Oleptro, Trazodone D (trazodone) dosing, indications, interactions, adverse effects, and more (2024)

  • albuterol

    trazodone, albuterol. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • amiodarone

    trazodone and amiodarone both increase QTc interval. Avoid or Use Alternate Drug.

  • amisulpride

    trazodone and amisulpride both increase QTc interval. Avoid or Use Alternate Drug. ECG monitoring is recommended if coadministered.

  • amitriptyline

    amitriptyline and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone and amitriptyline both increase serotonin levels. Avoid or Use Alternate Drug.

  • amoxapine

    amoxapine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone and amoxapine both increase serotonin levels. Avoid or Use Alternate Drug.

  • amphetamine

    trazodone, amphetamine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • anagrelide

    anagrelide and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • apalutamide

    apalutamide will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Coadministration of apalutamide, a strong CYP3A4 inducer, with drugs that are CYP3A4 substrates can result in lower exposure to these medications. Avoid or substitute another drug for these medications when possible. Evaluate for loss of therapeutic effect if medication must be coadministered. Adjust dose according to prescribing information if needed.

  • apomorphine

    apomorphine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • arformoterol

    trazodone, arformoterol. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • aripiprazole

    aripiprazole and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • artemether

    artemether and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • artemether/lumefantrine

    trazodone and artemether/lumefantrine both increase QTc interval. Avoid or Use Alternate Drug.artemether/lumefantrine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • asenapine

    asenapine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • asenapine transdermal

    asenapine transdermal and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • atomoxetine

    atomoxetine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • bedaquiline

    bedaquiline and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • benzphetamine

    trazodone, benzphetamine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • bosentan

    bosentan will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • buprenorphine

    buprenorphine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • buprenorphine buccal

    buprenorphine buccal and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • buprenorphine subdermal implant

    buprenorphine subdermal implant and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • buprenorphine transdermal

    buprenorphine transdermal and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • buprenorphine, long-acting injection

    buprenorphine, long-acting injection and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • bupropion

    trazodone increases toxicity of bupropion by unspecified interaction mechanism. Avoid or Use Alternate Drug. May lower seizure threshold; keep bupropion dose as low as possible.

  • buspirone

    trazodone and buspirone both increase serotonin levels. Avoid or Use Alternate Drug.

  • calcium/magnesium/potassium/sodium oxybates

    trazodone, calcium/magnesium/potassium/sodium oxybates.Either increases effects of the other by pharmacodynamic synergism. Avoid or Use Alternate Drug. Profound sedation, respiratory depression, coma, and death may result if coadministered. Reserve concomitant prescribing of these drugs in patients for whom other treatment options are inadequate. Limit dosages and durations to the minimum required. Monitor closely for signs of respiratory depression and sedation.

  • ceritinib

    ceritinib and trazodone both increase QTc interval. Avoid or Use Alternate Drug.ceritinib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • chloramphenicol

    chloramphenicol will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • chloroquine

    chloroquine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • chlorpromazine

    chlorpromazine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • citalopram

    citalopram and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • clarithromycin

    clarithromycin will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.trazodone and clarithromycin both increase QTc interval. Avoid or Use Alternate Drug.

  • clomipramine

    clomipramine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone and clomipramine both increase serotonin levels. Avoid or Use Alternate Drug.

  • clonidine

    trazodone decreases effects of clonidine by Other (see comment). Avoid or Use Alternate Drug. Comment: Inhibition of uptake by adrenergic neurons.

  • clozapine

    clozapine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • cobicistat

    cobicistat will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • conivaptan

    conivaptan will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • crizotinib

    crizotinib and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • cyclobenzaprine

    trazodone and cyclobenzaprine both increase serotonin levels. Avoid or Use Alternate Drug.

  • degarelix

    degarelix and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • desflurane

    desflurane and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • desipramine

    desipramine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone and desipramine both increase serotonin levels. Avoid or Use Alternate Drug.

  • desvenlafaxine

    trazodone and desvenlafaxine both increase serotonin levels. Avoid or Use Alternate Drug.

  • dexfenfluramine

    trazodone, dexfenfluramine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • dexmethylphenidate

    trazodone, dexmethylphenidate. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • dextroamphetamine

    trazodone, dextroamphetamine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • dextromethorphan

    trazodone and dextromethorphan both increase serotonin levels. Avoid or Use Alternate Drug.

  • diethylpropion

    trazodone, diethylpropion. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • dobutamine

    trazodone, dobutamine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • dofetilide

    trazodone and dofetilide both increase QTc interval. Avoid or Use Alternate Drug.

  • donepezil

    donepezil and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • dopamine

    trazodone, dopamine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • dopexamine

    trazodone, dopexamine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • dosulepin

    trazodone and dosulepin both increase serotonin levels. Avoid or Use Alternate Drug.

  • doxepin

    doxepin and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone and doxepin both increase serotonin levels. Avoid or Use Alternate Drug.

  • dronedarone

    trazodone and dronedarone both increase QTc interval. Avoid or Use Alternate Drug.

  • droperidol

    trazodone and droperidol both increase QTc interval. Avoid or Use Alternate Drug.

  • duloxetine

    duloxetine and trazodone both increase serotonin levels. Avoid or Use Alternate Drug.

  • efavirenz

    efavirenz and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • eliglustat

    eliglustat and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • encorafenib

    encorafenib and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • entrectinib

    trazodone and entrectinib both increase QTc interval. Avoid or Use Alternate Drug.

  • ephedrine

    trazodone, ephedrine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • epinephrine

    epinephrine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone, epinephrine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • epinephrine racemic

    epinephrine racemic and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone, epinephrine racemic. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • eribulin

    eribulin and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • erythromycin base

    trazodone and erythromycin base both increase QTc interval. Avoid or Use Alternate Drug.

  • erythromycin ethylsuccinate

    trazodone and erythromycin ethylsuccinate both increase QTc interval. Avoid or Use Alternate Drug.

  • erythromycin lactobionate

    trazodone and erythromycin lactobionate both increase QTc interval. Avoid or Use Alternate Drug.

  • erythromycin stearate

    trazodone and erythromycin stearate both increase QTc interval. Avoid or Use Alternate Drug.

  • escitalopram

    escitalopram and trazodone both increase serotonin levels. Avoid or Use Alternate Drug.

  • etravirine

    etravirine will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • fenfluramine

    trazodone, fenfluramine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • fexinidazole

    fexinidazole and trazodone both increase QTc interval. Avoid or Use Alternate Drug. Avoid coadministration of fexinidazole with drugs known to block potassium channels or prolong QT interval.fexinidazole will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Fexinidazole inhibits CYP3A4. Coadministration may increase risk for adverse effects of CYP3A4 substrates.

  • fingolimod

    fingolimod and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • fluconazole

    trazodone and fluconazole both increase QTc interval. Avoid or Use Alternate Drug.

  • fluoxetine

    fluoxetine and trazodone both increase serotonin levels. Avoid or Use Alternate Drug.

  • fluphenazine

    fluphenazine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • fluvoxamine

    fluvoxamine and trazodone both increase serotonin levels. Avoid or Use Alternate Drug.

  • formoterol

    trazodone and formoterol both increase QTc interval. Avoid or Use Alternate Drug.trazodone, formoterol. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • fosamprenavir

    fosamprenavir increases levels of trazodone by decreasing metabolism. Avoid or Use Alternate Drug.

  • gemifloxacin

    gemifloxacin and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • gilteritinib

    gilteritinib and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • givinostat

    trazodone and givinostat both increase QTc interval. Avoid or Use Alternate Drug. If unable to avoid coadministration, obtain ECGs when initiating, during concomitant use, and as clinically indicated. Withhold if QTc interval >500 ms or a change from baseline >60 ms.

  • glasdegib

    trazodone and glasdegib both increase QTc interval. Avoid or Use Alternate Drug. If coadministration unavoidable, monitor for increased risk of QTc interval prolongation.

  • granisetron

    granisetron and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • guanfacine

    trazodone decreases effects of guanfacine by Other (see comment). Avoid or Use Alternate Drug. Comment: Inhibition of uptake by adrenergic neurons.

  • haloperidol

    trazodone and haloperidol both increase QTc interval. Avoid or Use Alternate Drug.

  • hydroxyzine

    hydroxyzine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • idelalisib

    idelalisib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Idelalisib is a strong CYP3A inhibitor; avoid coadministration with sensitive CYP3A substrates

  • imipramine

    imipramine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone and imipramine both increase serotonin levels. Avoid or Use Alternate Drug.

  • inotuzumab

    inotuzumab and trazodone both increase QTc interval. Avoid or Use Alternate Drug. If unable to avoid concomitant use, obtain ECGs and electrolytes before and after initiation of any drug known to prolong QTc, and periodically monitor as clinically indicated during treatment.

  • isoflurane

    isoflurane and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • isoproterenol

    trazodone, isoproterenol. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • itraconazole

    itraconazole will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.trazodone and itraconazole both increase QTc interval. Avoid or Use Alternate Drug.

  • ivosidenib

    ivosidenib will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Avoid coadministration of sensitive CYP3A4 substrates with ivosidenib or replace with alternative therapies. If coadministration is unavoidable, monitor patients for loss of therapeutic effect of these drugs.

  • ketoconazole

    ketoconazole will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.trazodone and ketoconazole both increase QTc interval. Avoid or Use Alternate Drug.

  • levalbuterol

    trazodone, levalbuterol. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • levoketoconazole

    levoketoconazole will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.trazodone and levoketoconazole both increase QTc interval. Avoid or Use Alternate Drug.

  • levomilnacipran

    levomilnacipran and trazodone both increase serotonin levels. Avoid or Use Alternate Drug.

  • linezolid

    linezolid and trazodone both increase serotonin levels. Avoid or Use Alternate Drug. Linezolid may increase serotonin as a result of MAO-A inhibition. If linezolid must be administered, discontinue serotonergic drug immediately and monitor for CNS toxicity. Serotonergic therapy may be resumed 24 hours after last linezolid dose or after 2 weeks of monitoring, whichever comes first.

  • lisdexamfetamine

    trazodone, lisdexamfetamine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • lithium

    lithium and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • lofepramine

    lofepramine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone and lofepramine both increase serotonin levels. Avoid or Use Alternate Drug.

  • lonafarnib

    trazodone will increase the level or effect of lonafarnib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. If coadministration of lonafarnib (a sensitive CYP3A substrate) with weak CYP3A inhibitors is unavoidable, reduce to, or continue lonafarnib at starting dose. Closely monitor for arrhythmias and events (eg, syncope, heart palpitations) since lonafarnib effect on QT interval is unknown.lonafarnib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Avoid coadministration with sensitive CYP3A substrates. If coadministration unavoidable, monitor for adverse reactions and reduce CYP3A substrate dose in accordance with product labeling.

