Tapering off of Trazadone

I would have your blood pressure checked. I'm not a doctor, and I note that you don't get dizzy but I'd still get it, and blood sugar checked.

This is more of a medical matter, and I agree that checking with a doctor would be the best and most important step. 50mg of trazadone is considered a very low dose. I agree that you need to rule out other health problems first....

My Neurologist prescribed Trazadone 50mg for my insomnia, but instructed me to take only half a table. Sometimes I sleep through the night, at other times I don't sometimes. I agree with Teacher 502. Talking with the doctor sounds like the best next step.

I have had the same symptoms as a result of Trazadone for sleep - when I would get up from bed or stand up abruptly from sitting I sometimes become dizzy, lightheaded. This is a known side effect from Trazadone called hypostatic hypertension (sudden increase in blood pressure upon standing). I can manage it at a lower dose of Trazadone (50mg) but it’s much worse when on higher dosages or when dehydrated (I had several fainting spells last summer). My doctor wants me off Trazadone completely but I take it for my insomnia - difficult trade off.

Let your Doctor know what’s happening as it may not be due to the Trazadone. I’ve been taking it for many years and find 25 mg is just as effective as 50mg. My Doctor has told me it’s not addictive, but the psychological dependence is real. If you really want to stop, I’d cut in half for a week or two, then cut in half again for the same amount of time, then stop.

I've been a trazadone for only two night at 50MG. It did not get me to sleep at all. It made my nose congested and gave me nausea and acid reflux. It is Sunday and my doctors office is closed. Can I just stop after only two days without any taper?

@oceanlover91 I hesitate to say yes because I'm not a physician, but I'm almost positive that it's much to early for you to assume your system is now hotly dependent on trazodone. You could miss one night and see, but to me one must take weeks of the medication for it to require tapering.

I'm sorry for your horrible experience. It is so frustrating and disappointing being offered a new optimism only to have it go sour.

@gloaming Thank you for your reply and kind words. I've been experiencing chronic insomnia for two months and so frustrating. One doctor had me take low doses of xanax but that wasn't getting me consistent sleep or few hours at a time. I tried Mirtrazpine and it did nothing at 7.5. I switched doctors and he put me on Klonipin and I finally was able to get seven hours of sleep for four nights which was great. But then I was having side effects with my legs feeling like jelly during the day and just too out of it. So he weaned me off that. I was only on Klonopin for a week before he started weaning me off. So I just started the Trazadone and can't imagine taking one more night of it since I didn't sleep at all and felt terrible. So I'm not sure what is next and very discouraged. I've practiced all the good sleep hygiene, with good wind down routines, and much prayer.

@oceanlover91
I took 25mg=nothing
125mg works like a charm but be sure to take it/
Trazodone with food. Tart Cherry juice before bedtime is also supposed to help.
Find a doctor you trust.........easier said than done but is there an alternative??

Wonder why Big Pharma does not want to satisfactorily address insomnia? The #1 recommendation for the geriatric group is get ample sleep, good nutrition and exercise! We can provide 2 of the three ourselves but as usual the Pharmacy/Medical group lets us down. I sleep well maybe every third day as I am so exhausted from not sleeping the previous ones!