How Long To Wait After Drinking To Take Trazodone
In our latest question and answer, the pharmacist discusses the effects of alcohol with trazodone, and how long to wait after drinking to take it.
I've just had two drinks, Pepsi with one shot of spiced rum each. I take 100mg of trazodone for sleep at night and I'm afraid of the interaction. Just wondering if I should wait and if so, how long, before taking the trazodone.
Oct 02, 2022- Alcohol and trazodone are both central nervous system depressants and should not be combined because mixing them increases the risk of sedation, dizziness, confusion, and more serious complications.
- As a general rule, wait at least one hour after each drink before taking trazodone, so if you had two drinks you should wait about two hours.
- If you take trazodone first and want to drink alcohol, you should wait 2 to 3 days since trazodone stays in your system for that long.
Answer
Thanks so much for reaching out to us! I understand your concern about mixing alcohol with trazodone. Combining both can certainly increase the risk of certain side effects, such as excess sedation, dizziness, and confusion, to name a few. Additionally, since you take trazodone to sleep, your sleep quality might decrease with the combination.
Avoid Trazodone Use With Alcohol
Alcohol and trazodone are both considered CNS (central nervous system) depressants, and combining them enhances these CNS effects.
The prescribing information for trazodone states the following:
Do not drink alcohol or take other medicines that make you sleepy or dizzy while taking DESYREL [trazodone] until you talk with your healthcare provider. DESYREL may make your sleepiness or dizziness worse if you take it with alcohol or other medicines that cause sleepiness or dizziness.
In addition to the potential side effects listed above (e.g. sedation, dizziness, etc...), there is also the chance of more serious problems with the combination.
The FDA label for trazodone also advises that death from overdose has occurred from concurrent use. Case reports from 1982 to 1986 describe 9 individuals who died due to taking trazodone in combination with other drugs and/or alcohol, although these cases typically involved individuals who took excess amounts of each and/or had underlying respiratory problems. It wouldn't be common in someone taking the usual prescribed doses and alcohol in moderation.
Taking Trazodone After Drinking
Getting to your question, about how long to wait after drinking alcohol to take trazodone. There is no 'set in stone' time that it takes to metabolize 'one drink', but the general rule of thumb is one hour per one drink (although this can vary, especially in women, who metabolize alcohol more slowly). One drink is defined as:
- 5 ounces of wine (12% alcohol)
- 1 1/2 ounces of liquor (40% alcohol)
- 12 ounces of beer (5% alcohol)
The alcohol percent in the above drinks can certainly vary, but it gives you a good measuring stick.
Therefore, if you have one drink, you want to wait at least one hour before taking trazodone. Two hours for two drinks, and so on. In your case, having had two shots, you want to wait at least two hours to allow your body time to metabolize the alcohol before having a drink.
How Long Does It Take To Metabolize Trazodone?
If we go the other way around, taking trazodone before drinking (instead of trazodone after drinking), we have to take into account how long it takes our body to metabolize the drug.
Trazodone has a half-life (i.e. the time it takes to metabolize 50% of a drug) of around 10 hours, and most of the drug is metabolized within 2 to 3 days. Therefore, to completely avoid having trazodone in your system before having alcohol, you need to wait that amount of time (2-3 days).
Final Words
Thanks again for your question and I hope this answer was of some assistance.
References & sources
- Trazodone overdose: four years of experience from voluntary reports — PubMed
- Trazodone Prescribing Information — AccessFDA
- Alcohol Facts — Alcoholic Beverage Control
- Drinking Levels Defined — National Institute of Health
Glossary — Terms in This Answer
- CNS depressants
- Medications or substances that slow down brain and nervous system activity, causing drowsiness and reduced alertness.
- Sedation
- A state of calm or drowsiness, often caused by medications or drugs.
- FDA label
- Official government-approved information about a drug's uses, risks, and instructions provided by the Food and Drug Administration.
- Co-administration
- Taking two or more drugs at the same time or close together.
- Manual dexterity
- The ability to use your hands and fingers with skill and control.
- Metabolize
- The process by which your body breaks down a drug or substance into forms it can use or eliminate.
- Half-life
- The time it takes for your body to break down and eliminate half of a drug dose.
- Ethanol
- The type of alcohol found in alcoholic beverages.