  • lopinavir

    lopinavir will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • lorcaserin

    trazodone and lorcaserin both increase serotonin levels. Avoid or Use Alternate Drug.

  • lumefantrine

    trazodone and lumefantrine both increase QTc interval. Avoid or Use Alternate Drug.

  • maprotiline

    maprotiline and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone and maprotiline both increase serotonin levels. Avoid or Use Alternate Drug.

  • meperidine

    trazodone and meperidine both increase serotonin levels. Avoid or Use Alternate Drug.

  • metaproterenol

    trazodone, metaproterenol. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • methylene blue

    methylene blue and trazodone both increase serotonin levels. Avoid or Use Alternate Drug. Methylene blue may increase serotonin as a result of MAO-A inhibition. If methylene blue must be administered, discontinue serotonergic drug immediately and monitor for CNS toxicity. Serotonergic therapy may be resumed 24 hours after last methylene blue dose or after 2 weeks of monitoring, whichever comes first.

  • methylenedioxymethamphetamine

    trazodone, methylenedioxymethamphetamine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • midodrine

    trazodone, midodrine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • mifepristone

    mifepristone will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • milnacipran

    milnacipran and trazodone both increase serotonin levels. Avoid or Use Alternate Drug.

  • mirtazapine

    mirtazapine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • moxifloxacin

    trazodone and moxifloxacin both increase QTc interval. Avoid or Use Alternate Drug.

  • nefazodone

    nefazodone will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.nefazodone and trazodone both increase serotonin levels. Avoid or Use Alternate Drug.

  • nevirapine

    nevirapine will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • nilotinib

    trazodone and nilotinib both increase QTc interval. Avoid or Use Alternate Drug.

  • norepinephrine

    trazodone, norepinephrine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • nortriptyline

    nortriptyline and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone and nortriptyline both increase serotonin levels. Avoid or Use Alternate Drug.

  • octreotide

    trazodone and octreotide both increase QTc interval. Avoid or Use Alternate Drug.

  • octreotide (Antidote)

    trazodone and octreotide (Antidote) both increase QTc interval. Avoid or Use Alternate Drug.

  • olanzapine

    olanzapine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • olopatadine intranasal

    trazodone and olopatadine intranasal both increase sedation. Avoid or Use Alternate Drug. Coadministration increases risk of CNS depression, which can lead to additive impairment of psychom*otor performance and cause daytime impairment.

  • oxaliplatin

    oxaliplatin and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • ozanimod

    ozanimod increases levels of trazodone by sympathetic (adrenergic) effects, including increased blood pressure and heart rate. Avoid or Use Alternate Drug. Because the active metabolite of ozanimod inhibits MAO-B in vitro, there is a potential for serious adverse reactions, including hypertensive crisis. Therefore, coadministration of ozanimod with drugs that can increase norepinephrine or serotonin is not recommended. Monitor for hypertension with concomitant use.

  • panobinostat

    trazodone and panobinostat both increase QTc interval. Avoid or Use Alternate Drug. Panobinostat is known to significantly prolong QT interval. Panobinostat prescribing information states use with drugs known to prolong QTc is not recommended.

  • paroxetine

    paroxetine and trazodone both increase serotonin levels. Avoid or Use Alternate Drug.

  • perphenazine

    perphenazine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • phendimetrazine

    trazodone, phendimetrazine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • phentermine

    trazodone, phentermine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.trazodone, phentermine.Either increases toxicity of the other by Mechanism: unknown. Avoid or Use Alternate Drug. Risk of serotonin syndrome.

  • phenylephrine

    trazodone, phenylephrine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • phenylephrine PO

    trazodone, phenylephrine PO. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • pirbuterol

    trazodone, pirbuterol. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • pitolisant

    trazodone and pitolisant both increase QTc interval. Avoid or Use Alternate Drug.

  • pomalidomide

    trazodone decreases levels of pomalidomide by P-glycoprotein (MDR1) efflux transporter. Avoid or Use Alternate Drug.

  • posaconazole

    posaconazole will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • primaquine

    primaquine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • promazine

    promazine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • propylhexedrine

    trazodone, propylhexedrine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • protriptyline

    protriptyline and trazodone both increase QTc interval. Avoid or Use Alternate Drug.trazodone and protriptyline both increase serotonin levels. Avoid or Use Alternate Drug.

  • pseudoephedrine

    trazodone, pseudoephedrine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • rasagiline

    rasagiline and trazodone both increase serotonin levels. Avoid or Use Alternate Drug. Trazodone should not be coadministered with a MAOI or within 14 days of discontinuing a MAOI. Similarly, a MAOI should not be given within 14 days of stopping trazodone.

  • ribociclib

    ribociclib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • rifabutin

    rifabutin will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • rifampin

    rifampin will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • rifapentine

    rifapentine will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • salmeterol

    trazodone, salmeterol. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • selegiline

    selegiline and trazodone both increase serotonin levels. Avoid or Use Alternate Drug.

  • selegiline transdermal

    selegiline transdermal and trazodone both increase serotonin levels. Avoid or Use Alternate Drug.

  • serdexmethylphenidate/dexmethylphenidate

    trazodone, serdexmethylphenidate/dexmethylphenidate. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • sertraline

    sertraline and trazodone both increase serotonin levels. Avoid or Use Alternate Drug.sertraline and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • sevoflurane

    sevoflurane and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • siponimod

    siponimod and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • sodium oxybate

    trazodone, sodium oxybate.Either increases effects of the other by pharmacodynamic synergism. Avoid or Use Alternate Drug. Profound sedation, respiratory depression, coma, and death may result if coadministered. Reserve concomitant prescribing of these drugs in patients for whom other treatment options are inadequate. Limit dosages and durations to the minimum required. Monitor closely for signs of respiratory depression and sedation.

  • solifenacin

    solifenacin and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • St John's Wort

    St John's Wort will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.trazodone and St John's Wort both increase serotonin levels. Avoid or Use Alternate Drug.

  • sunitinib

    sunitinib and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • tacrolimus

    tacrolimus and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • tedizolid

    tedizolid, trazodone.Either increases effects of the other by Mechanism: pharmacodynamic synergism. Avoid or Use Alternate Drug. both increase serotonin levels; increased risk of serotonin syndrome.

  • terbutaline

    trazodone, terbutaline. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • tetrabenazine

    tetrabenazine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • thioridazine

    thioridazine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • tipranavir

    tipranavir will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • toremifene

    trazodone and toremifene both increase QTc interval. Avoid or Use Alternate Drug. Concurrent use of toremifene with agents causing QT prolongation should be avoided. If concomitant use is required it's recommended that toremifene be interrupted. If interruption not possible, patients requiring therapy with a drug that prolongs QT should be closely monitored. ECGs should be obtained for high risk patients.

  • trifluoperazine

    trifluoperazine and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • trimipramine

    trazodone and trimipramine both increase QTc interval. Avoid or Use Alternate Drug.trazodone and trimipramine both increase serotonin levels. Avoid or Use Alternate Drug.

  • tucatinib

    tucatinib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Avoid concomitant use of tucatinib with CYP3A substrates, where minimal concentration changes may lead to serious or life-threatening toxicities. If unavoidable, reduce CYP3A substrate dose according to product labeling.

  • venlafaxine

    trazodone and venlafaxine both increase serotonin levels. Avoid or Use Alternate Drug.

  • vilazodone

    trazodone, vilazodone.Either increases toxicity of the other by serotonin levels. Avoid or Use Alternate Drug. Concomitant therapy should be discontinued immediately if signs or symptoms of serotonin syndrome emerge and supportive symptomatic treatment should be initiated.

  • voriconazole

    voriconazole will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.

  • vorinostat

    vorinostat and trazodone both increase QTc interval. Avoid or Use Alternate Drug.

  • vortioxetine

    trazodone increases toxicity of vortioxetine by serotonin levels. Avoid or Use Alternate Drug.

  • voxelotor

    voxelotor will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Voxelotor increases systemic exposure of sensitive CYP3A4 substrates. Avoid coadministration with sensitive CYP3A4 substrates with a narrow therapeutic index. Consider dose reduction of the sensitive CYP3A4 substrate(s) if unable to avoid.

  • xylometazoline

    trazodone, xylometazoline. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • yohimbe

    yohimbe, trazodone. Mechanism: unspecified interaction mechanism. Contraindicated. May cause increase or decrease in blood pressure.

  • yohimbine

    trazodone, yohimbine. Other (see comment). Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • ziprasidone

    trazodone and ziprasidone both increase QTc interval. Avoid or Use Alternate Drug.

  • zuranolone

    trazodone, zuranolone.Either increases effects of the other by pharmacodynamic synergism. Avoid or Use Alternate Drug. Coadministration of zuranolone with other CNS depressants may increase impairment of psychom*otor performance or CNS depressant effects. If unavoidable, consider dose reduction. .

  • 5-HTP

    trazodone and 5-HTP both increase serotonin levels. Modify Therapy/Monitor Closely.

  • aceclofenac

    trazodone, aceclofenac.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • acemetacin

    trazodone, acemetacin.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • aclidinium

    aclidinium and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • acrivastine

    acrivastine and trazodone both increase sedation. Use Caution/Monitor.

  • albuterol

    trazodone increases and albuterol decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.albuterol and trazodone both increase QTc interval. Use Caution/Monitor.

  • alfentanil

    alfentanil and trazodone both increase sedation. Use Caution/Monitor.

  • aliskiren

    trazodone will decrease the level or effect of aliskiren by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • almotriptan

    almotriptan and trazodone both increase serotonin levels. Modify Therapy/Monitor Closely.

  • alprazolam

    alprazolam and trazodone both increase sedation. Use Caution/Monitor.

  • amikacin

    trazodone will decrease the level or effect of amikacin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • amisulpride

    amisulpride and trazodone both increase sedation. Use Caution/Monitor.

  • amitriptyline

    trazodone will decrease the level or effect of amitriptyline by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.amitriptyline and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.amitriptyline and trazodone both increase sedation. Use Caution/Monitor.

  • amobarbital

    amobarbital will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.amobarbital and trazodone both increase sedation. Use Caution/Monitor.

  • amoxapine

    amoxapine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.amoxapine and trazodone both increase sedation. Use Caution/Monitor.

  • amphetamine

    trazodone increases and amphetamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.trazodone and amphetamine both increase serotonin levels. Modify Therapy/Monitor Closely.trazodone increases effects of amphetamine by unknown mechanism. Use Caution/Monitor.

  • apomorphine

    trazodone and apomorphine both increase sedation. Use Caution/Monitor.

  • aprepitant

    aprepitant will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • arformoterol

    trazodone increases and arformoterol decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.arformoterol and trazodone both increase QTc interval. Use Caution/Monitor.

  • aripiprazole

    aripiprazole and trazodone both increase sedation. Use Caution/Monitor.

