Public record
Trazodone: the public record
Each table is computed from the named federal dataset as of its data date; the method is under each one.
Label
FDA label facts for trazodone
The FDA label read for trazodone (RALDESY TM, application NDA218637) was last revised on 2026-09-01. It carries a boxed warning headed "WARNING: SUICIDAL THOUGHTS". Of the 4 population sections checked, 2 are present: pregnancy, lactation.
| Measure | Value | Note |
|---|---|---|
| Label revision date | 2026-09-01 | |
| Label read | RALDESY TM | NDA218637, brand-name application |
| Boxed warning | Yes | heading as printed: "WARNING: SUICIDAL THOUGHTS" |
| Indications section opens | quoted in note | "RALDESY TM is indicated for the treatment of major depressive disorder (MDD) in adults." |
| Pregnancy section | Present | |
| Lactation section | Present | |
| Pediatric use section | Not present | |
| Geriatric use section | Not present |
How this was calculated
Selected the most recently revised prescription label for this single ingredient from an original manufacturer, preferring a brand-name application. Checked which sections exist and quoted headings and sentences exactly as printed.
One label: the newest prescription label for single-ingredient trazodone from an original manufacturer
Read from one label. Labels for other brands, strengths or forms of the same ingredient can differ. A missing section heading does not mean there is no guidance. Read the full label before relying on it.
Approvals
FDA approval history for trazodone
The earliest FDA approval on file for a trazodone product is 1981-12-24. Drugs@FDA lists 36 applications for it and 419 approved supplements, the most recent on 2026-02-09.
| Measure | Value | Note |
|---|---|---|
| Earliest FDA approval on file | 1981-12-24 | |
| Applications with an approval on file | 36 | |
| New drug applications (NDA) | 3 | |
| Generic applications (ANDA) | 33 | |
| Approved supplements | 419 | label, manufacturing and efficacy changes |
| Most recent supplement approval | 2026-02-09 | |
| Sponsoring companies | 26 |
How this was calculated
Selected applications with a product whose only active ingredient is this substance, then counted approved original and supplemental submissions. The earliest approved original submission is the first approval.
Applications with a single-ingredient trazodone product in Drugs@FDA, all sponsors and strengths
Older approvals can be missing dates, and tentative approvals are not counted. An approved application does not mean the product is currently marketed.
Patents and generics
Patents and generic approvals for trazodone
The FDA Orange Book lists 33 approved generic applications for trazodone, the first approved on 1986-10-10. 2 listed patents on specific brand products have not yet expired, the last on 2029-03-13; generics of other versions are already approved.
| Measure | Value | Note |
|---|---|---|
| Brand-name applications (NDA) | 3 | |
| Approved generic applications (ANDA) | 33 | first approved 1986-10-10 |
| Companies with a generic not marked discontinued | 13 | |
| Listed patents not yet expired | 2 | |
| Latest listed patent expiry | 2029-03-13 | on any product; may cover only one brand formulation |
| Earliest approval date on file | before 1982 | |
| Products not marked discontinued | 43 of 70 |
How this was calculated
Selected Orange Book products whose only active ingredient is this substance, then counted applications by type and the distinct patents and exclusivities listed against them. Expired patents are left out.
All single-ingredient trazodone products in the Orange Book, every brand and strength, files dated 2026-10-09
An approved generic or an expired patent does not show that a generic is on sale. Launch timing also depends on litigation, settlements and supply. Biologics and compounded products are not in the Orange Book.
Medicare Part D
Medicare Part D claims for trazodone by age group
Of 18,417,710 Medicare Part D claims for trazodone in 2024, 14,082,886 (76.5%) were for enrollees aged 65 and over and 4,334,824 were for enrollees under 65.
| Measure | Value | Note |
|---|---|---|
| All Part D claims, 2024 | 18,417,710 | |
| Claims for enrollees aged 65 and over | 14,082,886 | |
| Claims for enrollees under 65 | 4,334,824 | mostly people who qualify through disability |
| Share of claims for enrollees aged 65 and over | 76.5% | share of claims, not of patients |
How this was calculated
Summed the national rows for every brand and generic row with this generic name. Claims under 65 are total claims minus claims for enrollees 65 and over.
National Part D claims for single-ingredient trazodone products, 2024, split at age 65
Medicare mostly covers people 65 and over, so this split describes Medicare enrollees and not use in the general population.
