{"id":627787,"date":"2024-04-15T09:11:13","date_gmt":"2024-04-15T13:11:13","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=627787"},"modified":"2024-10-25T10:00:45","modified_gmt":"2024-10-25T14:00:45","slug":"how-long-does-it-take-trazodone-to-work","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/how-long-does-it-take-trazodone-to-work\/","title":{"rendered":"How long does it take for trazodone to work?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">You can thank serotonin if you&rsquo;ve ever felt pure joy around a puppy or lingering contentment on a quiet night. As the brain&rsquo;s &ldquo;feel good&rdquo; chemical, this neurotransmitter regulates moods, promotes calmness and happiness, and improves deep sleep. People who have depression often have low serotonin levels, but they can correct that imbalance with <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/trazodone-hcl\/what-is\"><span style=\"font-weight: 400;\">trazodone<\/span><\/a><span style=\"font-weight: 400;\">, a prescription antidepressant medication that also treats <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/anxiety-treatment-and-medications\"><span style=\"font-weight: 400;\">anxiety<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/insomnia-treatment-and-medications\"><span style=\"font-weight: 400;\">sleep disorders<\/span><\/a><span style=\"font-weight: 400;\">.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/depression-treatment-and-medications\"><span style=\"font-weight: 400;\">depression<\/span><\/a><span style=\"font-weight: 400;\">, this serotonin modulator may take a few weeks to work, but people struggling with sleep might feel its soothing effects much quicker. Here&rsquo;s all the information on trazodone&rsquo;s timeline, effects, and safety.&nbsp;<\/span><\/p>\n<p><b>Note: <\/b><span style=\"font-weight: 400;\">Sometimes, veterinarians prescribe <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/trazodone-for-dogs\/\"><span style=\"font-weight: 400;\">trazodone for dogs<\/span><\/a><span style=\"font-weight: 400;\">, and while it&rsquo;s safe for our canine companions, the information in this article applies solely to humans.&nbsp;<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/anxiety-vs-depression\/\"><b>Anxiety vs. depression: Compare causes, symptoms, treatments &amp; more<\/b><\/a><\/p>\n<h2 id=\"how-long-does-it-take-trazodone-to-work\"><span style=\"font-weight: 400;\">How long does it take trazodone to work?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Anyone feeling the weight of depression, the tension of anxiety, or the frustration of insomnia will want their medication to start working as soon as possible. But &ldquo;the timeframe within which trazodone begins to work varies based on the ailment it&#8217;s addressing,&rdquo; according to <\/span><a href=\"https:\/\/www.linkedin.com\/in\/ryan-sultan-m-d-8576048b\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Dr. Ryan Sult&aacute;n, MD<\/span><\/a><span style=\"font-weight: 400;\">, a psychiatrist at <\/span><a href=\"https:\/\/www.integrative-psych.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Integrated Psych<\/span><\/a><span style=\"font-weight: 400;\"> and professor of clinical psychiatry at Columbia University.&nbsp;<\/span><\/p>\n<h3 id=\"depression\"><span style=\"font-weight: 400;\">Depression<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">When taken for depression, trazodone usually takes at least a week to kick in. Results from <\/span><a href=\"https:\/\/www.cambridge.org\/core\/journals\/cns-spectrums\/article\/early-response-to-trazodone-onceaday-in-major-depressive-disorder-review-of-the-clinical-data-and-putative-mechanism-for-faster-onset-of-action\/0EF0044A5ECB1C27939F7156F4B7E218\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">a 2021 review of clinical trials<\/span><\/a><span style=\"font-weight: 400;\"> showed that people with major depressive disorder (MDD) reported significant improvement in as little as one week. However, &ldquo;typically, it might take a few weeks of treatment, often between two and four, for individuals to start noticing a shift in their mood and energy levels, with the full spectrum of its antidepressant benefits unfolding over a period of up to six to eight weeks,&rdquo; Dr. Sult&aacute;n says.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Doctors typically prescribe trazodone for depression in 50mg&ndash;300mg doses, and the specific dosage may also affect how fast it works.