  • armodafinil

    armodafinil will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone increases and armodafinil decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • artemether/lumefantrine

    artemether/lumefantrine will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • asenapine

    asenapine and trazodone both increase sedation. Use Caution/Monitor.

  • asenapine transdermal

    asenapine transdermal and trazodone both increase sedation. Use Caution/Monitor.

  • aspirin

    trazodone, aspirin.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • aspirin rectal

    trazodone, aspirin rectal.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • aspirin/citric acid/sodium bicarbonate

    trazodone, aspirin/citric acid/sodium bicarbonate.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • atazanavir

    atazanavir will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.atazanavir increases levels of trazodone by unspecified interaction mechanism. Use Caution/Monitor.

  • atogepant

    trazodone will increase the level or effect of atogepant by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • atorvastatin

    trazodone will decrease the level or effect of atorvastatin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • atracurium

    atracurium and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • atropine IV/IM

    atropine IV/IM and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • avapritinib

    trazodone will increase the level or effect of avapritinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.avapritinib and trazodone both increase sedation. Use Caution/Monitor.

  • axitinib

    trazodone increases levels of axitinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • azelastine

    azelastine and trazodone both increase sedation. Use Caution/Monitor.

  • azithromycin

    trazodone and azithromycin both increase QTc interval. Use Caution/Monitor.

  • baclofen

    baclofen and trazodone both increase sedation. Use Caution/Monitor.

  • bazedoxifene/conjugated estrogens

    trazodone will decrease the level or effect of bazedoxifene/conjugated estrogens by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • belladonna and opium

    belladonna and opium and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.belladonna and opium and trazodone both increase sedation. Use Caution/Monitor.

  • benperidol

    benperidol and trazodone both increase sedation. Use Caution/Monitor.

  • benzhydrocodone/acetaminophen

    benzhydrocodone/acetaminophen, trazodone.Either increases effects of the other by serotonin levels. Use Caution/Monitor. Coadministration of drugs that affect the serotonergic neurotransmitter system may result in serotonin syndrome. If concomitant use is warranted, carefully observe the patient, particularly during treatment initiation and dose adjustment.benzhydrocodone/acetaminophen and trazodone both increase sedation. Use Caution/Monitor.

  • benzphetamine

    trazodone increases and benzphetamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • brexpiprazole

    trazodone will increase the level or effect of brexpiprazole by affecting hepatic enzyme CYP2D6 metabolism. Modify Therapy/Monitor Closely. Administer a quarter of brexpiprazole dose if coadministered with a moderate CYP2D6 inhibitor PLUS a strong/moderate CYP3A4 inhibitor.brexpiprazole and trazodone both increase sedation. Use Caution/Monitor.

  • brimonidine

    brimonidine and trazodone both increase sedation. Use Caution/Monitor.

  • brivaracetam

    brivaracetam and trazodone both increase sedation. Use Caution/Monitor.

  • brompheniramine

    brompheniramine and trazodone both increase sedation. Use Caution/Monitor.

  • budesonide

    budesonide will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will decrease the level or effect of budesonide by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • bupivacaine implant

    trazodone, bupivacaine implant.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: Local anesthetics may increase the risk of developing methemoglobinemia when concurrently exposed to drugs that also cause methemoglobinemia.

  • buprenorphine

    buprenorphine and trazodone both increase sedation. Use Caution/Monitor.

  • buprenorphine buccal

    buprenorphine buccal and trazodone both increase sedation. Use Caution/Monitor.

  • buprenorphine subdermal implant

    trazodone, buprenorphine subdermal implant.Either increases toxicity of the other by serotonin levels. Use Caution/Monitor. Concomitant use could result in life-threatening serotonin syndrome. If concomitant use is warranted, carefully observe the patient, particularly during treatment initiation, and during dose adjustment of the serotonergic drug. Discontinue buprenorphine if serotonin syndrome is suspected.buprenorphine subdermal implant and trazodone both increase sedation. Use Caution/Monitor.

  • buprenorphine transdermal

    buprenorphine transdermal and trazodone both increase sedation. Use Caution/Monitor.

  • buprenorphine, long-acting injection

    trazodone, buprenorphine, long-acting injection.Either increases toxicity of the other by serotonin levels. Use Caution/Monitor. Concomitant use could result in life-threatening serotonin syndrome. If concomitant use is warranted, carefully observe the patient, particularly during treatment initiation, and during dose adjustment of the serotonergic drug. Discontinue buprenorphine if serotonin syndrome is suspected.buprenorphine, long-acting injection and trazodone both increase sedation. Use Caution/Monitor.

  • butabarbital

    butabarbital will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.butabarbital and trazodone both increase sedation. Use Caution/Monitor.

  • butalbital

    butalbital will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.butalbital and trazodone both increase sedation. Use Caution/Monitor.

  • butorphanol

    butorphanol and trazodone both increase sedation. Use Caution/Monitor.

  • caffeine

    trazodone increases and caffeine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • carbamazepine

    carbamazepine will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will increase the level or effect of carbamazepine by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Monitor plasma levels when used concomitantly

  • carbinoxamine

    carbinoxamine and trazodone both increase sedation. Use Caution/Monitor.

  • cariprazine

    cariprazine and trazodone both increase sedation. Use Caution/Monitor.

  • carisoprodol

    carisoprodol and trazodone both increase sedation. Use Caution/Monitor.

  • celecoxib

    trazodone, celecoxib.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • chloral hydrate

    chloral hydrate and trazodone both increase sedation. Use Caution/Monitor.

  • chlordiazepoxide

    chlordiazepoxide and trazodone both increase sedation. Use Caution/Monitor.

  • chlorpheniramine

    chlorpheniramine and trazodone both increase sedation. Use Caution/Monitor.

  • chlorpromazine

    chlorpromazine and trazodone both increase sedation. Use Caution/Monitor.

  • chlorzoxazone

    chlorzoxazone and trazodone both increase sedation. Use Caution/Monitor.

  • choline magnesium trisalicylate

    trazodone, choline magnesium trisalicylate.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • cimetidine

    cimetidine will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • cinnarizine

    cinnarizine and trazodone both increase sedation. Use Caution/Monitor.

  • citalopram

    citalopram and trazodone both increase serotonin levels. Use Caution/Monitor. Combination may increase risk of serotonin syndrome or neuroleptic malignant syndrome-like reactions.

  • clemastine

    clemastine and trazodone both increase sedation. Use Caution/Monitor.

  • clomipramine

    clomipramine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.clomipramine and trazodone both increase sedation. Use Caution/Monitor.

  • clonazepam

    clonazepam and trazodone both increase sedation. Use Caution/Monitor.

  • clorazepate

    clorazepate and trazodone both increase sedation. Use Caution/Monitor.

  • clozapine

    clozapine and trazodone both increase sedation. Use Caution/Monitor.

  • cobicistat

    cobicistat will increase the level or effect of trazodone by Other (see comment). Use Caution/Monitor. Trazodone is a substrate of CYP3A4 and CYP2D6; cobicistat inhibits CYP3A4 and CYP2D6

  • cocaine topical

    trazodone and cocaine topical both increase serotonin levels. Modify Therapy/Monitor Closely.

  • codeine

    codeine and trazodone both increase sedation. Use Caution/Monitor.

  • conjugated estrogens

    trazodone will decrease the level or effect of conjugated estrogens by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • conjugated estrogens, vagin*l

    trazodone will decrease the level or effect of conjugated estrogens, vagin*l by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • cortisone

    cortisone will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will decrease the level or effect of cortisone by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • crizotinib

    crizotinib increases levels of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Dose reduction may be needed for coadministered drugs that are predominantly metabolized by CYP3A.

  • crofelemer

    crofelemer increases levels of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Crofelemer has the potential to inhibit CYP3A4 at concentrations expected in the gut; unlikely to inhibit systemically because minimally absorbed.

  • cyclizine

    cyclizine and trazodone both increase sedation. Use Caution/Monitor.

  • cyclobenzaprine

    cyclobenzaprine and trazodone both increase sedation. Use Caution/Monitor.

  • cyclosporine

    cyclosporine will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • cyproheptadine

    cyproheptadine and trazodone both increase sedation. Use Caution/Monitor.

  • dabrafenib

    dabrafenib will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely.

  • dantrolene

    dantrolene and trazodone both increase sedation. Use Caution/Monitor.

  • daridorexant

    trazodone and daridorexant both increase sedation. Modify Therapy/Monitor Closely. Coadministration increases risk of CNS depression, which can lead to additive impairment of psychom*otor performance and cause daytime impairment.

  • darifenacin

    darifenacin will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • darunavir

    darunavir will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Coadministration with SSRIs, TCAs, or trazodone may require dose titration of antidepressant to desired effect (eg, using the lowest feasible initial or maintenance dose). Monitor for antidepressant response.

  • dasatinib

    dasatinib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone and dasatinib both increase QTc interval. Modify Therapy/Monitor Closely.

  • daunorubicin

    trazodone will decrease the level or effect of daunorubicin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • debrisoquine

    trazodone decreases effects of debrisoquine by Other (see comment). Use Caution/Monitor. Comment: Inhibition of uptake by adrenergic neurons.

  • deferasirox

    deferasirox will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • deflazacort

    trazodone will decrease the level or effect of deflazacort by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • desflurane

    desflurane and trazodone both increase sedation. Use Caution/Monitor.

  • desipramine

    desipramine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.desipramine and trazodone both increase sedation. Use Caution/Monitor.

  • desloratadine

    desloratadine and trazodone both increase sedation. Use Caution/Monitor.

  • deutetrabenazine

    deutetrabenazine and trazodone both increase QTc interval. Use Caution/Monitor. At the maximum recommended dose, deutetrabenazine does not prolong QT interval to a clinically relevant extent. Certain circ*mstances may increase risk of torsade de pointes and/or sudden death in association with drugs that prolong the QTc interval (eg, bradycardia, hypokalemia or hypomagnesemia, coadministration with other drugs that prolong QTc interval, presence of congenital QT prolongation).

  • dexamethasone

    dexamethasone will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will decrease the level or effect of dexamethasone by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • dexchlorpheniramine

    dexchlorpheniramine and trazodone both increase sedation. Use Caution/Monitor.

  • dexfenfluramine

    trazodone increases and dexfenfluramine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.trazodone and dexfenfluramine both increase serotonin levels. Modify Therapy/Monitor Closely.

  • dexmedetomidine

    dexmedetomidine and trazodone both increase sedation. Use Caution/Monitor.

  • dexmethylphenidate

    trazodone increases and dexmethylphenidate decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • dextroamphetamine

    trazodone increases and dextroamphetamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.trazodone and dextroamphetamine both increase serotonin levels. Modify Therapy/Monitor Closely.trazodone increases effects of dextroamphetamine by unknown mechanism. Use Caution/Monitor.

