Trazodone Side Effects: Common, Serious & FDA Warnings
Based on 15,000+ FDA adverse event reports, the most-reported trazodone reactions include fatigue, nausea, and headache. FDA reports 2 active Class II recalls of trazodone, primarily for failed dissolution specifications. The FDA-approved label carries a boxed warning.
WARNING: SUICIDAL THOUGHTS and BEHAVIORS Antidepressants increased the risk of suicidal thoughts and behaviors in pediatric and young adult patients in short-term studies. Closely monitor all antidepressant-treated patients for clinical worsening, and for emergence of suicidal thoughts and behaviors [see Warnings and Precautions ( 5.1 )] . Trazodone is not approved for use in pediatric patients [see Use in Specific Populations ( 8.4 )] . WARNING: SUICIDAL THOUGHTS and BEHAVIORS See full prescribing information for complete boxed warning. Antidepressants increased the risk of suicidal thoughts and behaviors in pediatric and young adult patients ( 5.1 ) Closely monitor for clinical worsening and emergence of suicidal thoughts and behaviors ( 5.1 ) Trazodone is not approved for use in pediatric patients ( 8.4 )
Common Side Effects of Trazodone
The most-reported reactions in the FDA Adverse Event Reporting System (FAERS) for trazodone. Percentages reflect the share of reports mentioning each reaction; a single report may include multiple reactions. Reports indicate co-occurrence, not causation.
| Reaction | Reports | % of total |
|---|---|---|
| Fatigue | 1,142 | 7.5% |
| Nausea | 1,112 | 7.3% |
| Headache | 915 | 6.0% |
| Pain | 817 | 5.3% |
| Diarrhoea | 804 | 5.2% |
| Vomiting | 693 | 4.5% |
| Insomnia | 676 | 4.4% |
| Depression | 662 | 4.3% |
| Dyspnoea | 634 | 4.1% |
| Dizziness | 614 | 4.0% |
Serious Outcomes and FDA Warnings
FAERS reports flagged with a serious outcome (death, hospitalization, life-threatening, disability, or congenital anomaly), plus reactions surfaced in the FDA-approved label's Warnings section. Reports indicate co-occurrence, not causation.
| Outcome flag | Reports | % of total |
|---|---|---|
| Serious reports (any flag) | — | — |
| Hospitalization | — | — |
| Death reported as outcome FAERS outcome flag, not a reaction term. The patient was on the drug when the report was filed; causation is not established. | 460 | 3.0% |
From the FDA-approved label, Section 5.1: Suicidal Thoughts and Behaviors in Pediatric and Young Adult
Patients In pooled analyses of placebo-controlled trials of antidepressant drugs (SSRIs and other antidepressant classes) that included approximately 77,000 adult patients and over 4,400 pediatric patients, the incidence of suicidal thoughts and behaviors in pediatric and young adult patients was greater in antidepressant-treated patients than in placebo-treated patients. The drug-placebo differences in the number of cases of suicidal thoughts and behaviors per 1,000 patients treated are provided in Table 1.Show full Section 5.1
No suicides occurred in any of the pediatric studies. There were suicides in the adult studies, but the number was not sufficient to reach any conclusion about antidepressant drug effect on suicide. Table 1 Risk Differences of the Number of Cases of Suicidal Thoughts or Behaviors in the Pooled Placebo-Controlled Trials of Antidepressants in Pediatric and Adult Patients Age Range (years) Drug-Placebo Difference in Number of Patients of Suicidal Thoughts or Behaviors per 1,000 Patients Treated Increases Compared to Placebo < 18 14 additional patients 18 to 24 5 additional patients Decreases Compared to Placebo 25 to 64 1 fewer patient ≥ 65 6 fewer patients It is unknown whether the risk of suicidal thoughts and behaviors in pediatric and young adult patients extends to longer-term use, i.e., beyond four months. However, there is substantial evidence from placebo-controlled maintenance trials in adults with MDD that antidepressants delay the recurrence of depression. Monitor all antidepressant-treated patients for clinical worsening and emergence of suicidal thoughts and behaviors, especially during the initial few months of drug therapy and at times of dosage changes. Counsel family members or caregivers of patients to monitor for changes in behavior and to alert the healthcare provider. Consider changing the therapeutic regimen, including possibly discontinuing trazodone, in patients whose depression is persistently worse, or who are experiencing emergent suicidal thoughts or behaviors.