&nbsp;<\/span><\/p>\n<h3 id=\"anxiety\"><span style=\"font-weight: 400;\">Anxiety<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Unlike depression, anxiety is an <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/off-label-prescription-drugs\/\"><span style=\"font-weight: 400;\">off-label<\/span><\/a><span style=\"font-weight: 400;\"> use for <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470560\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">trazodone<\/span><\/a><span style=\"font-weight: 400;\">. However, its influence on serotonin and calming effects can still help treat people with generalized anxiety disorder. Much like its effect on depression, trazodone can take multiple weeks to work for anxiety. The same 2021 review found that patient improvements weren&rsquo;t significant after seven days but after 21.&nbsp;<\/span><\/p>\n<h3 id=\"insomnia\"><span style=\"font-weight: 400;\">Insomnia<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/trazodone-for-sleep\/\"><span style=\"font-weight: 400;\">Trazodone for insomnia<\/span><\/a><span style=\"font-weight: 400;\"> is another off-label use, but a fairly common one. That&rsquo;s because trazodone exhibits sedative effects that make it effective for people with sleep problems. A <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5842888\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">systematic review from 2017<\/span><\/a><span style=\"font-weight: 400;\"> analyzed various studies where patients taking trazodone for insomnia reported significant improvements. It often takes around 30 minutes to feel the drowsiness associated with trazodone, although it can take <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4591485\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">up to two hours to reach peak levels<\/span><\/a><span style=\"font-weight: 400;\"> in the bloodstream.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/best-medication-for-anxiety-and-insomnia\/\"><b>What is the best medication for anxiety and insomnia?<\/b><\/a><\/p>\n<h3 id=\"how-do-i-know-if-trazodone-is-working\"><span style=\"font-weight: 400;\">How do I know if trazodone is working?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">It&rsquo;s easy to know whether trazodone works for insomnia&mdash;you just feel sleepy. But it&rsquo;s slightly tougher to assess its efficacy for depression and anxiety. And as we mentioned, it may take a few weeks to experience its full benefits.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The patient may feel slightly more relaxed in the first couple of weeks. Things that used to cause worry or fear might seem less intimidating, and the patient might feel an improved overall mood.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, weeks three and four are where it typically takes off. &ldquo;If you have depression, you may notice an overall better feeling of wellness. You may start to enjoy the activities you liked doing in the past. You may notice your appetite and sleep patterns becoming more normal.&rdquo; <\/span><a href=\"https:\/\/www.choosingtherapy.com\/luke-prest-md\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Dr. Luke Prest, MD<\/span><\/a><span style=\"font-weight: 400;\">, is a physician and author at ChoosingTherapy. &ldquo;For anxiety, you may feel less anxious in the settings that typically cause problems for you. You may feel a desire to engage more with others.&rdquo; Completing tasks and interacting with others throughout the day might also feel much easier. If not, the doctor may adjust your dose<\/span><\/p>\n<h2 id=\"factors-that-influence-how-long-trazodone-takes-to-work\"><span style=\"font-weight: 400;\">Factors that influence how long trazodone takes to work<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Every situation is unique, so trazodone works differently, depending on the person. &ldquo;Your body chemistry plays a big role&mdash;some people just naturally respond quicker than others,&rdquo; says <\/span><a href=\"https:\/\/www.choosingtherapy.com\/max-ruvinov-pharmd-mba\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Max Ruvinov, PharmD, MBA<\/span><\/a><span style=\"font-weight: 400;\">, pharmacist, and author at ChoosingTherapy. Sleep levels and stress can affect it, too, he says. But there are also drugs and other substances that can affect its efficiency. They include:<\/span><\/p>\n<ul>\n<li><b>Alcohol: <\/b><span style=\"font-weight: 400;\">Both alcohol and trazodone have sedative qualities, which can cause extreme drowsiness, impaired coordination, and slowed reflexes, increasing the risk of accidents. Plus, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7608346\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">one study showed<\/span><\/a><span style=\"font-weight: 400;\"> more improvements in functioning and well-being in people who drank less alcohol.