  • dextroamphetamine transdermal

    trazodone, dextroamphetamine transdermal.Either increases effects of the other by serotonin levels. Modify Therapy/Monitor Closely. Initiate with lower doses and monitor for signs and symptoms of serotonin syndrome, particularly during initiation or dosage increase. If serotonin syndrome occurs, discontinue dextroamphetamine transdermal and concomitant serotonergic drug(s).

  • dextromoramide

    dextromoramide and trazodone both increase sedation. Use Caution/Monitor.

  • diamorphine

    diamorphine and trazodone both increase sedation. Use Caution/Monitor.

  • diazepam

    diazepam and trazodone both increase sedation. Use Caution/Monitor.

  • diazepam buccal

    diazepam buccal and trazodone both increase sedation. Use Caution/Monitor.diazepam buccal, trazodone.Either increases effects of the other by pharmacodynamic synergism. Use Caution/Monitor. Coadministration may potentiate the CNS-depressant effects of each drug.

  • diazepam intranasal

    diazepam intranasal, trazodone.Either increases effects of the other by pharmacodynamic synergism. Use Caution/Monitor. Coadministration may potentiate the CNS-depressant effects of each drug.diazepam intranasal and trazodone both increase sedation. Use Caution/Monitor.

  • diclofenac

    trazodone, diclofenac.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • diethylpropion

    trazodone increases and diethylpropion decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • difelikefalin

    difelikefalin and trazodone both increase sedation. Use Caution/Monitor.

  • difenoxin hcl

    difenoxin hcl and trazodone both increase sedation. Use Caution/Monitor.

  • diflunisal

    trazodone, diflunisal.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • digoxin

    trazodone will decrease the level or effect of digoxin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.trazodone increases levels of digoxin by unspecified interaction mechanism. Use Caution/Monitor.

  • dihydroergotamine

    trazodone and dihydroergotamine both increase serotonin levels. Modify Therapy/Monitor Closely.

  • dihydroergotamine intranasal

    trazodone and dihydroergotamine intranasal both increase serotonin levels. Modify Therapy/Monitor Closely.

  • diltiazem

    diltiazem will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • dimenhydrinate

    dimenhydrinate and trazodone both increase sedation. Use Caution/Monitor.

  • diphenhydramine

    diphenhydramine and trazodone both increase sedation. Use Caution/Monitor.

  • diphenoxylate hcl

    diphenoxylate hcl and trazodone both increase sedation. Use Caution/Monitor.

  • dipipanone

    dipipanone and trazodone both increase sedation. Use Caution/Monitor.

  • dobutamine

    trazodone increases and dobutamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • docetaxel

    trazodone will decrease the level or effect of docetaxel by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • dolasetron

    trazodone and dolasetron both increase QTc interval. Modify Therapy/Monitor Closely.

  • dopamine

    trazodone increases and dopamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • dopexamine

    trazodone increases and dopexamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • doxepin

    doxepin and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.doxepin and trazodone both increase sedation. Use Caution/Monitor.

  • doxorubicin

    trazodone will decrease the level or effect of doxorubicin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • doxorubicin liposomal

    trazodone will decrease the level or effect of doxorubicin liposomal by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • doxylamine

    doxylamine and trazodone both increase sedation. Use Caution/Monitor.

  • dronedarone

    dronedarone will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • droperidol

    droperidol and trazodone both increase sedation. Use Caution/Monitor.

  • duvelisib

    duvelisib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Coadministration with duvelisib increases AUC of a sensitive CYP3A4 substrate which may increase the risk of toxicities of these drugs. Consider reducing the dose of the sensitive CYP3A4 substrate and monitor for signs of toxicities of the coadministered sensitive CYP3A substrate.

  • efavirenz

    efavirenz will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • elagolix

    elagolix decreases levels of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Elagolix is a weak-to-moderate CYP3A4 inducer. Monitor CYP3A substrates if coadministered. Consider increasing CYP3A substrate dose if needed.

  • eletriptan

    eletriptan and trazodone both increase serotonin levels. Modify Therapy/Monitor Closely.

  • elvitegravir/cobicistat/emtricitabine/tenofovir DF

    elvitegravir/cobicistat/emtricitabine/tenofovir DF increases levels of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Cobicistat is a CYP3A4 inhibitor; contraindicated with CYP3A4 substrates for which elevated plasma concentrations are associated with serious and/or life-threatening events.

  • encorafenib

    encorafenib, trazodone. affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Encorafenib both inhibits and induces CYP3A4 at clinically relevant plasma concentrations. Coadministration of encorafenib with sensitive CYP3A4 substrates may result in increased toxicity or decreased efficacy of these agents.

  • enzalutamide

    enzalutamide will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • ephedrine

    trazodone increases and ephedrine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.trazodone increases effects of ephedrine by unknown mechanism. Use Caution/Monitor.

  • epinephrine

    trazodone increases and epinephrine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.trazodone increases effects of epinephrine by unknown mechanism. Use Caution/Monitor.

  • epinephrine racemic

    trazodone increases and epinephrine racemic decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.trazodone increases effects of epinephrine racemic by unknown mechanism. Use Caution/Monitor.

  • ergotamine

    trazodone and ergotamine both increase serotonin levels. Modify Therapy/Monitor Closely.

  • erythromycin base

    erythromycin base will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • erythromycin ethylsuccinate

    erythromycin ethylsuccinate will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • erythromycin lactobionate

    erythromycin lactobionate will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • erythromycin stearate

    erythromycin stearate will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • eslicarbazepine acetate

    eslicarbazepine acetate will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • estazolam

    estazolam and trazodone both increase sedation. Use Caution/Monitor.

  • estradiol

    trazodone will decrease the level or effect of estradiol by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • estrogens conjugated synthetic

    trazodone will decrease the level or effect of estrogens conjugated synthetic by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • estropipate

    trazodone will decrease the level or effect of estropipate by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • eszopiclone

    eszopiclone and trazodone both increase sedation. Use Caution/Monitor.

  • ethanol

    trazodone and ethanol both increase sedation. Use Caution/Monitor.

  • etodolac

    trazodone, etodolac.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • etomidate

    etomidate and trazodone both increase sedation. Use Caution/Monitor.

  • etoposide

    trazodone will decrease the level or effect of etoposide by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • everolimus

    trazodone will decrease the level or effect of everolimus by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • fedratinib

    fedratinib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Adjust dose of drugs that are CYP3A4 substrates as necessary.

  • fenbufen

    trazodone, fenbufen.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • fenfluramine

    trazodone increases and fenfluramine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.trazodone and fenfluramine both increase serotonin levels. Modify Therapy/Monitor Closely.fenfluramine, trazodone.Either increases effects of the other by serotonin levels. Use Caution/Monitor. Coadministration with drugs that increase serotoninergic effects may increase the risk of serotonin syndrome.

  • fenoprofen

    trazodone, fenoprofen.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • fentanyl

    fentanyl and trazodone both increase sedation. Use Caution/Monitor.

  • fentanyl intranasal

    fentanyl intranasal and trazodone both increase sedation. Use Caution/Monitor.

  • fentanyl iontophoretic transdermal system

    fentanyl iontophoretic transdermal system and trazodone both increase sedation. Use Caution/Monitor.

  • fentanyl transdermal

    fentanyl transdermal and trazodone both increase sedation. Use Caution/Monitor.

  • fentanyl transmucosal

    fentanyl transmucosal and trazodone both increase sedation. Use Caution/Monitor.

  • finerenone

    trazodone will increase the level or effect of finerenone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Monitor serum potassium during initiation and dosage adjustment of either finererone or weak CYP3A4 inhibitors. Adjust finererone dosage as needed.

  • flecainide

    trazodone and flecainide both increase QTc interval. Modify Therapy/Monitor Closely.

  • flibanserin

    trazodone will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Increased flibanserin adverse effects may occur if coadministered with multiple weak CYP3A4 inhibitors.

  • fluconazole

    fluconazole will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • fludrocortisone

    fludrocortisone will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will decrease the level or effect of fludrocortisone by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • fluoxetine

    trazodone and fluoxetine both increase QTc interval. Modify Therapy/Monitor Closely.

  • fluphenazine

    fluphenazine and trazodone both increase sedation. Use Caution/Monitor.

  • flurazepam

    flurazepam and trazodone both increase sedation. Use Caution/Monitor.

  • flurbiprofen

    trazodone, flurbiprofen.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • fluvoxamine

    fluvoxamine and trazodone both increase QTc interval. Modify Therapy/Monitor Closely.

  • formoterol

    trazodone increases and formoterol decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • fosamprenavir

    fosamprenavir will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely.

  • fosaprepitant

    fosaprepitant will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • foscarnet

    trazodone and foscarnet both increase QTc interval. Modify Therapy/Monitor Closely.

  • fosphenytoin

    fosphenytoin will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • fostemsavir

    trazodone and fostemsavir both increase QTc interval. Use Caution/Monitor. QTc prolongation reported with higher than recommended doses of fostemsavir.

  • frovatriptan

    frovatriptan and trazodone both increase serotonin levels. Modify Therapy/Monitor Closely.

  • gabapentin

    gabapentin, trazodone.Either increases effects of the other by pharmacodynamic synergism. Modify Therapy/Monitor Closely. Coadministration of CNS depressants can result in serious, life-threatening, and fatal respiratory depression. Use lowest dose possible and monitor for respiratory depression and sedation.

  • gabapentin enacarbil

    gabapentin enacarbil, trazodone.Either increases effects of the other by pharmacodynamic synergism. Modify Therapy/Monitor Closely. Coadministration of CNS depressants can result in serious, life-threatening, and fatal respiratory depression. Use lowest dose possible and monitor for respiratory depression and sedation.

  • ganaxolone

    trazodone and ganaxolone both increase sedation. Use Caution/Monitor.

  • gemtuzumab

    trazodone and gemtuzumab both increase QTc interval. Use Caution/Monitor.

  • gentamicin

    trazodone will decrease the level or effect of gentamicin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • gepirone

    gepirone and trazodone both increase serotonin levels. Use Caution/Monitor. Monitor for symptoms of serotonin syndrome when gepirone is used gepirone with other drugs that may affect the serotonergic neurotransmitter systems. If serotonin syndrome occurs, consider discontinue gepirone and/or concomitant serotonergic drug.

  • goserelin

    goserelin increases toxicity of trazodone by QTc interval. Use Caution/Monitor. Increases risk of torsades de pointes.

  • grapefruit

    grapefruit will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • green tea

    green tea, trazodone. Other (see comment). Use Caution/Monitor. Comment: Combination may increase risk of bleeding.

  • griseofulvin

    griseofulvin will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • haloperidol

    haloperidol and trazodone both increase sedation. Use Caution/Monitor.

