
Contrave is a weight-loss drug that has helped many people, but some also struggle with it due to its side effects, which include insomnia. Trazodone, on the other hand, is an antidepressant that is often prescribed as a sleep aid for adults. It is generally safe for short-term use, but it is not recommended for children as it has been linked to an increased risk of suicidal thoughts and behaviours in this age group. While there is limited research on the long-term safety of trazodone for sleep, it has been one of the most widely prescribed sleep aids in the United States. It is important to consult a healthcare professional before taking any medication, including Contrave and trazodone, as they can advise on potential side effects and interactions with other substances or medications.
| Characteristics | Values |
|---|---|
| Can I take Contrave and Trazodone together for sleep in the evening? | There is a possibility of serotonin syndrome if Contrave and Trazodone are taken together. However, some people have taken this combination without any adverse effects. |
| Contrave | Contrave is a weight-loss drug that has helped many people, but some have also struggled with it. It has been evaluated in thousands of people in clinical studies and is generally safe. However, it should not be taken if you have uncontrolled high blood pressure, seizures, an eating disorder, or are dependent on opioid pain medications, among other contraindications. |
| Trazodone | Trazodone is generally safe for adults to take for sleep, but there is limited safety data for children. It is not officially approved for sleep but has been prescribed as a sleep aid since the 1980s. It is typically prescribed for short-term sleep issues (less than one month) and has been shown to lengthen total sleep time without causing daytime drowsiness. |
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What You'll Learn
- Trazodone is a widely-used sleep aid, but it's not approved for this use
- Trazodone is approved as an antidepressant, but lower doses help with sleep
- Contrave is a weight-loss drug, but it can cause insomnia
- Contrave may cause serotonin syndrome if taken with Trazodone
- Consult a doctor before taking Contrave or Trazodone with other medications

Trazodone is a widely-used sleep aid, but it's not approved for this use
Contrave (naltrexone HCL/bupropion HCL) is a prescription medicine approved by the FDA to help manage weight in adults with obesity and weight-related medical problems. It is not advisable to take Contrave if you have uncontrolled high blood pressure, a history of seizures, or are dependent on opioid pain medications. Common side effects of Contrave include nausea, constipation, headache, and insomnia, among others.
Trazodone is a medication approved for treating depression. It has been prescribed off-label as a sleep aid since the 1980s, especially for insomnia and sleep apnea. While trazodone is generally safe for adults experiencing short-term sleep issues, it is not recommended for children due to an increased risk of suicidal thoughts and behaviours. The American Academy of Sleep Medicine does not recommend trazodone as a first-line treatment for insomnia.
Trazodone has been shown to improve sleep quality and duration, even at low doses between 25 mg and 100 mg. It is one of the most commonly prescribed medications for chronic insomnia, despite limited data on its efficacy and side effects for this purpose. Trazodone's side effects are relatively mild and include daytime sleepiness, headache, and orthostatic hypotension.
While trazodone can be effective in improving sleep, it is important to consult a healthcare professional before taking it, especially if you are already taking other medications or have existing medical conditions.
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Trazodone is approved as an antidepressant, but lower doses help with sleep
Contrave (naltrexone HCL/bupropion HCL) is not recommended for people who consume large amounts of alcohol, or use sedatives, benzodiazepines, or anti-seizure medications. It is also not recommended for those with uncontrolled high blood pressure, a history of seizures, or eating disorders.
Trazodone is approved by the FDA as an antidepressant in adults. However, it has been prescribed off-label as a sleep aid since the 1980s. Off-label use of a medication is common, with a 2023 review finding that up to 1 in 3 medications are prescribed off-label in the United States.
Trazodone has moderate antihistamine and low anticholinergic activity. The main pharmacological action of trazodone is the blockade of the serotonin 5-HT2A receptor. Increasing the dose causes antagonism on histamine H1 and α1-adrenergic receptors. The blocking of these receptors is thought to produce the hypnotic effect reported for low doses of trazodone (25-100mg). At these doses, trazodone helps people fall asleep and stay asleep without causing daytime drowsiness or tolerance, mainly because of its short half-life (3-6 hours). For the medication's antidepressant effects to be effective, simultaneous blocking of 5-HT2A and SERT is required, which occurs at higher doses (150-600mg).
While trazodone is generally safe for adults to take for sleep, it still has risks. It has been issued a "Black Box Warning" by the FDA as it has increased the risk of suicidal thoughts and behaviours in children and young adults. Trazodone may also cause a serious condition called serotonin syndrome if taken with certain medications, such as buspirone, fentanyl, or lithium. It is important to consult with a healthcare professional before taking trazodone, as they will need to consider factors such as age, existing conditions, and other medications.
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Contrave is a weight-loss drug, but it can cause insomnia
Contrave, a weight-loss drug, has been clinically evaluated for safety and is effective in aiding weight loss. However, it can also cause insomnia, which is characterised by difficulty falling asleep, difficulty staying asleep, or waking up too early. Insomnia is associated with significant impairments in daytime activities, despite adequate opportunities for sleep. Contrave has been linked to insomnia in some users, as trouble sleeping is one of its most common side effects.
