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yeliaB

4 posts

Southeast US

Hi, I'm yeliaB

April 10, 2026ยทยท
In 2006, I acquired a postoperative hypoxic brain injury. While there was a fair bit of temporary fallout from this, one permanent problem has been my sleep, with me consistently getting no more than a few hours of light sleep every night. No deep sleep. No REM sleep. Not exactly sustainable. For several years, I went to a series of specialists who all prescribed a variety of drugs they claimed would fix all my sleep problems. None did. I did, however, have several years of symptoms from discontinuing one drug so I could start another one. There was one in particular (can't recall which) that left me feeling a strong urge to scream every waking moment for several months. I finally ended up in front of a neuropsychiatrist who--amazingly enough--claimed they'd be able to fix all my sleep problems. He prescribed 200mg of Trazodone before bed and sent me on my way. We quickly discovered that 200mg was way too much for me, as taking it even a few minutes before being horizontal in bed put me at risk of face-planting on my bathroom floor. We went down to 150mg and stayed there for a few months before again dropping it to 100mg. This was in 2013, and I've been taking Trazodone ever since. Then I accidentally missed a dose. I tossed and turned all night long, unable to sleep. It wasn't a terrible experience, but I could tell that I had to make sure that I always took my two 50mg tablets. One night, despite all my precautions, I missed another night. This time, for whatever reason, while I didn't sleep well, I did sleep a bit. This made me wonder if I still needed it, so I intentionally skipped the next night's dose, too. Bad idea! It was genuinely terrifying. I won't go into the details, but suffice it to say that there was no way I was going to keep taking something that had such a deathgrip over me. And so I started a taper, on my own, by splitting tablets. I was able to go from 100mg to 50mg in quarter-tablet steps, once a month. It was a bit rough initially, but by the time the next month came around, I felt okay. I tried using the same quarter-tablet reduction on my remaining 50mg dosage, but my symptoms got worse and worse. Eventually, I was in such agony that I went back up to 100mg, stayed there a while until my symptoms subsided, and then redid the taper back down to 50mg, where I've been ever since (2018, maybe?) But I still wasn't okay taking something that could inflict such misery on me, so I studied tapering, visited various community sites, read research papers, and bought my own copy of the Maudsley Deprescribing Guidelines (which was useful for general tapering knowledge, but not so much as far as tapering Trazodone). As 2025 was coming to an end, I planned my strategy, got all the necessary equipment, and used it to try a 0% taper in January of 2026. Since taking my "tapered" 50mg capsules felt just like all my nights taking a 50mg tablet, I felt confident enough to try a 10% taper for February. And another 10% for March. I also tapered by 10% for April, which means my current dosage is 36.45mg. With each taper, it takes a couple of nights at the lower dose before I start to feel it, and, so far, about two weeks before the symptoms subside back to something I'd call "normal". And that's where I'm currently at. If I can sustain a 10% monthly taper, it'll take me at least 3 years before I even start thinking about when to take the final step down to zero. If anyone has any questions, comments, or concerns, feel free to send 'em my way, and I'll respond as best I'm able.

Trazodone since 2013 (tapering) - current dose: 36.45 mg

7 Replies

Jules
JulesStaff5mo ago
Community Anchor
Hi yeliaB, and welcome to the community. 200 mg of Trazodone is a lot! It's no wonder you were worried about face planting on your bathroom floor! You've done great job of getting down to 36.45 mg from 200 initially. Feel free to check out our resource section for all kinds of helpful info. And check out this article about tapering off Trazodone, it could be helpful to you: https://taper.community/drugs/trazodone Let us know how we can help ๐Ÿ™‚
Catina
โญ
Catina5mo ago
Community AnchorEffexor
"In 2006, I acquired a postoperative hypoxic brain injury. While there was a fair bit of temporary fallout from this, one permanent problem has been my sleep, with me consistently getting no more than a few hours of light sleep every night. No deep sleep. No REM sleep." โ€” @yeliaB
Hi YeliaB, and welcome to Taper Community! I'm sorry to hear about your brain injury and lack of sleep. That's difficult to deal with. Have you recovered from the injury other than the sleep issue? I'm also on Trazodone, and it's one of the go-to drugs that people are put on for insomnia. I was polydrugged with it when I couldn't sleep after starting Cymbalta. I've been stuck on it ever since, although I was able to get down to 50 mg from 150 mg. I'm stuck on it until I can taper off Effexor. Thanks for sharing your experiences. It's good you've done your own research. Knowledge is power. I'm happy that you've been able to reduce and are finding your groove as far as your taper goes. Feel free to use the Taper Tracker to log your reductions and symptoms. We're glad to have you here and look forward to supporting you as you taper off the Trazodone. Catina โค๏ธ