  • henbane

    henbane and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • histrelin

    histrelin increases toxicity of trazodone by QTc interval. Use Caution/Monitor. Increases risk of torsades de pointes.

  • homatropine

    homatropine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • huperzine A

    huperzine A increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • hydrocodone

    hydrocodone, trazodone.Either increases effects of the other by serotonin levels. Use Caution/Monitor. Coadministration of drugs that affect the serotonergic neurotransmitter system may result in serotonin syndrome. If concomitant use is warranted, carefully observe the patient, particularly during treatment initiation and dose adjustment.

  • hydrocortisone

    hydrocortisone will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will decrease the level or effect of hydrocortisone by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • hydromorphone

    hydromorphone and trazodone both increase sedation. Use Caution/Monitor.

  • hydroxyzine

    hydroxyzine and trazodone both increase sedation. Use Caution/Monitor.

  • hyoscyamine

    hyoscyamine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • hyoscyamine spray

    hyoscyamine spray and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • ibuprofen

    trazodone, ibuprofen.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • ibuprofen IV

    trazodone, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • iloperidone

    trazodone and iloperidone both increase QTc interval. Modify Therapy/Monitor Closely.iloperidone and trazodone both increase sedation. Use Caution/Monitor.iloperidone increases levels of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Iloperidone is a time-dependent CYP3A inhibitor and may lead to increased plasma levels of drugs predominantly eliminated by CYP3A4.

  • imatinib

    trazodone will decrease the level or effect of imatinib by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • imipramine

    imipramine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.imipramine and trazodone both increase sedation. Use Caution/Monitor.

  • indinavir

    indinavir will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely.trazodone will decrease the level or effect of indinavir by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • indomethacin

    trazodone, indomethacin.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • ipratropium

    ipratropium and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • irinotecan liposomal

    trazodone will decrease the level or effect of irinotecan liposomal by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • isavuconazonium sulfate

    trazodone will increase the level or effect of isavuconazonium sulfate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • isoniazid

    isoniazid will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone and isoniazid both increase serotonin levels. Modify Therapy/Monitor Closely.

  • isoproterenol

    trazodone increases and isoproterenol decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • istradefylline

    istradefylline will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Istradefylline 40 mg/day increased peak levels and AUC of CYP3A4 substrates in clinical trials. This effect was not observed with istradefylline 20 mg/day. Consider dose reduction of sensitive CYP3A4 substrates.

  • itraconazole

    trazodone will decrease the level or effect of itraconazole by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • ivermectin

    trazodone will decrease the level or effect of ivermectin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • ketamine

    ketamine and trazodone both increase sedation. Use Caution/Monitor.

  • ketoprofen

    trazodone, ketoprofen.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • ketorolac

    trazodone, ketorolac.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • ketorolac intranasal

    trazodone, ketorolac intranasal.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • ketotifen, ophthalmic

    trazodone and ketotifen, ophthalmic both increase sedation. Use Caution/Monitor.

  • L-tryptophan

    trazodone and L-tryptophan both increase serotonin levels. Modify Therapy/Monitor Closely.

  • lapatinib

    lapatinib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will decrease the level or effect of lapatinib by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.trazodone and lapatinib both increase QTc interval. Modify Therapy/Monitor Closely.

  • lasmiditan

    lasmiditan, trazodone.Either increases effects of the other by sedation. Use Caution/Monitor. Coadministration of lasmiditan and other CNS depressant drugs, including alcohol have not been evaluated in clinical studies. Lasmiditan may cause sedation, as well as other cognitive and/or neuropsychiatric adverse reactions.

  • lemborexant

    trazodone will increase the level or effect of lemborexant by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Lower nightly dose of lemborexant recommended if coadministered with weak CYP3A4 inhibitors. See drug monograph for specific dosage modification.

  • lenacapavir

    lenacapavir will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Lencapavir may increase CYP3A4 substrates initiated within 9 months after last SC dose of lenacapavir, which may increase potential risk of adverse reactions of CYP3A4 substrates.

  • lenvatinib

    trazodone and lenvatinib both increase QTc interval. Use Caution/Monitor. Lenvatinib prescribing information recommends monitoring ECG closely when coadministered with QT prolonging drugs.

  • leuprolide

    leuprolide increases toxicity of trazodone by QTc interval. Use Caution/Monitor. Increases risk of torsades de pointes.

  • levalbuterol

    trazodone increases and levalbuterol decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • levetiracetam

    levetiracetam and trazodone both increase sedation. Use Caution/Monitor.

  • levocetirizine

    levocetirizine and trazodone both increase sedation. Use Caution/Monitor.

  • levofloxacin

    trazodone and levofloxacin both increase QTc interval. Modify Therapy/Monitor Closely.

  • levorphanol

    levorphanol and trazodone both increase sedation. Use Caution/Monitor.

  • linagliptin

    trazodone will decrease the level or effect of linagliptin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor. Use of alternative treatments is strongly recommended when linagliptin is to be administered with a P-gp inducer.

  • lisdexamfetamine

    trazodone increases and lisdexamfetamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • lithium

    trazodone and lithium both increase serotonin levels. Modify Therapy/Monitor Closely.

  • lofepramine

    lofepramine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.lofepramine and trazodone both increase sedation. Use Caution/Monitor.

  • lofexidine

    trazodone and lofexidine both increase sedation. Use Caution/Monitor.trazodone decreases effects of lofexidine by unspecified interaction mechanism. Use Caution/Monitor.

  • lomitapide

    trazodone increases levels of lomitapide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Lomitapide dose should not exceed 30 mg/day.

  • loperamide

    trazodone will decrease the level or effect of loperamide by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • loprazolam

    loprazolam and trazodone both increase sedation. Use Caution/Monitor.

  • loratadine

    loratadine and trazodone both increase sedation. Use Caution/Monitor.

  • lorazepam

    lorazepam and trazodone both increase sedation. Use Caution/Monitor.

  • lorlatinib

    lorlatinib will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • lormetazepam

    lormetazepam and trazodone both increase sedation. Use Caution/Monitor.

  • lornoxicam

    trazodone, lornoxicam.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • lovastatin

    trazodone will decrease the level or effect of lovastatin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • loxapine

    loxapine and trazodone both increase sedation. Use Caution/Monitor.

  • loxapine inhaled

    loxapine inhaled and trazodone both increase sedation. Use Caution/Monitor.

  • lsd

    trazodone and lsd both increase serotonin levels. Modify Therapy/Monitor Closely.

  • lumateperone

    lumateperone and trazodone both increase sedation. Use Caution/Monitor.

  • lumefantrine

    lumefantrine will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • lurasidone

    lurasidone, trazodone.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: Potential for increased CNS depressant effects when used concurrently; monitor for increased adverse effects and toxicity.lurasidone and trazodone both increase sedation. Use Caution/Monitor.

  • maprotiline

    maprotiline and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.maprotiline and trazodone both increase sedation. Use Caution/Monitor.

  • maraviroc

    trazodone will decrease the level or effect of maraviroc by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • marijuana

    marijuana will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone and marijuana both increase sedation. Use Caution/Monitor.

  • mavorixafor

    mavorixafor and trazodone both increase QTc interval. Modify Therapy/Monitor Closely. Mavorixafor causes concentration-dependent QTc prolongation. Monitor QTc during treatment in patients with risk factors for QTc prolongation (eg, coadministered medications that increase mavorixafor exposure or other drugs with a high risk to prolong the QTc interval). Mavorixafor dose reduction or discontinuation may be required.

  • meclizine

    meclizine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.meclizine and trazodone both increase sedation. Use Caution/Monitor.

  • meclofenamate

    trazodone, meclofenamate.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • mefenamic acid

    trazodone, mefenamic acid.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • melatonin

    trazodone and melatonin both increase sedation. Use Caution/Monitor.

  • meloxicam

    trazodone, meloxicam.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • meperidine

    meperidine and trazodone both increase sedation. Use Caution/Monitor.

  • meprobamate

    trazodone and meprobamate both increase sedation. Use Caution/Monitor.

  • mestranol

    trazodone will decrease the level or effect of mestranol by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • metaproterenol

    trazodone increases and metaproterenol decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • metaxalone

    metaxalone and trazodone both increase sedation. Use Caution/Monitor.

  • methadone

    trazodone and methadone both increase QTc interval. Modify Therapy/Monitor Closely.methadone and trazodone both increase sedation. Use Caution/Monitor.

  • methamphetamine

    trazodone increases and methamphetamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor. trazodone increases and methamphetamine decreases sedation. Effect of interaction is not clear, use caution. Significant - Monitor Closely..methamphetamine increases toxicity of trazodone by Other (see comment). Use Caution/Monitor. Comment: Amphetamines may increase the toxicity of serotonin modulators, increasing the risk of serotonin syndrome. .

  • methocarbamol

    methocarbamol and trazodone both increase sedation. Use Caution/Monitor.

  • methohexital

    methohexital and trazodone both increase sedation. Use Caution/Monitor.

  • methscopolamine

    methscopolamine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • methsuximide

    methsuximide and trazodone both increase sedation. Use Caution/Monitor.

  • methylenedioxymethamphetamine

    trazodone increases and methylenedioxymethamphetamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • methylphenidate

    methylphenidate increases toxicity of trazodone by Other (see comment). Modify Therapy/Monitor Closely. Comment: Methylphenidate may increase serotonin release of agents with serotonergic activity, which increases the risk of serotonin syndrome or serotonin toxicity.

  • methylprednisolone

    methylprednisolone will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will decrease the level or effect of methylprednisolone by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • metronidazole

    metronidazole will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • miconazole vagin*l

    miconazole vagin*l will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • midazolam

    midazolam and trazodone both increase sedation. Use Caution/Monitor.

  • midazolam intranasal

    trazodone will increase the level or effect of midazolam intranasal by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Coadministration of mild CYP3A4 inhibitors with midazolam intranasal may cause higher midazolam systemic exposure, which may prolong sedation.

  • midodrine

    trazodone increases and midodrine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • mipomersen

    mipomersen, trazodone.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: Both drugs have potential to increase hepatic enzymes; monitor LFTs.

  • mirtazapine

    trazodone and mirtazapine both increase sedation. Use Caution/Monitor.trazodone and mirtazapine both increase serotonin levels. Modify Therapy/Monitor Closely.

  • mitotane

    mitotane decreases levels of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Mitotane is a strong inducer of cytochrome P-4503A4; monitor when coadministered with CYP3A4 substrates for possible dosage adjustments.

  • modafinil

    trazodone increases and modafinil decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • morphine

    morphine and trazodone both increase sedation. Use Caution/Monitor.trazodone and morphine both increase serotonin levels. Modify Therapy/Monitor Closely.

  • motherwort

    trazodone and motherwort both increase sedation. Use Caution/Monitor.