&nbsp;<\/span><\/li>\n<li aria-level=\"1\"><b>Cannabis: <\/b><span style=\"font-weight: 400;\">Marijuana use can worsen trazodone side effects like dizziness, drowsiness, confusion, and difficulty concentrating.&nbsp;<\/span><\/li>\n<li aria-level=\"1\"><b>Enzyme inhibitors:<\/b><span style=\"font-weight: 400;\"> Trazodone is broken down in the body by an enzyme, so drugs that inhibit that process&mdash;specifically azole antifungals like Nizoral (ketoconazole) or Sporanox (itraconazole)&mdash;may increase its levels in your body, While this may make trazodone work faster, it can also increase your risk of side effects.&nbsp;<\/span><\/li>\n<li aria-level=\"1\"><b>Grapefruit: <\/b><span style=\"font-weight: 400;\">This sour citrus fruit binds to an intestinal enzyme called CYP3A4. Blocking this enzyme can boost the levels of trazodone in your body, increasing your risk of side effects.&nbsp;<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<\/ul>\n<h2 id=\"how-long-should-a-person-be-on-trazodone\"><span style=\"font-weight: 400;\">How long should a person be on trazodone?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">&ldquo;Trazodone&#8217;s flexibility means it can be prescribed for both short bursts and extended periods, depending on the severity and persistence of the symptoms,&rdquo; Dr. Sult&aacute;n says. &ldquo;Short-term usage might span a few weeks to months for immediate issues, while long-term treatment could extend for years, especially for chronic depression&mdash;always under the watchful eye of a healthcare professional to mitigate any side effects and adjust trazodone dosages as necessary.&rdquo;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Ruvinov agrees. &ldquo;Trazodone can be taken for quite a while, often several months or even longer, especially if it&rsquo;s helping,&rdquo; he says. &ldquo;But like any medication, using it for a long time comes with some risks. Some people might experience lingering drowsiness, a bit of confusion, or even balance issues.&rdquo;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Studies like <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10187683\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">this one from 2023<\/span><\/a><span style=\"font-weight: 400;\"> have suggested that patients with chronic depression can take trazodone long-term with few significant adverse effects. There isn&rsquo;t much research on long-term trazodone use for sleep, so its effects are still unclear.&nbsp;<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/trazodone-alternatives\/\"><b>Trazodone alternatives: What can I take instead of trazodone?<\/b><\/a><\/p>\n<h2 id=\"who-shouldnt-take-trazodone\"><span style=\"font-weight: 400;\">Who shouldn&rsquo;t take trazodone?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Trazodone might be a versatile medicine, but as a mood-altering drug with an array of potential side effects, it&rsquo;s not for everyone. Before beginning treatment, knowing its risks, warnings, and interactions is important.&nbsp;<\/span><\/p>\n<h3 id=\"side-effects\"><span style=\"font-weight: 400;\">Side effects<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Not everyone who takes trazodone experiences an adverse reaction, but some do. About <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=71961ab1-951d-1493-f76c-2ff25cca2a85\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">one in five people<\/span><\/a><span style=\"font-weight: 400;\"> have reported dizziness or high blood pressure. Some other common <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/trazodone-side-effects\/\"><span style=\"font-weight: 400;\">trazodone side effects<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry mouth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nervousness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tiredness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea or vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aches and pains<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Problems with coordination<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abdominal pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blurred vision<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confusion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Problems with concentration<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tremors<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Red, itchy eyes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nasal or sinus congestion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Edema<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skin reactions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Disorientation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling