If you’ve landed here, chances are you’ve either been prescribed 200mg of Trazodone or you’re considering it — and you’ve likely turned to Reddit to find real-world insights beyond the clinical facts. You’re not alone. Reddit has become a go-to source for raw, unfiltered opinions on medications, and Trazodone at 200mg is a hot topic in mental health communities.
This article explores what Reddit users are saying about 200mg Trazodone, how it compares to lower doses, and what you should know before taking it. Whether you’re dealing with insomnia, depression, or anxiety, we’ll break it all down in an easy-to-understand format.
What is Trazodone? A Quick Overview
Trazodone is an antidepressant that falls under the category of serotonin antagonist and reuptake inhibitors (SARIs). Originally developed to treat major depressive disorder, it’s now frequently prescribed for insomnia, anxiety, and chronic pain due to its sedative effects.
- Brand names: Desyrel, Oleptro (less common today)
- Common doses: Ranges from 25mg to 400mg daily, often divided
- Typical use: Taken at night due to drowsiness
While many people start at 50mg or 100mg, 200mg is considered a moderate to high dose — making it a frequent subject of conversation on Reddit.
Why Reddit is a Go-To for Trazodone Info
Unfiltered Experiences
Unlike generic medical websites, Reddit offers personal stories and day-to-day accounts of how Trazodone impacts users’ lives — the good, the bad, and everything in between.
Community Support
Subreddits like:
- r/depression
- r/insomnia
- r/askdocs
- r/mentalhealth
…host thousands of threads on Trazodone 200mg. These communities provide a space to ask questions, share struggles, and compare notes.
200mg Trazodone: Reddit Users Weigh In
1. Sleep Aid or Sedation Overload?
Many Reddit users report that 200mg Trazodone knocks them out — often within 30 to 60 minutes. For those battling severe insomnia, this is a godsend.
“200mg is the only thing that helps me sleep through the night. Nothing else worked before this,” – r/insomnia user
However, others feel groggy or hungover the next morning, especially when starting out or if taken too late at night.
Common feedback:
- ✅ Improved sleep duration
- ⚠️ Next-day drowsiness
- ❌ Difficulty waking up
2. Managing Depression with 200mg
Trazodone’s original use was as an antidepressant, and several users report mood improvements on 200mg — particularly when combined with other meds.
“I take 200mg at night along with Wellbutrin in the morning. It’s not a miracle, but it levels me out,” – r/depression user
However, others find it ineffective for depression alone, noting that its sedative qualities often outweigh any emotional benefits.
Reddit Takeaway:
- Works better as an add-on med than a standalone antidepressant
- Effects on mood are subtle but stabilizing for some
3. Side Effects at 200mg
As the dose increases, so does the chance of side effects. Reddit users at 200mg often mention:
- Dry mouth
- Dizziness
- Low blood pressure (especially when standing)
- Weird dreams or nightmares
- Brain fog
In rare cases, users report priapism (prolonged erections) — a known but uncommon side effect.
“I stood up too fast and nearly passed out. Doc said it’s the Trazodone lowering my BP.” – r/askdocs user
Should You Start at 200mg?
According to both Reddit users and medical advice, starting at 200mg is rarely recommended. Most begin at 25–100mg and gradually increase based on tolerance and need.
Pro tips from Redditors:
- Take it 1–2 hours before bed
- Avoid alcohol or other sedatives
- Drink water to combat dry mouth
- Let your body adjust for at least a week
“Started at 50mg, built up to 200mg over a month. Felt way smoother that way.” – r/mentalhealth user
200mg Trazodone: What the Doctors Say
While Reddit provides helpful peer feedback, medical guidance is still crucial.
- Trazodone is not considered addictive, but it does require tapering to avoid withdrawal
- 200mg is within the normal therapeutic range, especially for depression
- Doctors may adjust based on weight, tolerance, and other medications
Always consult your healthcare provider before making any changes.
Final Thoughts: Is 200mg Trazodone Right for You?
200mg of Trazodone can be highly effective for severe insomnia and moderate depression, but it comes with potential side effects that vary from person to person. Reddit is a valuable tool for getting a sense of what others experience, but it should complement — not replace — professional advice.

Abraham Finley is a health writer passionate about providing clear, reliable information on Trazodone and mental health. He created TrazodoneSUC.com to help readers make informed decisions about their well-being.