Medicare Part D
Medicare Part D spending on trazodone
Medicare Part D spending on trazodone products was $165.4M in 2024 across 18,424,765 claims, compared with $216.4M in 2023 (-23.6%). Average spending per claim was $8.98, before rebates.
| Measure | Value |
|---|---|
| Total spending, 2024 | $165.4M |
| Total spending, 2023 | $216.4M |
| Change in spending, 2023 to 2024 | -23.6% |
| Claims (prescription fills), 2024 | 18,424,765 |
| Average spending per claim, 2024 | $8.98 |
How this was calculated
Summed total spending and claims over every brand and generic row with this generic name in the CMS file, using the Overall manufacturer rows. Combination products excluded. Average per claim is spending divided by claims.
Every single-ingredient trazodone product in Part D (Trazodone HCl), 2024.
Gross drug cost before manufacturer rebates, so net cost is lower. Part D excludes some uses by law (for example erectile dysfunction, weight loss and hair growth), so claims reflect covered uses only. Compounded products are not included.
Adverse event reports
Most reported events in FDA adverse event reports for trazodone
Through 2026-10-28, FDA had received 104,704 adverse event reports for trazodone, 69,609 of them marked serious by the reporter. The symptom terms named most often were fatigue (7,536), nausea (7,039) and headache (5,832).
| Measure | Value | Note |
|---|---|---|
| All reports received | 104,704 | |
| Reports the reporter marked serious | 69,609 | death, hospitalisation, disability or similar outcome |
| Fatigue | 7,536 reports | |
| Nausea | 7,039 reports | |
| Headache | 5,832 reports | |
| Diarrhoea | 5,689 reports | |
| Pain | 5,474 reports |
How this was calculated
Counted FAERS reports listing this active substance, then the reaction terms named most often. A report can name several reactions, and a term can describe the illness being treated and not an effect of the drug. Terms about product use or complaints rather than symptoms (for example drug ineffective) were left out of the list.
Reports where FDA recorded trazodone as a single-ingredient active substance (any brand), all years to 2026-10-28
FAERS reports are unverified and do not prove the drug caused the event. Reporting rises with use, publicity and lawsuits, so these counts cannot give rates or risks and cannot be compared between drugs.
Recalls
FDA drug recalls naming trazodone
FDA enforcement reports list 9 drug recall entries naming trazodone from 2014 to 2026-09-09. 6 of them are for compounded or other unlisted products and 3 for products FDA lists under a label. The most common stated reason was potency out of specification (4 of 9).
| Measure | Value | Note |
|---|---|---|
| Recall entries on record | 9 | |
| For products FDA lists under an approved or registered label | 3 | |
| For compounded or other unlisted products | 6 | matched by the name in the product description |
| Class I (most serious) | 1 | |
| Class II | 7 | |
| Class III | 1 | |
| Most recent recall reported | 2026-09-09 | |
| Most common stated reason | potency out of specification | 4 of 9 entries |
How this was calculated
Counted enforcement report entries matched by FDA's listed active substance, or by the name in the product description where FDA lists none. Reasons were grouped by keywords in FDA's stated reason.
Recalls of single-ingredient trazodone products, plus compounded or unlisted products whose description names it
Each recall covers specific lots from one firm and is not a statement about every product with this ingredient. One event can appear as several entries, one per product.
Clinical studies
Registered clinical studies of trazodone
ClinicalTrials.gov lists 84 registered studies that name trazodone as an intervention as of 2026-11-11. Of these, 19 are recruiting, 44 are completed and 12 are phase 3 studies.
| Measure | Value |
|---|---|
| Registered studies | 84 |
| Recruiting now | 19 |
| Not yet recruiting | 1 |
| Completed | 44 |
| Terminated, withdrawn or suspended | 11 |
| Phase 3 (including phase 2/3) | 12 |
| Phase 2 (including phase 1/2) | 14 |
| Phase 1 | 18 |
How this was calculated
Searched the ClinicalTrials.gov intervention field for the name, downloaded every matching record and counted by overall status and phase. Combined phases are counted under the higher phase. Phase not applicable covers observational, device and behavioural studies.
Studies whose intervention field matches trazodone, any condition, any country, all statuses
A registered study is not a result. Counts include studies where the drug is a comparator or background treatment, and studies that never finished or reported.
Articles on Trazodone
- Trazodone Schedule for Adults 30-49: Depression and Sleep
- How to Safely Stop Trazodone: A Step-by-Step Discontinuation Guide
- Trazodone Off-Label Uses and Their Evidence Levels
- Trazodone Patent History and Generic Timeline: What Clinicians and Patients Should Know
- Trazodone Storage: Match the Container, Date and Exposure
- Trazodone Travel and Timezone-Shift Protocols: A Clinical Guide