Atypical antidepressant / serotonin modulator
Trazodone after 60: doses and safety in older adults
Older adults metabolise medications differently, accumulate more comorbidities and take more concomitant drugs than younger users — all of which affect how Trazodone (Trazodone) should be prescribed and used after age 60. The standard 50mg, 100mg, 150mg, 300mg starting strengths are usually adjusted, and the safety priorities shift.
Dose adjustments after 60
According to the prescribing information, most adults over 65 start Trazodone at the lowest available strength of 50mg, 100mg, 150mg, 300mg and titrate up only with clear benefit and good tolerance. Reduced renal and hepatic function in older age slows clearance of Trazodone and prolongs effects. Caution is greater in the very old (>75).
Specific risks to consider
Falls, postural hypotension, confusion and interaction with cardiovascular medications are the main amplified risks for Trazodone after 60. Trazodone is classified as a serotonin antagonist and reuptake inhibitor (SARI). A standing blood pressure check after the first weeks of therapy is a simple, useful precaution.
Frequently asked questions
Is Trazodone safe at 70 or 80? ▾
For many older adults, Trazodone can be used safely at the lowest 50mg, 100mg, 150mg, 300mg dose with monitoring. Comorbid heart disease, kidney impairment, polypharmacy or recent falls are reasons for extra caution and lower starting doses. The prescriber individualises the decision.
Does Trazodone interact with common elderly medications? ▾
Yes — Trazodone can interact with antihypertensives, nitrates, certain antidepressants and a number of cardiac medications often prescribed in older adults. According to the prescribing information for Trazodone, the full medication list should be reviewed with the prescriber before starting and at any change.
Products containing Trazodone
More on Trazodone
- With alcoholTrazodone and alcohol — is it safe to drink?
- With foodShould Trazodone be taken with food?
- Side effectsTrazodone side effects: common, rare and warning signs
- Dosage guideTrazodone dosage guide: how much to take and when
- OnsetHow fast does Trazodone start working?
- DurationHow long does Trazodone last?
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.