicidal thoughts, contact a healthcare provider or the National Suicide Prevention Lifeline (988).

Signs of Overdose

  • Drowsiness
  • Vomiting
  • Painful erection
  • Seizures
  • Irregular heartbeat
  • Difficulty breathing

Withdrawal Symptoms (When Discontinuing Trazodone)

  • Anxiety
  • Agitation
  • Sleep disturbances

Important Information

  • Use trazodone exactly as prescribed. Overdose is possible.
  • Do not engage in potentially hazardous activities until you know how the drug affects you, especially driving.
  • Do not discontinue trazodone without approval and guidance from your healthcare provider. A tapering schedule is usually recommended.

Consult a Healthcare Provider

  • In case of serious side effects or signs of overdose, seek immediate medical attention.
  • Discuss any side effects with your healthcare provider, especially if they persist or become bothersome.
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