Venlafaxine (tapering) - Current dose 17.92 mg
Trazodone - 50 mg
Levothyroxine - 25 mcg

โ€œYour brain and body know how to heal. Trust the process and keep going.โ€

Please Note: I am not a healthcare professional. Any advice given is based on personal experience and that of others in the lay withdrawal community.

yeliaB
yeliaB5mo ago
Welcomer
Thanks for the welcome, Jules and Catina! That Trazodone tapering article looks like a handy resource; good to have around! It's hard to describe my post-injury recovery, but if I said I was 100% pre-injury, I was, at most, 50% immediately afterwards. In the twenty years of self-directed healing since then, I'd say I'm probably at 85% or so. But that doesn't tell the whole story, as I like the current me much better than the pre-injury me. Catina, may your Effexor taper go well. Hopefully, I'll be able to be a resource for you when it's time for your Trazodone taper!

Trazodone since 2013 (tapering) - current dose: 36.45 mg

Catina
โญ
Catina5mo ago
Community AnchorEffexor
"I'm probably at 85% or so. But that doesn't tell the whole story, as I like the current me much better than the pre-injury me." โ€” @yeliaB
I'm glad to hear that you've had some nice improvements on your journey to healing along with liking yourself a bit better - that's an added bonus!
"Catina, may your Effexor taper go well. Hopefully, I'll be able to be a resource for you when it's time for your Trazodone taper!" โ€” @yeliaB
Thank you, I appreciate that very much! ๐Ÿ™‚

Venlafaxine (tapering) - Current dose 17.92 mg
Trazodone - 50 mg
Levothyroxine - 25 mcg

โ€œYour brain and body know how to heal. Trust the process and keep going.โ€

Please Note: I am not a healthcare professional. Any advice given is based on personal experience and that of others in the lay withdrawal community.

J
Jo5mo ago
NavigatorSeroquel ยท active
Just a quick reflection, YeliaB. One of the things you have on your side is a good attitude. As far as sleep goes my own experience is maybe helpful. Getting off quetiapine has disrupted my sleep. So I made a point of getting sun in my eyes and on my skin every morning and every evening as close to sunrise or sunset as possible. It resets my clock and my sleep cycle is much more stable now. I also learned how to practice breath work. It's easy of course since you're breathing anyway! But doing it with intent and control can make you feel very sleepy, or it can calm your vagus nerve, reduce anxiety, perk you up, help you concentrate or exercise better, and so on. No joke, it freaking works. A bit of practice is all it takes. Many examples of techniques are easily found online. My best to you. /jo

Seroquel โ€” 350 mg โ€” 15 years โ€” actively tapering | without clinician

yeliaB
yeliaB5mo ago
Welcomer
Thanks so much for that, Jo! I had made a point of getting early morning sun for a while, but then winter came, and it was so warm and snuggly in the house. ๐Ÿ˜‰ Now that things are warmer, I have no excuse, so I'll get back to that. As for breathing, do you have any methods you prefer?

Trazodone since 2013 (tapering) - current dose: 36.45 mg

J
Jo5mo ago
NavigatorSeroquel ยท active
Through a window is acceptable on cold days, though some frequencies are impeded by glass features, so I step out each day regardless. Habit is the point. Same with cloudy days, you still get light even if it isn't direct. My favourite breath intervention changes so frequently I can't name one. Box breathing is one I've done a lot and can perform with ease. It always centres me when I'm feeling frazzled. There are many patterns for each situation. Try a few out and see which works best for your body.

Seroquel โ€” 350 mg โ€” 15 years โ€” actively tapering | without clinician

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