Trazodone (Desyrel)

You have been sent home with a prescription for a pill called trazadone (Desyrel). This pill is to be taken two to three hours before you plan to have sexual relations.

Dosage
You should start off with one half pill (25 mg). If you are able to function at that dose and suffer no untoward side effects, continue at that dose. If it did not work but there were no effects that bothered you, increase the dose another one half pill (total of 50 mg). If it works at that dose, stay at that dose. If that dose does not work but there were no effects that bothered you, increase the dose another one half pill (25 mg). Continue in this fashion, increasing the dose by one half pill (25 mg), until you reach a dose that functions, the side effects become bothersome, or you reach a maximum of three whole pills (150 mg).

The side effects (as with many pills, there are some) that have been the most bothersome to patients in the past are:

  • Cardiac palpitations (a very rapid heart beat)
  • Feeling very sleepy
    This may wear off over time as you become accustomed to the pill, or you may have to take the pill at bedtime and try to make love in the morning. You should be careful not to drink, drive or operate hazardous equipment until the drowsiness wears off.
  • An irregular uncontrollable motion of the lips and tongue, called Tardive Dyskinesia.
    (If this happens it is not reversible and can be unsightly.)