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Drug interactions

Ethanol + Trazodone

Severity: Moderate

Ethanol and Trazodone: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Alcohol intensifies the sedative and psychomotor-impairing effects of trazodone and can worsen dizziness and orthostatic hypotension. It may also counteract the antidepressant's benefit in depression.

What this interaction means in plain words

Ethanol and Trazodone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Moderate

Why it happens

Additive CNS depression and vasodilatory or hypotensive effects.

What to do

Advise patients to avoid alcohol while taking trazodone, particularly around bedtime dosing. Counsel against driving if both have been taken.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Ethanol with Trazodone?

MediHelp rates the interaction as moderate. Ethanol and Trazodone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Alcohol intensifies the sedative and psychomotor-impairing effects of trazodone and can worsen dizziness and orthostatic hypotension. It may also counteract the antidepressant's benefit in depression.

How serious is the interaction between Ethanol and Trazodone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients to avoid alcohol while taking trazodone, particularly around bedtime dosing. Counsel against driving if both have been taken.

What other medicines interact with Trazodone?

MediHelp also lists interactions of Trazodone with, for example, Arsenic trioxide, Ibutilide, Isocarboxazid. The full list is on the Trazodone page.

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