the .gov means it’s official. the site is secure. in this paper, we present the results of a prospective semi-naturalistic study of the addition of trazodone for insomnia to a 4 week, 300mg/day venlafaxine treatment in 50 depressed inpatients.
the study is designated as semi-naturalistic due to the fact that, although the venlafaxine treatment regimen was strictly defined, the timing of the trazodone introduction and the dosage were determined by the clinicians. the indication was based on the persistency of insomnia despite the use of authorized sedative co-medication (zopiclone as a hypnotic, clorazepate as an anxiolytic). although the two groups were not clinically different at study entry, g2 patients showed less improvement than g1 patients during venlafaxine treatment alone, both in terms of insomnia (madrs item 4) and inner tension (madrs item 3). however, inner tension did not improve and the median (interquartile range) was higher on day 28 in g2 patients (g1: 1 (0-2); g2: 2 (1-4); p < 0.05).
signs and symptoms such as nausea, weight gain or sleep problems can be common initially. for some antidepressants, monitoring blood levels may help determine the range of effectiveness and to what extent dosage can be adjusted to help reduce side effects. your symptoms may return, and stopping your antidepressant suddenly may cause withdrawal-like symptoms. if you’re concerned about weight gain, ask your doctor if this is a likely side effect of the antidepressant being prescribed and discuss ways to address this issue. some antidepressants may cause insomnia, making it difficult to get to sleep or stay asleep, so you may be tired during the day. although having more energy can be a good thing, it may mean you can’t relax or sit still even if you want to.
if these develop, talk to your doctor right away because they may be signs of bipolar disorder or another serious disorder. depending on your heart health and the type of antidepressant you take, you may need an electrocardiogram (ecg) before or periodically during treatment. talk with your doctor about your heart health and any heart medications or other medications that you take. however, genetic testing is a part of — not a replacement for — a thorough psychiatric exam and clinical decisions. to provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. if we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. a single copy of these materials may be reprinted for noncommercial personal use only.
thus, trazodone is probably used for patients who develop not only insomnia, but also inner tension/anxiety during venlafaxine treatment. however, it alleviates some antidepressants may cause insomnia, making it difficult to get to sleep or stay asleep, so you may be tired during the day. consider these strategies: take effexor, whose generic name is venlafaxine, can be an effective antidepressant but it may also have the annoying side effect of insomnia,, .
if you have trouble sleeping while taking effexor xr, talk with your doctor. they can recommend ways to reduce this side effect. there is an increased risk of suicidal thoughts and behavior in young people (up to 24 years old) who take antidepressants, including effexor xr. yes, effexor has massive stimulant-like effects and will interfere with your sleep, especially at levels above 150mg where norepinephrine reuptake is however, at least in short-term treatment, many antidepressants with so-called activating effects (e.g. fluoxetine, venlafaxine) may disrupt “i was on effexor 37.5 mg for 2 years. worked wonders! i slowly weaned myself off it 6 months ago with minimal side effects. my anxiety has crept up on me again, .
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