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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On 100mg Trazadone For Insomnia. History Of Frequent Alcohol Intake. Giving Up Alcohol For Intake Of Trazadone Recommended?

Hello. I'm not a big drinker, I drink 2-3 bottles of beer a week or a glass of wine some times at dinner, or once in a while a mixed drink like gin & tonic. I never have more than one glass. I started 100mg of Trazadone tonight and the information about occasional use of alcohol is mixed. My father just died and I've been suffering crippling insomnia, so happy to try Trazadone but do I have to give up alcohol completely?
Wed, 4 Sep 2013
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Psychiatrist 's  Response
thank you for your query. I'm sorry about your father. It appears that you are in a grief reaction, in which insomnia is common. Under normal circumstances, it will pass off in a few weeks. Your alcohol intake also does not appear to be pathological at the moment.
Trazodone is a Serotonin Antagonist Reuptake Inhibitor (SARI), a class of antidepressants. At lower doses, it also acts as a sedative agent. there is no major cross reaction with alcohol, but since both are Central Nervous System depressants and have sedative properties, each tend to potentiate the effect of other, which may not be a good thing.
If a patient comes to me with your complaints, I would suggest him not to worry at the moment. I would advice him to take low dose trazodone for sleep disturbances on SOS (when required basis, not everyday). Also, I would request him to cut down on his drinking (if possible to maintain abstinence) at the moment, as in grief/ bereavement, one tends to lose control over one's drinking. And I would ask him to come for a follow up after two weeks.
If the insomnia persists for more than two weeks, i would suggest you to visit your psychiatrist for further actions.
Hope I've been able to satisfy your query. Please don't hesitate to contact me for further clarifications if needed.

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General & Family Physician Dr. Veera Raghava Rao Buddha.'s  Response
Hi, trazadone is prescribed to you only to treat some emotions of the depression , so dont think about it , just take it that's all. It is not given to let you sleep comfertably, but live comfertably. Ask your doctor and stop it when your doctor says. You can take alcohol along with it . Thank you.
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Psychiatrist Dr. Payman Hajiazim's  Response
Hi there,thanks for asking. Since trazodone cause you to become drowsy duirng the day especially in the first days of taking, it is better not to drink or cut down the amount of drinking. Best.
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On 100mg Trazadone For Insomnia. History Of Frequent Alcohol Intake. Giving Up Alcohol For Intake Of Trazadone Recommended?

thank you for your query. I m sorry about your father. It appears that you are in a grief reaction, in which insomnia is common. Under normal circumstances, it will pass off in a few weeks. Your alcohol intake also does not appear to be pathological at the moment. Trazodone is a Serotonin Antagonist Reuptake Inhibitor (SARI), a class of antidepressants. At lower doses, it also acts as a sedative agent. there is no major cross reaction with alcohol, but since both are Central Nervous System depressants and have sedative properties, each tend to potentiate the effect of other, which may not be a good thing. If a patient comes to me with your complaints, I would suggest him not to worry at the moment. I would advice him to take low dose trazodone for sleep disturbances on SOS (when required basis, not everyday). Also, I would request him to cut down on his drinking (if possible to maintain abstinence) at the moment, as in grief/ bereavement, one tends to lose control over one s drinking. And I would ask him to come for a follow up after two weeks. If the insomnia persists for more than two weeks, i would suggest you to visit your psychiatrist for further actions. Hope I ve been able to satisfy your query. Please don t hesitate to contact me for further clarifications if needed.