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Trazodone by Pro Doc
How does this medication work? What will it do for me?
Trazodone belongs to the class of medications called antidepressants. It is used to treat symptoms of depression. It works by affecting the balance of chemicals in the brain that are associated with depression. It may take up to 4 weeks before the full beneficial effects of this medication are seen.
What form(s) does this medication come in?
Each round, biconvex, pale orange, scored tablet marked "PRO" over "T50" on one side contains 50 mg of trazodone. Nonmedicinal ingredients: FD&C Yellow No. 6 aluminum Lake, pregelatinized starch, microcrystalline cellulose, colloidal silicon dioxide, sodium starch glycolate, sodium lauryl sulphate, and magnesium stearate.
Each round, biconvex, white-to-cream, tablet inscribed "PRO" above "T100" on one side contains 100 mg of trazodone. Nonmedicinal ingredients: pregelatinized starch, microcrystalline cellulose, colloidal silicon dioxide, sodium starch glycolate, sodium lauryl sulphate, and magnesium stearate.
150 mg D-Tab
Each compressed rectangular, flat, bevelled-edged, pale orange, scored tablet marked "50" over "25" over "25" over "50" on one side contains 150 mg of trazodone. Nonmedicinal ingredients: FD&C Yellow No. 6 Aluminum Lake, pregelatinized starch, microcrystalline cellulose, colloidal silicon dioxide, sodium starch glycolate, sodium lauryl sulphate, and magnesium stearate.
How should I use this medication?
The recommended adult dose of trazodone ranges from 150 mg to 300 mg daily, taken in 2 or 3 divided doses with a meal or light snack.
The dose is usually started at 150 mg to 200 mg daily and increased gradually until the best dose is found.
Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important that this medication be taken exactly as prescribed by your doctor. If you miss a dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.
Who should NOT take this medication?
Do not take this medication if you are allergic to trazodone or any ingredients of the medication.
What side effects are possible with this medication?
- back pain
- changed sense of taste
- decreased appetite
- decreased sexual desire or ability
- dizziness or lightheadedness
- dry mouth
- feeling jittery
- sore throat
- unpleasant taste
Although most of these side effects listed below don’t happen very often, they could lead to serious problems if you do not seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
- blurred vision
- breast enlargement (in men)
- breast leakage of milk (in women, even if not pregnant)
- changes in menstrual cycle
- dizziness when rising from sitting or lying position
- hot flashes
- inability to urinate
- memory problems
- muscle stiffness
- new or worsened emotional problems
- painful menstrual periods
- rapid, pounding heartbeat
- ringing in the ears
- signs of clotting problems (e.g., unusual nosebleeds, bruising, blood in urine, coughing blood, bleeding gums, cuts that don’t stop bleeding)
- symptoms of high blood sugar (e.g., frequent urination, increased thirst, excessive eating, unexplained weight loss, poor wound healing, infections, fruity breath odour)
- symptoms of low sodium levels in the blood (e.g., achy, stiff or uncoordinated muscles, confusion, tiredness, weakness)
- symptoms of mania (e.g., elevated or irritable mood, reduced need for sleep, racing thoughts)
- tingling symptoms
- uncontrolled movements
- vision changes
Stop taking the medication and seek immediate medical attention if any of the following occur:
- painful, prolonged erection of the penis (lasting more than 4 hours)
- symptoms of a serious allergic reaction (swelling of the face or throat, difficulty breathing, wheezing, or itchy skin rash)
- symptoms of serotonin syndrome (e.g., confusion, fast heartbeat, hallucinations, restlessness, shaking, shivering, sudden jerking of muscles, sweating)
- thoughts of self-harm or suicide
Are there any other precautions or warnings for this medication?
Behaviour changes and suicidal thoughts: This medication may worsen symptoms of depression, including thoughts of suicide or wanting to harm themselves or others. It may also cause agitated or aggressive behaviour. If you experience these symptoms or any other behaviour change while taking this medication, contact your doctor immediately. Family members or caregivers of people who are taking this medication should contact the person’s doctor immediately if they notice unusual behaviour changes.
Bleeding: Trazodone may cause a reduced number of platelets in the blood, which can make it difficult to stop cuts from bleeding. If you notice any signs of bleeding, such as frequent nosebleeds, unexplained bruising, or black and tarry stools, notify your doctor as soon as possible. Your doctor will order routine blood tests to make sure potential problems are caught early.