bad<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fainting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trouble sleeping<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sexual dysfunction<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight changes<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The U.S. Food and Drug Administration (<\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2015\/071196s062lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">FDA<\/span><\/a><span style=\"font-weight: 400;\">) has issued a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/black-box-warning\/\"><span style=\"font-weight: 400;\">black box warning<\/span><\/a><span style=\"font-weight: 400;\"> that trazodone may also cause suicidal thoughts, primarily in young adults and children. Some other rare but serious side effects include chest pain, an irregular heartbeat, seizures, fainting, difficulty breathing, unusual bleeding, angle-closure glaucoma, problems with coordination, and worsening depression. Seek medical attention ASAP if you experience any of these while taking trazodone.&nbsp;<\/span><\/p>\n<h3 id=\"drug-interactions\"><span style=\"font-weight: 400;\">Drug interactions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">&ldquo;Trazodone can interact with other medications and should be used cautiously in these individuals,&rdquo; Dr. Prest says. The <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/trazodone-interactions\/\"><span style=\"font-weight: 400;\">medications that may cause interactions<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><b><\/b><\/p>\n<ul>\n<li><b>Drugs that increase serotonin: <\/b><span style=\"font-weight: 400;\">If levels of serotonin get too high, it can cause a serious medical condition called <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/serotonin-syndrome-symptoms\/\"><span style=\"font-weight: 400;\">serotonin syndrome<\/span><\/a><span style=\"font-weight: 400;\">. So avoid monoamine oxidase inhibitors (MAO inhibitors, or <\/span><a href=\"http:\/\/maois\"><span style=\"font-weight: 400;\">MAOIs<\/span><\/a><span style=\"font-weight: 400;\">), selective serotonin reuptake inhibitors (<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/ssris\"><span style=\"font-weight: 400;\">SSRIs<\/span><\/a><span style=\"font-weight: 400;\">), serotonin and norepinephrine reuptake inhibitors (<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/snris\"><span style=\"font-weight: 400;\">SNRIs<\/span><\/a><span style=\"font-weight: 400;\">), <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/tricyclic-antidepressants\/\"><span style=\"font-weight: 400;\">tricyclic antidepressants<\/span><\/a><span style=\"font-weight: 400;\">, and other drugs that affect serotonin.<\/span><\/li>\n<li><b>Blood Thinners: <\/b><span style=\"font-weight: 400;\">Trazodone may increase the risk of gastrointestinal bleeding, so anyone taking prescription drugs to prevent blood clots&mdash;like Coumadin (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/warfarin-sodium\/what-is\"><span style=\"font-weight: 400;\">warfarin<\/span><\/a><span style=\"font-weight: 400;\">) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/eliquis\/what-is\"><span style=\"font-weight: 400;\">Eliquis<\/span><\/a><span style=\"font-weight: 400;\"> (apixaban)&mdash;may need closer monitoring or extra blood tests.&nbsp;<\/span><\/li>\n<li><b>Medications that affect heart rhythm: <\/b><span style=\"font-weight: 400;\">One risk of trazodone is that it can cause an abnormal heartbeat, and a prescription medication like a<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amiodarone-hcl\/what-is\"><span style=\"font-weight: 400;\">miodarone<\/span><\/a><span style=\"font-weight: 400;\"> (Pacerone) and s<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/sotalol-hcl\/what-is\"><span style=\"font-weight: 400;\">otalol<\/span><\/a><span style=\"font-weight: 400;\"> (Betapace) could increase that risk.&nbsp;<\/span><\/li>\n<li><b>Drugs with sedative properties: <\/b><span style=\"font-weight: 400;\">Other anxiety medicines, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/barbiturates\"><span style=\"font-weight: 400;\">barbiturates<\/span><\/a><span style=\"font-weight: 400;\">, certain <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antihistamines\"><span style=\"font-weight: 400;\">antihistamines<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/muscle-relaxants\"><span style=\"font-weight: 400;\">muscle relaxants<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/opioids\"><span style=\"font-weight: 400;\">opioids<\/span><\/a><span style=\"font-weight: 400;\">, and other <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/sleep-aids-guide\/\"><span style=\"font-weight: 400;\">sleep aids<\/span><\/a><span style=\"font-weight: 400;\"> can all depress the central nervous system, compounding trazodone&rsquo;s sedative effect.