Does Trazodone Help With Alcohol Withdrawal?

Robert Gerchalk

Robert is our health care professional reviewer of this website. He worked for many years in mental health and substance abuse facilities in Florida, as well as in home health (medical and psychiatric), and took care of people with medical and addictions problems at The Johns Hopkins Hospital in Baltimore. He has a nursing and business/technology degrees from The Johns Hopkins University.

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Learn How Trazodone Can Help With Alcohol Withdrawal

For someone struggling with alcohol use disorder (AUD), an essential part of getting sober is dealing with the withdrawal symptoms. For alcohol withdrawal, a number of drugs, including trazodone, may help with certain withdrawal symptoms. In this detailed guide, we’ll look at how trazodone helps with alcohol withdrawal, how it interacts with alcohol, and what people going through this difficult time in their recovery should anticipate.

What Is Trazodone?

The family of psychoactive medications known as serotonin antagonists and reuptake inhibitors (SARIs) includes trazodone. It modulates mood by influencing brain chemicals, especially serotonin. In addition to its main antidepressant use, doctors use trazodone for a variety of off-label purposes due to its sedative characteristics. When thinking about its possible function in certain therapeutic settings and how it interacts with other drugs, knowing its characteristics is essential.

What Do Doctors Prescribe Trazodone For?

Because of its antidepressant effects, doctors sometimes prescribe trazodone to those suffering from severe depressive illnesses. Thanks to its calming qualities, it’s also useful for treating  sleep difficulties and anxiety. Trazodone is a multipurpose medicine because of its unusual pharmacological profile, which includes effects on serotonin reuptake and receptor antagonistic activities. Its off-label uses include treating panic disorders, PTSD, and even substance withdrawal as adjunctive treatments. Because of its versatility and low toxicity, trazodone is a good choice for a range of mental health issues.

What Happens When You Mix Alcohol With Trazodone?

Interaction between alcohol and the antidepressant trazodone may worsen the drug’s effects on the central nervous system. People on trazodone should tell their healthcare providers if they also drink alcohol since this will enable the doctors to provide the best care possible. Because of its effects, alcohol may reduce trazodone’s efficacy in treating mental health issues.

The following are the dangers of mixing alcohol and Trazadone.

Central Nervous System Depression

Both alcohol and trazodone can depress the central nervous system. When taken together, this depressive effect intensifies, leading to symptoms like extreme drowsiness, slowed reflexes, and impaired coordination. In severe cases, it can result in a dangerous condition known as central nervous system depression.

Enhanced Side Effects

Combining alcohol and trazodone can amplify the side effects of each substance. Individuals may experience intensified dizziness, lightheadedness, and gastrointestinal issues. This heightened response can contribute to an overall decline in well-being and functional ability.

Risk of Overdose

The combination of alcohol and trazodone increases the risk of overdose. Both substances can suppress vital functions such as breathing and heart rate. Overdose symptoms may include severe drowsiness, unconsciousness, respiratory distress, and, in extreme cases, death.

What Happens During Alcohol Withdrawal?

If you’re currently taking trazodone and struggling with AUD, help is available. As you go through withdrawal, it’s smart to know what to expect. To properly manage and alleviate these symptoms of alcohol withdrawal, it is necessary to seek medical assistance and support. Help from trained professionals allows for developing a personalized strategy to manage your unique withdrawal symptoms.

Physical Symptoms

When you suddenly stop drinking, your body goes through a variety of physical symptoms known as withdrawal. Tremors, perspiration, a queasy stomach, vomiting, a racing heart, high blood pressure, and headaches are some of the most common physical manifestations. In more serious instances, convulsions may occur. In addition to being unpleasant, these symptoms may sometimes be dangerous to your health.

Psychological Symptoms

As the brain adjusts to life without alcohol, a range of psychological symptoms might manifest. Mood fluctuations, melancholy, impatience, heightened anxiety, and trouble focusing are all possible side effects. In more serious instances, symptoms, including acute mental disorientation and hallucinations called delirium tremens (DTs) may manifest.

Sleep Disturbances

Many people experience sleeplessness and vivid nightmares when they go through alcohol withdrawal. An imbalance of neurotransmitters brought on by cutting down or quitting alcohol is thought to be the culprit for the disturbed sleep patterns. An alteration to the sleep-inducing neurotransmitter GABA causes a rise in alertness. Alterations to REM sleep and fluctuations in melatonin synthesis can have a role in disrupted sleep as well.

Intense Cravings

When you become addicted to alcohol, the brain relies on drinking to keep itself balanced. When you stop drinking, the brain causes you to experience severe cravings. When alcohol exits the body, it disrupts neurotransmitters, especially GABA, which makes you anxious and makes you want to drink more.

Can Trazodone Help With Alcohol Withdrawal?

The antidepressant and sleep aid, trazodone, may not be very helpful in easing the discomfort of alcohol withdrawal. It doesn’t deal with the underlying physiological issues, but it may help with withdrawal-related sleep problems, anxiety, and mood disorders. Withdrawing from alcohol safely and effectively requires medical supervision and a personalized treatment plan, which may include specialist drugs and counseling. Healthcare providers should decide whether to provide trazodone after carefully evaluating each client’s unique health situation and after exhausting all other options for alleviating alcohol withdrawal symptoms.