Glaucoma: Trazodone may worsen symptoms of glaucoma (increased pressure in the eyes), such as blurred vision or eye pain or pressure. If you have glaucoma, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Heart rhythm: Trazodone can cause changes to the normal rhythm of the heart, including an irregular heartbeat called QT prolongation. QT prolongation is a serious life-threatening condition that can cause fainting, seizures, and sudden death. If you are at risk for heart rhythm problems (e.g., people with heart failure, angina, low potassium or magnesium levels), discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Blood pressure: Trazodone may cause low blood pressure and possibly cause a feeling of lightheadedness when moving from a sitting or lying position to a standing position.
Dizziness: Trazodone can cause severe dizziness, especially when rising from a sitting or lying position. People taking medications that can cause dizziness should rise slowly from sitting or lying down to reduce the possibility of severe dizziness or fainting.
Drowsiness/reduced alertness: Trazodone may impair the mental or physical abilities required for potentially hazardous tasks, such as driving or operating machinery. Avoid driving, operating machinery, or performing other hazardous tasks until you have determined how this medication affects you.
Priapism: Trazodone has been associated with prolonged or inappropriate erections (priapism) for a number of men taking this medication. If this occurs, stop taking the medication immediately and contact your doctor.
Seizures: Seizures have been reported for a small number of people taking trazodone. Most of these people were already taking medications for a previously diagnosed seizure disorder. If you have a history of seizures, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Serotonin syndrome: Rarely, severe, life-threatening reactions are possible when trazodone is combined with other medications that act on serotonin, such as tricyclic antidepressants and serotonin reuptake inhibitors, which are other medications used to treat depression. This is called serotonin syndrome. These combinations should be avoided. Symptoms of a reaction may include muscle rigidity and spasms, difficulty moving, changes in mental state including delirium and agitation. Coma and death are possible.
Stopping the medication: If this medication needs to be stopped, it should be done gradually, under the supervision of your doctor. Suddenly stopping trazodone can cause anxiety, agitation or sleep problems.
Pregnancy: The safety of trazodone for use during pregnancy has not been established. It should not be used by women who may become pregnant unless, in the opinion of their doctor, the expected benefits outweigh the potential risks. If you are or may be pregnant, talk to your doctor about the risks and benefits of this medication.
Breast-feeding: It is not known if trazodone passes into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children and adolescents: The safety and effectiveness of trazodone have not been established for people less than 18 years of age.
Seniors: People over the age of 65 years may be more at risk of side effects from this medication and may require lower treatment doses.
What other drugs could interact with this medication?
There may be an interaction between trazodone and any of the following:
- abiraterone acetate
- antiarrhythmic medications (e.g., amiodarone, sotalol, quinidine, flecainide)
- amphetamines (e.g., dextroamphetamine, lisdexamphetamine)
- antipsychotics (e.g., chlorpromazine, clozapine, haloperidol, olanzapine, quetiapine, risperidone)
- "azole" antifungals (e.g., itraconazole, ketoconazole, posaconazole, voriconazole)
- calcium channel blockers (e.g., amlodipine, diltiazem, nifedipine, verapamil)
- diuretics (water pills; e.g., furosemide, hydrochlorothiazide)
- ergotamine-like medications (e.g., dihydroergoatime, ergotamine, methylergonovine)
- grapefruit juice
- hepatitis C protease inhibitors (e.g., boceprevir, simeprevir, telaprevir)
- HIV non-nucleoside reverse transcriptase inhibitors (NNRTIs; e.g., delavirdine, efavirenz, etravirine, nevirapine)
- HIV protease inhibitors (e.g., atazanavir, indinavir, ritonavir, saquinavir)
- macrolide antibiotics (e.g., clarithromycin, erythromycin)
- monoamine oxidase inhibitors (MAOIs; e.g., , moclobemide, phenelzine, selegiline, tranylcypromine)
- opioid pain medications (e.g., codeine, morphine)
- protein kinase inhbitors (e.g., dasatinib, imatinib, lapatinib, pazopanib, sunitinib)
- quinolone antibiotics (e.g., ciprofloxacin, levofloxacin, moxifloxacin)
- St. John’s wort
- selective serotonin reuptake inhibitors (SSRIs; e.g., citalopram, fluoxetine, paroxetine, sertraline)
- serotonin antagonists (anti-emetic medications; e.g., granisetron, ondansetron)
- serotonin/norepinephrine reuptake inhibitors (SNRIs; e.g., desvenlafaxine, duloxetine, venlafaxine)
- tricyclic antidepressants (e.g., amitriptyline, desipramine, trimipramine)
- "triptan" migraine medications (e.g., sumatriptan, zolmitriptan)
- stop taking one of the medications,
- change one of the medications to another,
- change how you are taking one or both of the medications, or
- leave everything as is.
All material copyright MediResource Inc. 1996 – 2021. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/Trazodone-by-Pro-Doc