&nbsp;<\/span><\/li>\n<li><b>Narrow therapeutic index medications: <\/b><span style=\"font-weight: 400;\">These drugs have a small window between safe and toxic doses like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/digoxin\/what-is\"><span style=\"font-weight: 400;\">digoxin<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phenytoin\/what-is\"><span style=\"font-weight: 400;\">phenytoin<\/span><\/a><span style=\"font-weight: 400;\">. Trazodone may increase the amount of these medications in the body, pushing them past that threshold.&nbsp;<\/span><\/li>\n<li><b>Certain dietary supplements: <\/b><span style=\"font-weight: 400;\">OTC natural products like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/st-johns-wort\/what-is\"><span style=\"font-weight: 400;\">St. John&rsquo;s Wort<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/l-tryptophan\/what-is\"><span style=\"font-weight: 400;\">tryptophan<\/span><\/a><span style=\"font-weight: 400;\"> can both increase the risk of serotonin syndrome when taken alongside trazodone, <\/span><a href=\"https:\/\/www.mayoclinic.org\/drugs-supplements\/trazodone-oral-route\/precautions\/drg-20061280\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">according to the Mayo Clinic<\/span><\/a><span style=\"font-weight: 400;\">.&nbsp;<\/span><\/li>\n<\/ul>\n<h3 id=\"other-precautions\"><span style=\"font-weight: 400;\">Other precautions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Since trazodone can affect the heart, people with pre-existing heart disease or a recent heart attack should speak with their doctor before taking it. <\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a681038.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">MedlinePlus says<\/span><\/a><span style=\"font-weight: 400;\"> people with a history of psychiatric illnesses, suicidal ideation, cerebrovascular disease, or health conditions like seizures, kidney disease, or liver disease should also get medical advice from their healthcare provider if they&rsquo;re considering trazodone.&nbsp;<\/span><\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9803380\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Certain studies<\/span><\/a><span style=\"font-weight: 400;\"> have suggested that trazodone might not increase the risk of miscarriage or birth defects, but there&rsquo;s not enough evidence yet to say it&rsquo;s safe for pregnant or breastfeeding mothers. If possible, people who are pregnant or planning on getting pregnant should avoid it.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Per Dr. Sult&aacute;n, &ldquo;Those with a history of substance abuse might face challenges with trazodone, especially given its sedative properties, which could be potentially misused.&rdquo; Plus, &ldquo;individuals with <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/bipolar-disorder-treatment-and-medications\"><span style=\"font-weight: 400;\">bipolar disorder<\/span><\/a><span style=\"font-weight: 400;\"> may find trazodone less suitable due to the risk of triggering manic episodes, necessitating careful monitoring.&rdquo;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A quick look back at the possible side effects above should discourage anyone from driving or operating heavy machinery while taking it until they can see how it affects them. It can induce drowsiness, lightheadedness, confusion, and impaired coordination, putting drivers at a higher risk of causing an accident.&nbsp;<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>You can thank serotonin if you&rsquo;ve ever felt pure joy around a puppy or lingering contentment on a quiet night. As the brain&rsquo;s &ldquo;feel good&rdquo; chemical, this neurotransmitter regulates moods, promotes calmness and happiness, and improves deep sleep. People who have depression often have low serotonin levels, but they can correct that imbalance with trazodone, [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":627791,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[9777,451,816],"coauthors":[8861],"class_list":["post-627787","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-anxiety","tag-depression","tag-sleep","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How long does it take for trazodone to work? | SingleCare<\/title>\n<meta name=\"description\" content=\"Trazodone is used to treat depression and has off-label uses for anxiety and insomnia. 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