Trazodone for Sleep: Simple Guide to Using It Safely

If you’ve tried melatonin, antihistamines, or prescription pills without success, you might have heard about trazodone. Originally an antidepressant, doctors often prescribe low doses of it to treat insomnia because it can make you feel drowsy without the “buzz” of a typical sleep aid.

Why Trazodone Helps You Sleep

Trazodone works by increasing serotonin levels and blocking certain receptors that keep you awake. At 25‑50 mg, it usually makes you feel relaxed enough to drift off quickly. Unlike many benzodiazepines, it doesn’t build up a strong dependency risk, but you still need to follow your doctor’s instructions.

Getting the Right Dose

Most doctors start patients at 25 mg about 30 minutes before bedtime. If that isn’t enough, they may bump the dose up to 50 mg after a week or two. Going higher than 100 mg for sleep is uncommon and usually reserved for people who also need its antidepressant effect.

Take trazodone with a light snack if it makes your stomach feel weird. Avoid alcohol—mixing the two can cause excessive drowsiness or dangerous breathing problems.

What to Watch For

Common side effects include dry mouth, mild dizziness, and occasional headache. Most of these fade after a few days as your body adjusts. If you notice ringing in your ears, rapid heartbeats, or vivid dreams that keep you up, call your doctor right away.

Because trazodone can lower blood pressure, stand up slowly from bed to prevent light‑headedness. If you’re on other meds like SSRIs, antihistamines, or blood thinners, check for interactions—your pharmacist can help.

Practical Tips for Better Rest

1. Keep a consistent bedtime routine—turn off screens 30 minutes before taking trazodone.
2. Make your bedroom cool, dark, and quiet; white‑noise machines work wonders.
3. Reserve the bed for sleep only; avoid working or watching TV in it.

If you miss a dose, skip it and take the next one at your regular time—don’t double up.

When to Talk to Your Doctor

If you’ve been on trazodone for more than two weeks and still can’t stay asleep, or if side effects are bothering you, schedule a check‑in. Your doctor may adjust the dose or suggest another sleep aid that fits your health profile better.

Remember, trazodone is a tool—not a magic fix. Pairing it with good sleep hygiene gives you the best chance of waking up refreshed.