Trazodone

Trazodone belongs to the serotonin receptor antagonists and reuptake inhibitors (SARIs), which act as an antidepressant and are used to treat the major depressive disorder. The mode of action of Trazodone is by reclaiming the stability of Serotonin in the brain. It enhances mood, hunger, and stamina, and also it minimizes stress and insomnia.

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Is it safe to switch from Trazadone and Klonopin to Dayvigo or Belsomra for sleeping issues?

Query: Hello doctor, I have been taking 100 mg Trazadone and 2 mg Klonopin for many years for sleep issues. However, my previous doctor retired, and my new doctor wants me to discontinue both these drugs and put me on Dayvigo or Belsomra. Both of these drugs seem new to the market to me. Do you prefer Traz...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to icliniq.com. Trazodone and Klonopin are both good drugs for insomnia. However, Klonopin carries a risk of tolerance, and I think this is the probable reason the new doctor wants to change medicines. But if you were sleeping good with these drugs, I do not think that it is a good ...  Read Full »

I have a hard ball-like lesion on my skin. Please help.

Query: Hello doctor, For the last seven years, I have very hard round white balls type lesions on my skin. They spread and the area will not heal until the ball is extracted. It has ruined my face. I used to get regular acne whole of my life till about seven years ago. There used to be some cystic acne, bu...  Read Full »


Dr. Chaitra. P

Answer: Hi, Welcome to icliniq.com. You seem to have a¬†nodulocystic type of acne. Kindly provide more details of your treatment taken previously, especially of Accutane (Isotretinoin) and the duration. Revert back with the details to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/...  Read Full »

How to overcome insomnia?

Query: Hi doctor, I am suffering from insomnia for the past one year. I do get sleep, but around 1 or 2 AM, I used wake up and unable to sleep again. I am 30 years old. I am a married female and have a kid aged 3 years. I am a dentist and now, I am in stem cell research. I do not have any other health prob...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hi, Welcome to icliniq.com. You have late insomnia. If there is any associated anxiety or depression, then that should be evaluated properly. Kindly visit a psychiatrist in person. For insomnia, drugs like Amitriptyline or Mirtazapine or Trazodone can be used. These are antidepressant drugs, but ha...  Read Full »

Should I be concerned about a positive yeast infection?

Query: Hi doctor, A few months ago, I was seen at the ER. Several days later, I received a call from the ER department and they informed me that my blood tested positive for yeast and suggested a follow up with my MD. I did the follow up and my MD said it is normal and there is no treatment. I am having so...  Read Full »


Dr. Bharat Patodiya

Answer: Hi, Welcome to icliniq.com. I understand your anxiety. Since the blood culture was a few months back and you had a symptom free period, I do not think that the present symptoms are due to previous bloodstream infection. Bloodstream fungal culture could have been a contamination because fungemia pati...  Read Full »

Is insomnia a permanent side effect of Prednisone?

Query: Hello doctor, I had been taking Trazodone 400 mg and Luvox for depression. My doctor prescribed Prednisone 10 mg two tablets daily for 10 days for a cough. However, since taking Prednisone, my insomnia had worsened dramatically. I stopped taking Prednisone after 10 days, but my insomnia had not imp...  Read Full »


Dr. Ramchandra Lamba

Answer: Hello, Welcome to icliniq.com. It is a well-known fact that Prednisone causes insomnia, but it is not permanent. It may take a few days to return to a normal sleep pattern as the sleep cycle is disturbed. Try to follow good sleep hygiene. If still unable to sleep after a few days then sleep promot...  Read Full »

Can I take Trazodone and Viagra together for erectile dysfunction?

Query: Hello doctor, I suffer from psychogenic erectile dysfunction, and I take Fluoxetine for depression from the past 11 years. Recently, I took Trazodone for this problem, but I had to wean myself off Fluoxetine completely. I took Trazodone for two weeks, and I started getting full erections, but my dep...  Read Full »


Dr. Shahil Khant

Answer: Hello, Welcome to icliniq.com. I have gone through your history. Based on your history, your erectile dysfunction is due to side effects of Fluoxetine. Erection problem can be psychological or organic (problem with blood supply of the penis) or drug-induced. Cialis (Tadalafil) will help if you have ...  Read Full »

Does Prozac insomnia go away?

Query: Hello doctor, I am a medical graduate having trouble in sleeping. My psychiatrist told it is a panic disorder. First she gave me Escitalopram 10 mg for which I got akathisia, severe irritability and sleeplessness got aggravated. She later changed it to Fludac 20 mg in the morning at 8 AM. I did not ...  Read Full »


Dr. Saraswat Kumarshri Shriniwas

Answer: Hello, Welcome to icliniq.com. Fluoxetine is known to cause significant insomnia in many patients as it is an activating drug. Even if it is taken early morning, it can still cause insomnia, particularly in the initial few days or weeks. My advice would be if you are doing well on Fluoxetine, apart ...  Read Full »

Can Trazodone cause serotonin syndrome?

Query: Hello doctor, I weaned off of 40 mg of Paroxetine very slowly but my sleep was impacted and as of two months, I have been suffering from extreme insomnia. I have gone back to medication and I am currently on 20 mg of Paroxetine and 10 mg of Fluoxetine, but my insomnia has continued. I was prescribe...  Read Full »


Dr. Akanksha Sharma

Answer: Hello, Welcome to icliniq.com. Serotonin syndrome is an acute emergency case, rarely seen in common practice. At least not when you have already been taking 40 mg of Paroxetine for years. Also, Trazodone is a safer and better sleep-inducing agent when it comes to being used for sleep. As per my ...  Read Full »

My OCT shows nerve fiber and ganglion cell thinning. Do I have angle-closure glaucoma?

Query: Hello doctor,I concern that I have angle-closure glaucoma. I took a strong sleeping pill called Trazodone one night and woke up with a decreased vision in the right eye. My left eye became bad three weeks later. It has now been three months with no improvement. Fundus and other clinical examinations...  Read Full »


Dr. Vaibhev Mittal

Answer: Hello, Welcome to icliniq.com. I reviewed your reports with patience. OCT (optical coherence tomography) of optic nerve head is normal. Your vision, color vision, visual field, and intraocular pressure are normal. I do not think you have any glaucoma. Please feel free to ask your queries.   Read Full »

Is sleep disturbance a side effect of Fluoxetine?

Query: Hi doctor, I am very sad, and I am surrounded by negative thoughts and anxiety. I have taken Fluoxetine (Fludac 20) for 6 weeks. Now I am fine, but I wake up early in the morning around 3.30 AM. Hence having disturbed sleep in the morning. My doctor changed medicine to Flunil 40. I think this dose ...  Read Full »


Dr. Saraswat Kumarshri Shriniwas

Answer: Hello, Welcome to icliniq.com. Fluoxetine is known to cause significant insomnia in many patients as it is an activating drug. Being an selective serotonin reuptake inhibitor (SSRI) Fluoxetine causes sexual dysfunction. Both these side effects can be treated by taking tablet Trazodone (brand name...  Read Full »

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