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Less common

Vivid or unusual dreams

Some people using trazodone for sleep report more vivid or unusual dreams, likely related to its effect on sleep architecture.

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Key points
  • Related to trazodone's effect on sleep architecture
  • Persistent nightmares warrant a conversation with your prescriber

Because trazodone affects serotonin receptors involved in sleep regulation, some users notice more vivid dreams or altered dream recall, particularly when it is used for insomnia. This is generally not harmful, but persistent nightmares or distressing dreams should be discussed with a prescriber.

Not medical advice. This page describes general patterns reported for trazodone and does not replace individualized guidance from your prescriber or pharmacist.

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