Can Trazodone Make Alcoholism Worse?

On its own, trazodone is not known to make alcoholism worse. However, there are hazards associated with its sedative effects and how it may interact with alcohol. When used together, trazodone and alcohol have the potential to worsen depression in the central nervous system, decrease cognitive performance and heighten the likelihood of side effects. People who have a history of alcoholism should take trazodone with caution.

Is Trazodone Addictive?

In general, trazodone is not thought to be addictive. It is not as likely to lead to dependency or addiction as many other pharmaceuticals, and it is part of a family of medicines called atypical antidepressants. To reduce the likelihood of adverse effects, people taking trazodone should follow their doctor’s orders. You may have withdrawal symptoms and negative consequences if you stop taking trazodone suddenly or if you misuse it.

Best Ways to Treat Alcoholism and Co-Occurring Disorders

Understanding the interrelated nature of alcoholism and co-occurring illnesses is an important part of treating both diseases simultaneously. In order to promote a complete and long-lasting recovery from alcoholism, effective therapy must take into account both the physical and mental aspects of the disease.

There are a variety of therapy alternatives and therapeutic techniques that people can use on their path to recovery. Individuals battling alcoholism and co-occurring illnesses, particularly those using trazodone, can greatly benefit from dual-diagnosis therapy. This integrated therapy addresses substance abuse and mental health issues concurrently. It facilitates a thorough treatment plan by integrating holistic therapies, pharmaceutical management, and counseling. 

Trazodone Alternatives

When it comes to treating symptoms and fostering general well-being, trazodone and its alternatives are crucial for people dealing with co-occurring illnesses. Trazodone, a significant weapon in the therapy arsenal, is routinely used to manage sleeplessness, anxiety, and depression. However, it doesn’t work well for every person. This is why some people benefit more from alternate treatment methods.

Other Antidepressants

When looking for alternatives to trazodone, other antidepressants are typically considered in the context of treating co-occurring illnesses. Each family of antidepressants has its own unique mechanism of action and profile of adverse effects; for example, SSRIs, SNRIs, and tricyclic antidepressants all work in somewhat different ways.

Non-Benzodiazepine Sedative-Hypnotics (for Insomnia)

Targeted therapies are necessary to enhance sleep quality and general well-being when insomnia accompanies co-occurring disorders. If you suffer from insomnia but would rather avoid the hazards of conventional benzodiazepines or trazodone, there is an alternative: non-benzodiazepine sedative-hypnotics.

Cognitive Behavioral Therapy for Insomnia

Cognitive behavioral therapy for insomnia (CBT-I) is a non-pharmacological method that is both successful and personalized in treating sleep difficulties that are sometimes caused by co-occurring illnesses. With CBT for insomnia, the goal is to help people alter their ways of thinking and doing to enhance the quality of their sleep.

Holistic Ways to Treat AUD

Holistic approaches to treating AUD offer a comprehensive and integrated solution by addressing the root causes of addiction on physical, emotional, and spiritual levels. Incorporating mindfulness, nutrition, alternative therapies, and community support provides individuals with diverse tools to heal and build resilience. This holistic perspective recognizes the interconnected facets of well-being, promoting a more sustainable and profound recovery for those struggling with alcoholism.

Mindfulness and Meditation Practices

As part of your recovery strategy, try practicing mindfulness and meditation. Emotional control and self-awareness are two outcomes of practicing mindful awareness, which entails nonjudgmental observation of one’s thoughts and feelings. Meditation is a great way to manage stress, improve your health in general, and deal with the things that make you want to drink too much.

Nutritional Support and Exercise

Physical health is an important component of sobriety since alcoholism can have a devastating effect on the body. Mood, energy, and vitality may all benefit from nutrient-rich meals and frequent exercise. 

Holistic Therapies and Alternative Healing Modalities

As part of your treatment, consider using holistic practices like biofeedback, art therapy, yoga, or acupuncture. A person’s mind, body, and soul are all interdependent, and these alternate approaches acknowledge this. Reducing stress with acupuncture, improving physical and mental health through yoga, and expressing oneself creatively through art therapy are all viable options. To improve the healing process as a whole, these holistic treatments work in tandem with more conventional therapeutic procedures.

Supportive Community and Social Connections

Connecting with others who can relate to the struggles of AUD helps alleviate feelings of loneliness and fosters a sense of belonging. You can find accountability, compassion, and encouragement in supportive alliances. Participation in community activities, peer support groups, and group therapy all provide people in recovery with the chance to talk to others who understand what they’re going through and how they’re healing.

Banishing alcohol withdrawal symptoms is a whole lot easier when you have care and support from trained professionals. A medical detox program can ease your symptoms, reduce your cravings, and facilitate long-term sobriety. There are more medication options than ever before that work great for treating alcoholism. Alcohol Awareness is here to help connect you with your treatment options. If you’re using trazodone during alcohol withdrawal, make sure to let your doctor know and only take the medicine as prescribed. 

Feel free to call our 24/7 hotline anytime for support and guidance from Alcohol Awareness’s team of individuals in recovery.