  • moxonidine

    trazodone and moxonidine both increase sedation. Use Caution/Monitor.

  • nabilone

    trazodone and nabilone both increase sedation. Use Caution/Monitor.

  • nabumetone

    trazodone, nabumetone.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • nafcillin

    nafcillin will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • nalbuphine

    nalbuphine and trazodone both increase sedation. Use Caution/Monitor.

  • naproxen

    trazodone, naproxen.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • naratriptan

    naratriptan and trazodone both increase serotonin levels. Modify Therapy/Monitor Closely.

  • nefopam

    nefopam, trazodone. Mechanism: unspecified interaction mechanism. Use Caution/Monitor. Use combination with caution.

  • nelfinavir

    nelfinavir will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will decrease the level or effect of nelfinavir by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • neomycin PO

    trazodone will decrease the level or effect of neomycin PO by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • nifedipine

    nifedipine will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • nilotinib

    nilotinib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will decrease the level or effect of nilotinib by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • nirmatrelvir

    nirmatrelvir will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Adverse reactions of nausea, dizziness, hypotension, and syncope observed following coadministration of trazodone and strong CYP3A4 inhibitors. Consider lower trazodone dose.

  • nirmatrelvir/ritonavir

    nirmatrelvir/ritonavir will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Adverse reactions of nausea, dizziness, hypotension, and syncope observed following coadministration of trazodone and strong CYP3A4 inhibitors. Consider lower trazodone dose.

  • norepinephrine

    trazodone increases and norepinephrine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.trazodone increases effects of norepinephrine by unknown mechanism. Use Caution/Monitor.

  • nortriptyline

    nortriptyline and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.nortriptyline and trazodone both increase sedation. Use Caution/Monitor.

  • ofloxacin

    trazodone and ofloxacin both increase QTc interval. Modify Therapy/Monitor Closely.

  • olanzapine

    olanzapine and trazodone both increase sedation. Use Caution/Monitor.

  • olanzapine/samidorphan

    trazodone, olanzapine/samidorphan.Either increases effects of the other by pharmacodynamic synergism. Use Caution/Monitor. Coadministration of diazepam, alcohol, or other CNS acting drugs may potentiate orthostatic hypotension observed with olanzapine. Additive sedation may also occur.

  • oliceridine

    trazodone will increase the level or effect of oliceridine by affecting hepatic enzyme CYP2D6 metabolism. Modify Therapy/Monitor Closely. If concomitant use is necessary, may require less frequent oliceridine dosing. Closely monitor for respiratory depression and sedation and titrate subsequent doses accordingly. If inhibitor is discontinued, consider increase oliceridine dosage until stable drug effects are achieved. Monitor for signs of opioid withdrawal. trazodone, oliceridine.Either increases effects of the other by serotonin levels. Modify Therapy/Monitor Closely.

  • opium tincture

    opium tincture and trazodone both increase sedation. Use Caution/Monitor.

  • orphenadrine

    trazodone and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and trazodone both increase sedation. Use Caution/Monitor.

  • osilodrostat

    osilodrostat and trazodone both increase QTc interval. Use Caution/Monitor.

  • oxaliplatin

    oxaliplatin will increase the level or effect of trazodone by Other (see comment). Use Caution/Monitor. Monitor for ECG changes if therapy is initiated in patients with drugs known to prolong QT interval.

  • oxaprozin

    trazodone, oxaprozin.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • oxazepam

    oxazepam and trazodone both increase sedation. Use Caution/Monitor.

  • oxcarbazepine

    oxcarbazepine will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • oxybutynin

    oxybutynin and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • oxybutynin topical

    oxybutynin topical and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • oxybutynin transdermal

    oxybutynin transdermal and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • oxycodone

    oxycodone and trazodone both increase sedation. Use Caution/Monitor.

  • oxymorphone

    oxymorphone and trazodone both increase sedation. Use Caution/Monitor.

  • pacl*taxel

    trazodone will decrease the level or effect of pacl*taxel by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • pacl*taxel protein bound

    trazodone will decrease the level or effect of pacl*taxel protein bound by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • paliperidone

    trazodone will decrease the level or effect of paliperidone by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.trazodone and paliperidone both increase QTc interval. Modify Therapy/Monitor Closely.paliperidone and trazodone both increase sedation. Use Caution/Monitor.

  • pancuronium

    pancuronium and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • papaveretum

    papaveretum and trazodone both increase sedation. Use Caution/Monitor.

  • papaverine

    trazodone and papaverine both increase sedation. Use Caution/Monitor.

  • parecoxib

    trazodone, parecoxib.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • paromomycin

    trazodone will decrease the level or effect of paromomycin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • paroxetine

    trazodone and paroxetine both increase QTc interval. Modify Therapy/Monitor Closely.

  • pazopanib

    trazodone and pazopanib both increase QTc interval. Use Caution/Monitor.

  • peginterferon alfa 2b

    peginterferon alfa 2b, trazodone. Other (see comment). Use Caution/Monitor. Comment: When patients are administered peginterferon alpha-2b with CYP2D6 substrates, the therapeutic effect of these drugs may be altered. Peginterferon alpha-2b may increase or decrease levels of CYP2D6 substrate.

  • pentazocine

    pentazocine and trazodone both increase sedation. Use Caution/Monitor.trazodone and pentazocine both increase serotonin levels. Modify Therapy/Monitor Closely.

  • pentobarbital

    pentobarbital will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.pentobarbital and trazodone both increase sedation. Use Caution/Monitor.

  • perphenazine

    perphenazine and trazodone both increase sedation. Use Caution/Monitor.

  • phendimetrazine

    trazodone increases and phendimetrazine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • phenobarbital

    phenobarbital will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.phenobarbital and trazodone both increase sedation. Use Caution/Monitor.

  • phentermine

    trazodone increases and phentermine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • phenylephrine

    trazodone increases and phenylephrine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • phenylephrine ophthalmic

    trazodone, phenylephrine ophthalmic. Other (see comment). Use Caution/Monitor. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.

  • phenylephrine PO

    trazodone increases and phenylephrine PO decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor. .

  • pholcodine

    trazodone and pholcodine both increase sedation. Use Caution/Monitor.

  • pimozide

    pimozide and trazodone both increase sedation. Use Caution/Monitor.

  • pirbuterol

    trazodone increases and pirbuterol decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • piroxicam

    trazodone, piroxicam.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • posaconazole

    trazodone will decrease the level or effect of posaconazole by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.trazodone and posaconazole both increase QTc interval. Modify Therapy/Monitor Closely.

  • pralidoxime

    pralidoxime and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • prednisolone

    trazodone will decrease the level or effect of prednisolone by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • prednisone

    prednisone will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will decrease the level or effect of prednisone by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • pregabalin

    pregabalin, trazodone.Either increases effects of the other by pharmacodynamic synergism. Modify Therapy/Monitor Closely. Coadministration of CNS depressants can result in serious, life-threatening, and fatal respiratory depression. Use lowest dose possible and monitor for respiratory depression and sedation.

  • primidone

    primidone will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.primidone and trazodone both increase sedation. Use Caution/Monitor.

  • prochlorperazine

    prochlorperazine and trazodone both increase QTc interval. Use Caution/Monitor.prochlorperazine and trazodone both increase sedation. Use Caution/Monitor.

  • promethazine

    promethazine and trazodone both increase QTc interval. Use Caution/Monitor.promethazine and trazodone both increase sedation. Use Caution/Monitor.

  • propantheline

    propantheline and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • propofol

    propofol and trazodone both increase sedation. Use Caution/Monitor.

  • propylhexedrine

    trazodone increases and propylhexedrine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • protriptyline

    protriptyline and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.protriptyline and trazodone both increase sedation. Use Caution/Monitor.

  • quazepam

    quazepam and trazodone both increase sedation. Use Caution/Monitor.

  • quetiapine

    quetiapine and trazodone both increase sedation. Use Caution/Monitor.

  • quinupristin/dalfopristin

    quinupristin/dalfopristin will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • ramelteon

    trazodone and ramelteon both increase sedation. Use Caution/Monitor.

  • ranolazine

    trazodone and ranolazine both increase QTc interval. Modify Therapy/Monitor Closely.

  • rapacuronium

    rapacuronium and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • remimazolam

    remimazolam, trazodone.Either increases toxicity of the other by sedation. Modify Therapy/Monitor Closely. Coadministration may result in profound sedation, respiratory depression, coma, and/or death. Continuously monitor vital signs during sedation and recovery period if coadministered. Carefully titrate remimazolam dose if administered with opioid analgesics and/or sedative/hypnotics.

  • rifabutin

    rifabutin decreases levels of trazodone by increasing metabolism. Use Caution/Monitor.

  • risperidone

    trazodone will decrease the level or effect of risperidone by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.trazodone and risperidone both increase QTc interval. Modify Therapy/Monitor Closely.risperidone and trazodone both increase sedation. Use Caution/Monitor.

  • ritonavir

    ritonavir will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely.trazodone will decrease the level or effect of ritonavir by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • rizatriptan

    rizatriptan and trazodone both increase serotonin levels. Modify Therapy/Monitor Closely.

  • rocuronium

    rocuronium and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • romidepsin

    trazodone will decrease the level or effect of romidepsin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • rucaparib

    rucaparib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Adjust dosage of CYP3A4 substrates, if clinically indicated.

  • rufinamide

    rufinamide will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • salicylates (non-asa)

    trazodone, salicylates (non-asa).Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • salmeterol

    trazodone increases and salmeterol decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • salsalate

    trazodone, salsalate.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • SAMe

    trazodone and SAMe both increase serotonin levels. Modify Therapy/Monitor Closely.

  • scopolamine

    scopolamine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • scullcap

    trazodone and scullcap both increase sedation. Use Caution/Monitor.

  • secobarbital

    secobarbital will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.secobarbital and trazodone both increase sedation. Use Caution/Monitor.

  • sevoflurane

    sevoflurane and trazodone both increase sedation. Use Caution/Monitor.

  • shepherd's purse

    trazodone and shepherd's purse both increase sedation. Use Caution/Monitor.

  • silodosin

    trazodone will decrease the level or effect of silodosin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • sirolimus

    trazodone will decrease the level or effect of sirolimus by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • solifenacin

    solifenacin and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • stiripentol

    stiripentol, trazodone. affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Stiripentol is a CYP3A4 inhibitor and inducer. Monitor CYP3A4 substrates coadministered with stiripentol for increased or decreased effects. CYP3A4 substrates may require dosage adjustment.

  • streptomycin

    trazodone will decrease the level or effect of streptomycin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • sufentanil

    sufentanil and trazodone both increase sedation. Use Caution/Monitor.