Trazodone, on the other hand, is an antidepressant that has been widely prescribed off-label as a sleep aid for insomnia. It is generally safe for adults to take trazodone for sleep, but it is not recommended for children due to a lack of safety data. Trazodone has been shown to help people fall asleep and stay asleep, even at low doses of 25 to 100 mg. It induces sleep without causing daytime drowsiness or tolerance due to its short half-life.
While there is limited research on the long-term safety of trazodone for sleep, it is typically prescribed for short-term sleeping issues (less than one month). It is important to consult a healthcare professional before taking any medication, including trazodone, as they will consider factors such as your age, medical history, and other medications you may be taking.
Some individuals have reported taking trazodone with Contrave without experiencing adverse effects, while others have mentioned experiencing vivid dreams. It is crucial to consult a doctor or healthcare provider before combining any medications to ensure safety and avoid potential drug interactions.
Additionally, it is important to note that Contrave may not be suitable for individuals with certain medical conditions or those taking specific medications. For example, it is not recommended for those with uncontrolled high blood pressure, a history of seizures, or an eating disorder such as anorexia or bulimia.
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Contrave may cause serotonin syndrome if taken with Trazodone
Contrave and Trazodone are two medications that can have dangerous consequences if taken together. Contrave is a weight-loss medication that combines two drugs: naltrexone and bupropion. Bupropion, an antidepressant, may increase the blood levels of trazodone, an antidepressant medication used to treat insomnia. This combination may increase the risk and severity of side effects, including serotonin syndrome.
Serotonin syndrome is a rare but serious condition that can occur when taking certain medications together, such as trazodone and Contrave. It is caused by an increase in serotonin levels in the brain. Symptoms of serotonin syndrome include confusion, hallucinations, seizures, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasms, stomach cramps, nausea, vomiting, and diarrhea. In severe cases, serotonin syndrome can lead to a coma or even death.
The risk of developing serotonin syndrome may be higher if you are elderly, undergoing alcohol or drug withdrawal, have a history of seizures, or have a condition affecting the central nervous system, such as a brain tumor or head trauma. It is important to discuss any medications you are taking with your doctor and to be aware of the potential side effects and interactions.
Trazodone is often prescribed off-label as a short-term sleep aid, typically at a lower dose than when used as an antidepressant. While generally safe for adults, trazodone should be used with caution as it can cause side effects such as dizziness, drowsiness, and difficulty concentrating. It may also interact with other medications and increase the risk of seizures.
If you are considering taking Contrave and trazodone together, it is crucial to consult your doctor first. They may be able to prescribe alternatives that do not interact or adjust your dosage to minimize the risk of side effects.
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Consult a doctor before taking Contrave or Trazodone with other medications
It is important to consult a doctor before taking Contrave or Trazodone with other medications. Both Contrave and Trazodone can have significant side effects and interactions with other substances.
Contrave (naltrexone HCl/bupropion HCl) is a prescription weight loss drug. It is not suitable for those with certain conditions, such as high blood pressure, a history of seizures, eating disorders, or opioid dependence. Contrave may also interact with other medications, including certain antidepressants and anti-seizure medications. It is important to disclose all medications and supplements you are taking to your doctor or pharmacist before starting Contrave.
Trazodone is an antidepressant that is often prescribed off-label as a short-term sleep aid, particularly for insomnia. While it is generally safe for adults, it should be used with caution and only under medical supervision. Trazodone interacts with other medications, and certain health conditions may impact its suitability. For example, it may cause serotonin syndrome when combined with Contrave. It is important to discuss any other medications or supplements you are taking with your doctor or pharmacist before starting Trazodone.
Additionally, both Contrave and Trazodone can cause side effects, and these may be exacerbated when combined with other substances. Common side effects of Contrave include nausea, constipation, headache, vomiting, dizziness, insomnia, dry mouth, and diarrhea. Trazodone, particularly at higher doses, may cause daytime drowsiness and tolerance. It is important to be aware of these potential side effects and to consult a doctor if you experience any adverse reactions.
In conclusion, while Contrave and Trazodone can be effective medications when used appropriately, it is crucial to consult a doctor before taking them, especially in combination with other substances. Disclosure of your full medical history and current medications is essential to ensure safe and effective use.
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Frequently asked questions
While there are reports of people taking Contrave and Trazodone together, it is not recommended as there is a possibility of serotonin syndrome. It is advised to consult a doctor before taking any medication.
Trazodone is a drug approved by the Food and Drug Administration (FDA) for treating depression. However, it has been prescribed off-label as a sleep aid since the 1980s. It is generally safe for adults to take for short-term sleep issues.
The most common side effects of Contrave include nausea, constipation, headache, vomiting, dizziness, insomnia, dry mouth, and diarrhea. It is not recommended for people with uncontrolled high blood pressure, a history of seizures, eating disorders, or those dependent on opioid pain medications.










