From the FDA-approved label, Section 5.4: Orthostatic Hypotension and Syncope
Hypotension, including orthostatic hypotension and syncope has been reported in patients receiving trazodone hydrochloride. Concomitant use with an antihypertensive may require a reduction in the dose of the antihypertensive drug.
Trazodone Recalls
FDA enforcement actions matched to trazodone via openFDA's structured generic_name field and the NDC bridge. Ongoing recalls are listed below (verify on FDA →); closed recalls are grouped in the disclosure that follows.
| Date | Reason | Class | Quantity | Status |
|---|---|---|---|---|
| 2026-02-11 | Presence of Foreign Tablets/Capsules Granules Pharmaceuticals Inc. | Class II | 71424 bottles. | Ongoing |
| 2026-01-07 | Failed Tablet/Capsule Specifications: Product complaint received that some tablets had a dent on the plain side of the tablet surface. Zydus Pharmaceuticals (USA) Inc | Class III | 2,136 1000-count bottles | Ongoing |
Show 1 closed recall (2021 to 2021)
Includes resolved and terminated recalls matched to trazodone. Most recent first.
| Date | Reason | Class | Quantity | Status |
|---|---|---|---|---|
| 2021-06-02 | CGMP Deviations: Intermittent exposure to temperature excursion during storage. Cardinal Health Inc. | Class II | 91 CARTON | Terminated |
Trazodone Shortages
FDA-listed shortages of trazodone products. Strength and dosage-form level detail.
Is Trazodone Safe?
Trazodone is FDA-approved. The label's Warnings and Precautions section covers suicidal thoughts and behaviors in pediatric and young adult (Section 5.1), serotonin syndrome (Section 5.2), cardiac arrhythmias (Section 5.3), orthostatic hypotension and syncope (Section 5.4), increased risk of bleeding (Section 5.5), priapism (Section 5.6), activation of mania or (Section 5.7), discontinuation syndrome (Section 5.8), potential for cognitive and motor impairment (Section 5.9), angle-closure (Section 5.10), hyponatremia (Section 5.11).
As with any prescription, the assessment of safety is individual; consult a clinician about your own risk profile.
FDA-Approved Indications
Trazodone is FDA-approved for use in the condition categories below. The FDA-approved label’s Indications and Usage section is shown verbatim.
Trazodone is a selective serotonin reuptake inhibitor indicated for the treatment of major depressive disorder (MDD) ( 1 ). Trazodone hydrochloride tablets are indicated for the treatment of major depressive disorder (MDD) in adults.
Frequently Asked Questions
What are the most-reported side effects of trazodone?
Is trazodone the same as Raldesy Tm?
Has trazodone been recalled?
What are trazodone's current ongoing recalls about?
What do FDA recall classes mean?
Does trazodone have an FDA boxed warning?
Data Sources & Methodology
How each section of this page is sourced, and how often the data is refreshed.
| Source | Endpoint | Refresh |
|---|---|---|
| FAERS reactions | openFDA /drug/event.json count API. Aggregated per drug per reaction term; we do not store individual reports. | Daily |
| Recalls | openFDA /drug/enforcement.json. Drugs matched via three confidence-tracked strategies: structured generic name (HIGH), NDC code bridge (MEDIUM), text token parse (LOW). Only HIGH and MEDIUM matches surface here. | 6 hours |
| Shortages | FDA Drug Shortages list. | Daily |
| Boxed warnings & label sections | openFDA /drug/label.json. Labels are stable; monthly cadence is sufficient. | Monthly |
| Condition categories | Synonym-mapped from drug_labels.indications. Methodology at /methodology/. | Per-drug |
What we do not do. We do not invent, paraphrase, or extrapolate drug claims. Every figure on this page comes from a query against an openFDA endpoint. If the data is unavailable, the section gracefully omits rather than filling the space with editorial guesswork.