  • sufentanil SL

    sufentanil SL, trazodone.Either increases effects of the other by serotonin levels. Use Caution/Monitor. Coadministration of drugs that affect the serotonergic neurotransmitter system may result in serotonin syndrome. If concomitant use is warranted, carefully observe the patient, particularly during treatment initiation and dose adjustment.

  • sulfamethoxazole

    trazodone and sulfamethoxazole both increase QTc interval. Modify Therapy/Monitor Closely.

  • sulfasalazine

    trazodone, sulfasalazine.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • sulindac

    trazodone, sulindac.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • sumatriptan

    sumatriptan and trazodone both increase serotonin levels. Modify Therapy/Monitor Closely.

  • sumatriptan intranasal

    sumatriptan intranasal and trazodone both increase serotonin levels. Modify Therapy/Monitor Closely.

  • tacrolimus

    trazodone will decrease the level or effect of tacrolimus by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • tamsulosin

    trazodone increases levels of tamsulosin by affecting hepatic enzyme CYP2D6 metabolism. Use Caution/Monitor.

  • tapentadol

    tapentadol and trazodone both increase sedation. Use Caution/Monitor.trazodone and tapentadol both increase serotonin levels. Modify Therapy/Monitor Closely.

  • tazemetostat

    tazemetostat will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone will increase the level or effect of tazemetostat by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • tecovirimat

    tecovirimat will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Tecovirimat is a weak CYP3A4 inducer. Monitor sensitive CYP3A4 substrates for effectiveness if coadministered.

  • telavancin

    trazodone and telavancin both increase QTc interval. Modify Therapy/Monitor Closely.

  • temazepam

    temazepam and trazodone both increase sedation. Use Caution/Monitor.

  • terbutaline

    trazodone increases and terbutaline decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • thioridazine

    thioridazine and trazodone both increase sedation. Use Caution/Monitor.

  • thiothixene

    thiothixene and trazodone both increase sedation. Use Caution/Monitor.

  • tinidazole

    trazodone will increase the level or effect of tinidazole by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • tiotropium

    tiotropium and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • tobramycin

    trazodone will decrease the level or effect of tobramycin by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • tolfenamic acid

    trazodone, tolfenamic acid.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • tolmetin

    trazodone, tolmetin.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • tolterodine

    tolterodine and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • tolvaptan

    trazodone will decrease the level or effect of tolvaptan by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • topiramate

    topiramate will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.trazodone and topiramate both increase sedation. Modify Therapy/Monitor Closely.

  • tramadol

    tramadol and trazodone both increase sedation. Use Caution/Monitor.trazodone and tramadol both increase serotonin levels. Modify Therapy/Monitor Closely.

  • triazolam

    triazolam and trazodone both increase sedation. Use Caution/Monitor.

  • triclabendazole

    triclabendazole and trazodone both increase QTc interval. Use Caution/Monitor.

  • triclofos

    triclofos and trazodone both increase sedation. Use Caution/Monitor.

  • trifluoperazine

    trifluoperazine and trazodone both increase sedation. Use Caution/Monitor.

  • trimethoprim

    trazodone and trimethoprim both increase QTc interval. Modify Therapy/Monitor Closely.

  • trimipramine

    trazodone and trimipramine both decrease cholinergic effects/transmission. Use Caution/Monitor.trazodone and trimipramine both increase sedation. Use Caution/Monitor.

  • triprolidine

    triprolidine and trazodone both increase sedation. Use Caution/Monitor.

  • triptorelin

    triptorelin increases toxicity of trazodone by QTc interval. Use Caution/Monitor. Increases risk of torsades de pointes.

  • tropisetron

    trazodone and tropisetron both increase QTc interval. Modify Therapy/Monitor Closely.

  • trospium chloride

    trospium chloride and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • valbenazine

    valbenazine and trazodone both increase QTc interval. Use Caution/Monitor.

  • vecuronium

    vecuronium and trazodone both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • venlafaxine

    trazodone and venlafaxine both increase QTc interval. Modify Therapy/Monitor Closely.

  • verapamil

    verapamil will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • vinblastine

    trazodone will decrease the level or effect of vinblastine by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • vincristine

    trazodone will decrease the level or effect of vincristine by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • vincristine liposomal

    trazodone will decrease the level or effect of vincristine liposomal by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor.

  • voriconazole

    trazodone and voriconazole both increase QTc interval. Modify Therapy/Monitor Closely.

  • xylometazoline

    trazodone increases and xylometazoline decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • yohimbine

    trazodone increases and yohimbine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • ziconotide

    trazodone and ziconotide both increase sedation. Use Caution/Monitor.

  • ziprasidone

    ziprasidone and trazodone both increase sedation. Use Caution/Monitor.

  • zolmitriptan

    zolmitriptan and trazodone both increase serotonin levels. Modify Therapy/Monitor Closely.

  • acarbose

    trazodone increases effects of acarbose by pharmacodynamic synergism. Minor/Significance Unknown.

  • acetazolamide

    acetazolamide will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown.

  • almotriptan

    trazodone, almotriptan. Mechanism: unknown. Minor/Significance Unknown. Risk of weakness, dyspnea, chest pain.

  • alvimopan

    trazodone will decrease the level or effect of alvimopan by P-glycoprotein (MDR1) efflux transporter. Minor/Significance Unknown.

  • amobarbital

    amobarbital, trazodone. Other (see comment). Minor/Significance Unknown. Comment: Barbiturates may increase adverse effects, including respiratory depression, produced by toxic doses of TCAs. With therapeutic doses of TCAs, barbiturates increase metabolism and decrease blood concentrations of TCAs.

  • anastrozole

    anastrozole will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown.

  • anticholinergic/sedative combos

    anticholinergic/sedative combos and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • armodafinil

    trazodone will decrease the level or effect of armodafinil by P-glycoprotein (MDR1) efflux transporter. Minor/Significance Unknown.

  • atorvastatin

    trazodone increases levels of atorvastatin by unspecified interaction mechanism. Minor/Significance Unknown.

  • atropine

    atropine and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.trazodone increases levels of atropine by unknown mechanism. Minor/Significance Unknown.

  • atropine IV/IM

    trazodone increases levels of atropine IV/IM by unknown mechanism. Minor/Significance Unknown.

  • bazedoxifene/conjugated estrogens

    bazedoxifene/conjugated estrogens, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects.

  • belladonna alkaloids

    belladonna alkaloids and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • benztropine

    benztropine and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • bethanechol

    bethanechol increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • brimonidine

    trazodone decreases effects of brimonidine by pharmacodynamic antagonism. Minor/Significance Unknown.

  • bumetanide

    bumetanide, trazodone. Mechanism: pharmacodynamic synergism. Minor/Significance Unknown. Possible additive hyponatremia.

  • butabarbital

    butabarbital, trazodone. Other (see comment). Minor/Significance Unknown. Comment: Barbiturates may increase adverse effects, including respiratory depression, produced by toxic doses of TCAs. With therapeutic doses of TCAs, barbiturates increase metabolism and decrease blood concentrations of TCAs.

  • butalbital

    butalbital, trazodone. Other (see comment). Minor/Significance Unknown. Comment: Barbiturates may increase adverse effects, including respiratory depression, produced by toxic doses of TCAs. With therapeutic doses of TCAs, barbiturates increase metabolism and decrease blood concentrations of TCAs.

  • carbachol

    carbachol increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • carbamazepine

    carbamazepine decreases levels of trazodone by increasing metabolism. Minor/Significance Unknown.

  • celandine

    celandine decreases effects of trazodone by pharmacodynamic antagonism. Minor/Significance Unknown. Based on animal studies.

  • cevimeline

    cevimeline increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • chlorpromazine

    trazodone, chlorpromazine.Either increases toxicity of the other by pharmacodynamic synergism. Minor/Significance Unknown. Additive hypotensive effects.trazodone, chlorpromazine.Either increases levels of the other by decreasing metabolism. Minor/Significance Unknown. Additive anticholinergic effects.

  • chlorpropamide

    trazodone increases effects of chlorpropamide by pharmacodynamic synergism. Minor/Significance Unknown.

  • cisatracurium

    cisatracurium and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • conjugated estrogens

    conjugated estrogens, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects.

  • conjugated estrogens, vagin*l

    conjugated estrogens, vagin*l, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects.

  • cyclizine

    cyclizine and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • cyclobenzaprine

    cyclobenzaprine and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • cyclophosphamide

    cyclophosphamide will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown.

  • danazol

    danazol will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown.

  • darifenacin

    darifenacin and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • desflurane

    desflurane, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Risk of arrhythmias or hypotension.

  • dexmethylphenidate

    dexmethylphenidate increases effects of trazodone by decreasing metabolism. Minor/Significance Unknown.

  • DHEA, herbal

    DHEA, herbal will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown.

  • dicyclomine

    dicyclomine and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • diphenhydramine

    diphenhydramine and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • donepezil

    donepezil increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • drospirenone

    drospirenone will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown.

  • echothiophate iodide

    echothiophate iodide increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • eletriptan

    trazodone, eletriptan. Mechanism: unknown. Minor/Significance Unknown. Risk of weakness, dyspnea, chest pain.

  • estradiol

    estradiol, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects.

  • estrogens conjugated synthetic

    estrogens conjugated synthetic, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects.

  • estrogens esterified

    estrogens esterified, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects.

  • estropipate

    estropipate, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects.

  • ethacrynic acid

    ethacrynic acid, trazodone. Mechanism: pharmacodynamic synergism. Minor/Significance Unknown. Possible additive hyponatremia.

  • ethanol

    ethanol, trazodone.Either increases toxicity of the other by pharmacodynamic synergism. Minor/Significance Unknown. Additive impairment of motor skills.

  • ethinylestradiol

    ethinylestradiol, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Oxidative metabolism of TCAs may be decreased by ethinyl estradiol. Increased antidepressant serum concentrations may occur. Potential for increased TCA adverse effects.

  • ethotoin

    trazodone increases levels of ethotoin by unspecified interaction mechanism. Minor/Significance Unknown.

  • etomidate

    etomidate, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Risk of arrhythmias or hypotension.

  • eucalyptus

    trazodone and eucalyptus both increase sedation. Minor/Significance Unknown.

  • fesoterodine

    fesoterodine and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • fexofenadine

    trazodone will decrease the level or effect of fexofenadine by P-glycoprotein (MDR1) efflux transporter. Minor/Significance Unknown.

  • flavoxate

    flavoxate and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • fluphenazine

    trazodone, fluphenazine.Either increases toxicity of the other by pharmacodynamic synergism. Minor/Significance Unknown. Additive hypotensive effects.trazodone, fluphenazine.Either increases levels of the other by decreasing metabolism. Minor/Significance Unknown. Additive anticholinergic effects.

  • fosphenytoin

    trazodone increases levels of fosphenytoin by unspecified interaction mechanism. Minor/Significance Unknown.

