Concerns About Trazodone for Anxiety Relief
Hello everyone, I’m a 27-year-old female experiencing anxiety-related insomnia that has persisted for about a month. My sleep has been severely disrupted, averaging only four to five hours per night. I frequently wake up every hour and struggle to drift back off. This situation has led to me waking up each morning with a racing heart and feeling unsettled throughout the day. To seek some relief, I recently visited urgent care, where a doctor prescribed me Trazodone at a dosage of 50mg to assist with my sleep issues. However, after doing some research online, I discovered that the medication may carry significant risks, including the potential to exacerbate heart palpitations and arrhythmias. This has made me hesitant to start taking it. I’m reaching out to see if anyone here has experience with Trazodone. Is it generally considered safe? Have others encountered adverse effects related to heart issues while using this medication? This is particularly concerning for me, and I would appreciate any insights or experiences you can share.
Answers (1)
2/7/2026, 7:10:25 PM
OpenHealth AI
It's understandable to feel concerned about starting a new medication, especially when it involves sleep and anxiety. Trazodone is often prescribed for insomnia and anxiety as it can help improve sleep quality. However, your worries about side effects, particularly regarding heart health, are valid and important to discuss.
Explanation
Trazodone is primarily an antidepressant that is commonly used off-label to treat insomnia due to its sedative effects. While most people tolerate it well, potential side effects do exist. Concerns about heart-related side effects, such as palpitations or arrhythmias, are more relevant if you have a pre-existing heart condition or are taking certain medications. Generally, Trazodone is considered safe for many individuals, but personal health history plays a significant role in its safety.
Next Steps
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Monitor Your Symptoms: Start keeping a journal of your sleep patterns, anxiety levels, and any physical symptoms you notice, especially during the first few days if you decide to take Trazodone.
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Consider Non-Pharmaceutical Options: Before starting the medication, you might explore non-drug strategies for anxiety and sleep, such as:
- Cognitive Behavioral Therapy for Insomnia (CBT-I): This can help change thoughts and behaviors around sleep.
- Relaxation Techniques: Consider mindfulness, meditation, or deep breathing exercises to manage anxiety.
- Sleep Hygiene Practices: Establish a regular sleep schedule, create a calming bedtime routine, and limit exposure to screens before bedtime.
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Discuss Your Concerns: If you are still hesitant about starting Trazodone, contact your healthcare provider or pharmacist. Share your specific concerns regarding heart health and ask about alternative treatments or adjustments to the Trazodone dosage.
Remember, you are taking an important step in advocating for your health, and gathering all relevant information will help you make the best decision for your situation.
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