How should this medicine be used?
Trazodone comes as a tablet to take by mouth. It is usually taken one or more times a day with food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take trazodone exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Continue to take trazodone even if you feel well. Do not stop taking trazodone without talking to your doctor, especially if you have taken large doses for a long time. Your doctor probably will want to decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt.
Other uses for this medicine
Trazodone also is used occasionally to treat anxiety and cocaine withdrawal. Talk to your doctor about the possible risks of using this drug for your condition.
What special precautions should I follow?
Before taking trazodone,
* tell your doctor and pharmacist if you are allergic to trazodone or any other drugs.
* tell your doctor and pharmacist what prescription and nonprescription drugs you are taking or have taken within the last 2 weeks, especially anticoagulants [warfarin (Coumadin)]; digoxin (Lanoxin); fluoxetine (Prozac); MAO inhibitors [phenelzine (Nardil), tranylcypromine (Parnate)]; medication for high blood pressure, seizures, asthma, colds, or allergies; muscle relaxants; sedatives; sleeping pills; thyroid medications; tranquilizers; and vitamins.
* tell your doctor if you have had a recent heart attack or have ever had heart disease or high blood pressure, glaucoma, an enlarged prostate, difficulty urinating, seizures, an overactive thyroid gland, or liver or kidney disease.
* tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking trazodone, call your doctor immediately.
* if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking trazodone.
* you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
* remember that alcohol can add to the drowsiness caused by this drug.
What special dietary instructions should I follow?
Trazodone should be taken shortly after a meal or light snack to decrease the chance of dizziness or lightheadedness.
What should I do if I forget a dose?
If you take several doses per day, take the missed dose as soon as you remember it and take any remaining doses for that day at evenly spaced intervals. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule.
If you take trazodone once a day at bedtime and do not remember to take it until the next morning, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
What side effects can this medication cause?
Side effects from trazodone are common:
* upset stomach
* diarrhea
* stomach pain or gas
* drowsiness
* weakness or tiredness
* excitement or anxiety
* insomnia
* nightmares
* dry mouth
* skin more sensitive to sunlight than usual
* changes in appetite or weight
Tell your doctor if any of these symptoms are severe or do not go away:
* constipation
* difficulty urinating
* frequent urination
* blurred vision
* changes in sex drive or ability
* excessive sweating
If you experience any of the following symptoms, call your doctor immediately:
* jaw, neck, and back muscle spasms
* slow or difficult speech
* shuffling walk
* persistent fine tremor or inability to sit still
* dizziness or lightheadedness
* blood in urine
* fever
* difficulty breathing
* shortness of breath
* severe skin rash
* yellowing of the skin or eyes
* irregular heartbeat
* prolonged or inappropriate erection
