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What Is Trazodone? An Overview

A plain-language introduction to trazodone: what it is, what it treats, and how it fits among other antidepressants.

Editorially reviewed
Key points
  • FDA-approved in 1981 for major depressive disorder
  • Belongs to the SARI (serotonin antagonist/reuptake inhibitor) class
  • Now prescribed more often off-label for insomnia than for depression
  • Available only as a generic medication today

Trazodone hydrochloride is a prescription antidepressant, first approved by the FDA in 1981. It belongs to a small class of medications called serotonin antagonists and reuptake inhibitors (SARIs) — a category defined largely by trazodone itself, since it's the most widely prescribed drug in this group.

Trazodone was developed as an alternative to older tricyclic antidepressants, aiming to treat depression with less of the anticholinergic and cardiac burden those older drugs carried. It succeeded on that front, but it turned out to have a strong sedative side effect — which is exactly why, decades later, it's now prescribed far more often off-label for sleep than on-label for depression.

Today, trazodone is available only as a generic medication (the original brand, Desyrel, is no longer marketed), and it's one of the most commonly prescribed medications in the United States overall, spanning both its approved use and its off-label popularity.

Frequently asked questions

Is trazodone the same as an SSRI?
No. SSRIs (like sertraline or fluoxetine) work mainly through serotonin reuptake inhibition. Trazodone combines weaker reuptake inhibition with serotonin receptor blockade and antihistamine activity — a different mechanism (SARI class).

References

  1. Trazodone: MedlinePlus Drug Information. U.S. National Library of Medicine (MedlinePlus). View source (opens in a new tab) Accessed August 8, 2026
  2. Trazodone Hydrochloride Tablets — FDA Prescribing Information. DailyMed / U.S. Food & Drug Administration. View source (opens in a new tab) Accessed August 8, 2026
Not medical advice. This article is educational and does not replace guidance from your prescriber or pharmacist. If you think you're having a serious reaction, see our emergency resources page.

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