My GP's nurse practitioner just put me on Trazodone two weeks ago. So far, she's been the most helpful medical professional in this past year of insomnia and constant anxiety! Been sleeping much better now. I sometimes still pop awake randomly, but I'm able to go back to sleep with 15 minutes to an hour tops. I don't feel so wired anymore. I feel a bit tired still and yawn a lot. Well, I did that before, too, but I'm not feeling like I have gallons of caffeine running through my veins.
It comes prescribed at 50mg at the lowest, but you can get a pill splitter and go lower. I tried 12.5mg on my first night, since it was a work night, to make sure I could get out of bed on time just in case. I got about 5 hours that night? Which is better than what I was getting before, which was zero or close to it. The dreams are a bit more vivid, but that's okay. It might also help anxiety symptoms. It did for me the first week, but it's come back again. At least I can sleep, though. That's progress. Anyway, 25mg seems to be the sweet spot for me, and it's what the sleep disorder center recommended as a starting point anyway. Not too groggy the next day, but still able to pull 7-8 hours most nights. Still some interruptions, but I'm able to go back to sleep when I wasn't before.
Might be worth a try? Unfortunately, nobody even recommended it to me! Except my GP's nurse practitioner. The actual OBGYN nurse practitioner didn't even think of it. Go figure. You'd think she of all people would have offered it to me?
Also, don't be afraid that it's a "sleeping pill". It's actually an old school antidepressent that's prescribed off-label for insomnia. It's not like Ambien where you get addicted or start sleep walking and doing weird things you can't remember. At low doses, it's also not that useful as an antidepressant. Some tapering off will be required to get off it, of course, but it's not like it's Effexor or Paxil.