  • frovatriptan

    trazodone, frovatriptan. Mechanism: unknown. Minor/Significance Unknown. Risk of weakness, dyspnea, chest pain.

  • furosemide

    furosemide, trazodone. Mechanism: pharmacodynamic synergism. Minor/Significance Unknown. Possible additive hyponatremia.

  • galantamine

    galantamine increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • glimepiride

    trazodone increases effects of glimepiride by pharmacodynamic synergism. Minor/Significance Unknown.

  • glipizide

    trazodone increases effects of glipizide by pharmacodynamic synergism. Minor/Significance Unknown.

  • glyburide

    trazodone increases effects of glyburide by pharmacodynamic synergism. Minor/Significance Unknown.

  • glycopyrrolate

    glycopyrrolate and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.

  • glycopyrrolate inhaled

    glycopyrrolate inhaled and trazodone both decrease cholinergic effects/transmission. Minor/Significance Unknown.trazodone increases levels of glycopyrrolate inhaled by unknown mechanism. Minor/Significance Unknown.

  • hydroxyprogesterone caproate (DSC)

    hydroxyprogesterone caproate (DSC), trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects.

  • insulin aspart

    trazodone increases effects of insulin aspart by pharmacodynamic synergism. Minor/Significance Unknown.

  • insulin detemir

    trazodone increases effects of insulin detemir by pharmacodynamic synergism. Minor/Significance Unknown.

  • insulin glargine

    trazodone increases effects of insulin glargine by pharmacodynamic synergism. Minor/Significance Unknown.

  • insulin glulisine

    trazodone increases effects of insulin glulisine by pharmacodynamic synergism. Minor/Significance Unknown.

  • insulin lispro

    trazodone increases effects of insulin lispro by pharmacodynamic synergism. Minor/Significance Unknown.

  • insulin NPH

    trazodone increases effects of insulin NPH by pharmacodynamic synergism. Minor/Significance Unknown.

  • insulin regular human

    trazodone increases effects of insulin regular human by pharmacodynamic synergism. Minor/Significance Unknown.

  • isoproterenol

    isoproterenol, trazodone. Mechanism: unknown. Minor/Significance Unknown. Risk of cardiac arrhythmias.

  • ketamine

    ketamine, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Risk of arrhythmias or hypotension.

  • larotrectinib

    larotrectinib will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown.

  • lithium

    lithium, trazodone. Other (see comment). Minor/Significance Unknown. Comment: Risk of neurotoxicity in geriatric pts. Multiple mechanisms involved.trazodone, lithium. Mechanism: unknown. Minor/Significance Unknown. Risk of neurotoxicity.

  • loratadine

    trazodone will decrease the level or effect of loratadine by P-glycoprotein (MDR1) efflux transporter. Minor/Significance Unknown.

  • lovastatin

    trazodone increases levels of lovastatin by unspecified interaction mechanism. Minor/Significance Unknown.

  • mestranol

    mestranol, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects.

  • metformin

    trazodone increases effects of metformin by pharmacodynamic synergism. Minor/Significance Unknown.

  • miglitol

    trazodone increases effects of miglitol by pharmacodynamic synergism. Minor/Significance Unknown.

  • naratriptan

    trazodone, naratriptan. Mechanism: unknown. Minor/Significance Unknown. Risk of weakness, dyspnea, chest pain.

  • nateglinide

    trazodone increases effects of nateglinide by pharmacodynamic synergism. Minor/Significance Unknown.

  • neostigmine

    neostigmine increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • panax ginseng

    panax ginseng increases effects of trazodone by pharmacodynamic synergism. Minor/Significance Unknown.

  • pentobarbital

    pentobarbital, trazodone. Other (see comment). Minor/Significance Unknown. Comment: Barbiturates may increase adverse effects, including respiratory depression, produced by toxic doses of TCAs. With therapeutic doses of TCAs, barbiturates increase metabolism and decrease blood concentrations of TCAs.

  • perphenazine

    trazodone, perphenazine.Either increases toxicity of the other by pharmacodynamic synergism. Minor/Significance Unknown. Additive hypotensive effects.trazodone, perphenazine.Either increases levels of the other by decreasing metabolism. Minor/Significance Unknown. Additive anticholinergic effects.

  • phenobarbital

    phenobarbital, trazodone. Other (see comment). Minor/Significance Unknown. Comment: Barbiturates may increase adverse effects, including respiratory depression, produced by toxic doses of TCAs. With therapeutic doses of TCAs, barbiturates increase metabolism and decrease blood concentrations of TCAs.

  • phenytoin

    trazodone increases levels of phenytoin by unspecified interaction mechanism. Minor/Significance Unknown.

  • physostigmine

    physostigmine increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • pilocarpine

    pilocarpine increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • pioglitazone

    trazodone increases effects of pioglitazone by pharmacodynamic synergism. Minor/Significance Unknown.

  • pitavastatin

    trazodone increases levels of pitavastatin by unspecified interaction mechanism. Minor/Significance Unknown.

  • pleurisy root

    pleurisy root decreases effects of trazodone by unspecified interaction mechanism. Minor/Significance Unknown. Theoretical interaction.

  • pravastatin

    trazodone increases levels of pravastatin by unspecified interaction mechanism. Minor/Significance Unknown.

  • primidone

    primidone, trazodone. Other (see comment). Minor/Significance Unknown. Comment: Barbiturates may increase adverse effects, including respiratory depression, produced by toxic doses of TCAs. With therapeutic doses of TCAs, barbiturates increase metabolism and decrease blood concentrations of TCAs.

  • prochlorperazine

    trazodone, prochlorperazine.Either increases toxicity of the other by pharmacodynamic synergism. Minor/Significance Unknown. Additive hypotensive effects.trazodone, prochlorperazine.Either increases levels of the other by decreasing metabolism. Minor/Significance Unknown. Additive anticholinergic effects.

  • progesterone micronized

    progesterone micronized, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects.

  • promazine

    trazodone, promazine.Either increases toxicity of the other by pharmacodynamic synergism. Minor/Significance Unknown. Additive hypotensive effects.trazodone, promazine.Either increases levels of the other by decreasing metabolism. Minor/Significance Unknown. Additive anticholinergic effects.

  • promethazine

    trazodone, promethazine.Either increases toxicity of the other by pharmacodynamic synergism. Minor/Significance Unknown. Additive hypotensive effects.trazodone, promethazine.Either increases levels of the other by decreasing metabolism. Minor/Significance Unknown. Additive anticholinergic effects.

  • propofol

    propofol, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Risk of arrhythmias or hypotension.

  • pyridostigmine

    pyridostigmine increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • repaglinide

    trazodone increases effects of repaglinide by pharmacodynamic synergism. Minor/Significance Unknown.

  • rivastigmine

    rivastigmine increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • rizatriptan

    trazodone, rizatriptan. Mechanism: unknown. Minor/Significance Unknown. Risk of weakness, dyspnea, chest pain.

  • rosiglitazone

    trazodone increases effects of rosiglitazone by pharmacodynamic synergism. Minor/Significance Unknown.

  • rosuvastatin

    trazodone increases levels of rosuvastatin by unspecified interaction mechanism. Minor/Significance Unknown.

  • ruxolitinib

    trazodone will increase the level or effect of ruxolitinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown.

  • ruxolitinib topical

    trazodone will increase the level or effect of ruxolitinib topical by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown.

  • sage

    trazodone and sage both increase sedation. Minor/Significance Unknown.

  • saxagliptin

    trazodone increases effects of saxagliptin by pharmacodynamic synergism. Minor/Significance Unknown.

  • secobarbital

    secobarbital, trazodone. Other (see comment). Minor/Significance Unknown. Comment: Barbiturates may increase adverse effects, including respiratory depression, produced by toxic doses of TCAs. With therapeutic doses of TCAs, barbiturates increase metabolism and decrease blood concentrations of TCAs.

  • serdexmethylphenidate/dexmethylphenidate

    serdexmethylphenidate/dexmethylphenidate increases effects of trazodone by decreasing metabolism. Minor/Significance Unknown.

  • sevoflurane

    sevoflurane, trazodone. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Risk of arrhythmias or hypotension.

  • simvastatin

    trazodone increases levels of simvastatin by unspecified interaction mechanism. Minor/Significance Unknown.

  • sitagliptin

    trazodone increases effects of sitagliptin by pharmacodynamic synergism. Minor/Significance Unknown.

  • succinylcholine

    succinylcholine increases and trazodone decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Minor/Significance Unknown.

  • sulfamethoxazole

    sulfamethoxazole decreases levels of trazodone by unspecified interaction mechanism. Minor/Significance Unknown.

  • sumatriptan

    trazodone, sumatriptan. Mechanism: unknown. Minor/Significance Unknown. Risk of weakness, dyspnea, chest pain.

  • sumatriptan intranasal

    trazodone, sumatriptan intranasal. Mechanism: unknown. Minor/Significance Unknown. Risk of weakness, dyspnea, chest pain.

  • thioridazine

    trazodone, thioridazine.Either increases toxicity of the other by pharmacodynamic synergism. Minor/Significance Unknown. Additive hypotensive effects.trazodone, thioridazine.Either increases levels of the other by decreasing metabolism. Minor/Significance Unknown. Additive anticholinergic effects.

  • tolazamide

    trazodone increases effects of tolazamide by pharmacodynamic synergism. Minor/Significance Unknown.

  • tolbutamide

    trazodone increases effects of tolbutamide by pharmacodynamic synergism. Minor/Significance Unknown.

  • torsemide

    torsemide, trazodone. Mechanism: pharmacodynamic synergism. Minor/Significance Unknown. Possible additive hyponatremia.

  • trifluoperazine

    trazodone, trifluoperazine.Either increases toxicity of the other by pharmacodynamic synergism. Minor/Significance Unknown. Additive hypotensive effects.trazodone, trifluoperazine.Either increases levels of the other by decreasing metabolism. Minor/Significance Unknown. Additive anticholinergic effects.

  • vasopressin

    trazodone increases effects of vasopressin by pharmacodynamic synergism. Minor/Significance Unknown.

  • verapamil

    verapamil increases levels of trazodone by decreasing metabolism. Minor/Significance Unknown.

  • vildagliptin

    trazodone increases effects of vildagliptin by pharmacodynamic synergism. Minor/Significance Unknown.

  • zafirlukast

    zafirlukast will increase the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown.

  • zolmitriptan

    trazodone, zolmitriptan. Mechanism: unknown. Minor/Significance Unknown. Risk of weakness, dyspnea, chest pain.

  • zolpidem

    zolpidem, trazodone.Either increases effects of the other by pharmacodynamic synergism. Minor/Significance Unknown. Additive CNS depression.

  • Oleptro, Trazodone D (trazodone) dosing, indications, interactions, adverse effects, and more (2024)
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