@mmwagner46 I can appreciate your concerns as many of us who have been taking medications over a period of years have questions about the implications on our long term health, particularly as we age.

To date and to my knowledge based upon much research performed, there has not been any definitive conclusion indicated a link between Trazadone and the development of dementia. However, side effects have been reported in some people including memory problems, difficulty concentrating, or mental confusion. It is also worth noting that there has evidence that poor sleep could lead to cognitive decline. So there is a case here of risk vs, benefit when using such a medication.

You have stated that Trazadone works well for you but have expressed concerns about usage. Have you noticed any cognitive decline that is alarming to you? Have you expressed any of your concerns - either about any such decline or long term use use of Trazadone with your prescribing provider?