CONCLUSION: A review of the literature suggests that there are adequate data supporting the efficacy and general safety of the low-dose use of trazodone for the treatment of insomnia. The side effects are dose-dependent, and the most common is drowsiness. Earlier studies (1980–2000) focused on utilizing trazodone at high doses (≥100mg/d) for the treatment of insomnia among the depressed population however, since the 2000s, the utility of trazodone has been expanded to treat secondary insomnia among the non-depressed population as well. RESULTS: Evidence for the efficacy of trazodone has been repeatedly demonstrated for primary insomnia, as well as secondary insomnia, including for symptoms that are a result of depression, dementia, and being a healthy man. The study selection process yielded a total of 45 studies. All randomized clinical trials, meta-analyses, observational studies, and placebo-controlled trials regarding trazodone for the treatment of primary or secondary insomnia were reported, per PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.
The results were restricted to English language and human subjects. METHODS: A literature search was conducted using MEDLINE/PubMed databases from the past 33 years (1983–2016) and the keywords insomnia, trazodone, sedative, treatment, and hypnotics. In this systematic review, we examined the evidence for the efficacy and safety of trazodone for insomnia. I know this sounds exaggerated but that is literally exactly how it was.OBJECTIVE: While trazodone is approved for the treatment of depression, the off-label use of this medication for insomnia has surpassed its usage as an antidepressant. I’ve somewhat started feeling better about that so I was able to stop taking it. The reason I kept taking it was because I was going through a really bad time in my life with my dad dying so the alternative was worse. That’s not to take away from Zoloft it does work and most people don’t experience anything like that. I’m talking going to bed at 10:00 pm and laying in bed trying to fall asleep every night until like 4-5 am and then waking up at 8 am. Also, that side effect seems super uncommon whenever I do research on it it says it can cause insomnia but if you take it in the mornings like I did and gave it a few months it is supposed to go away for me it got worse. It seems super weird to me because my mom took it for years without any issues same with my sister. When I stopped taking it all my sleep problems vanished completely. I have had sleep problems for my entire life but nothing like that. I tried melatonin, edibles, trazodone, nothing helped I would take 10-20 mg of melatonin and still not be able to fall asleep and when I would sleep I literally never dreamt ever. I would only sleep for 4 hours every night or less. I had the exact same thing I was on Zoloft for like 6 months. You could try having a couple slices of cheese before bed.Īlso try switching to the morning and see if it makes a difference. There's certain foods that supposedly help with sleep, like cheese. No screens before bed, dark room, keep the temperature a little cooler than you have it during the day (optimal sleeping temperature is around 69f), try a white noise machine (I like the sound of rain and thunder) or ill listen to an audio book. Other than talking to your doctor about medical solutions or therapy, look up good sleep hygiene. The zoloft is definitely to blame but probably not 100% of the blame. Might try Lunesta (a sleep med) or trazedone (an anti depressant that makes you very drowsy) and then start some CBT and better sleep hygiene practices. Talking to my doctor soon, I have ambien but thats a temporary solution and doesn't help you stay asleep. So that tells me I am capable of sleep and it might partially be anxiety (about sleep) that's preventing me from falling and staying asleep.
On the weekends I'll have unplanned naps. I'd say 6 out of 7 days of the week I get a terrible sleep.
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