HealthRX.com · Printable medication review sheet
Trazodone safety review for adults in their fifties and sixties
Bring this sheet to your prescriber or pharmacist when trazodone is started, changed, or reviewed, whether for depression or for sleep. Use it to list your medicines, heart and blood pressure history, and symptoms to discuss.
Your current medicines and history
Write what you take now, as shown on the label or by your prescriber.
Trazodone prescribed forDepression, sleep, or other reason written by your prescriber
Trazodone dose and timingCopy from your bottle or prescription
Over the counter and herbal productsInclude St. John's wort and sleep aids
Alcohol or sedating medicinesNote how often and how much
Heart rhythm or fainting historyNote any past irregular heartbeat or fainting
Before the visit
Gather these items and bring them with this sheet.
- Bring all medicine bottles, including over the counter products
- Write down any dizziness or light-headedness when standing up
- Confirm whether trazodone is prescribed for depression or for sleep
- Note whether you take warfarin, aspirin, or another blood thinner
- List any recent changes in mood, agitation, or unusual thoughts
- Check with your pharmacist about interactions with new medicines
- Bring your most recent blood pressure readings if you have them
- Note any recent heart checks, such as an electrocardiogram
Questions for your prescriber or pharmacist
- Is trazodone approved for the reason I am taking it?
- Does my heart history mean I need a rhythm check before continuing?
- Should my blood pressure medicine dose be reviewed with trazodone?
- Which of my current medicines could raise trazodone levels?
- Do any of my medicines add risk of serotonin-related side effects?
- Should my potassium or magnesium levels be checked?
- How should I stop trazodone safely if we decide to change it?
- Who should I contact right away if side effects appear?
Symptom tracking between visits
Record how you feel each day or week and bring the log to your next appointment.
| Date | Dizziness or fainting | Mood or thoughts | Sleep and drowsiness | Notes |
|---|---|---|---|---|
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.