Trazodone is a widely used but little-known drug prescribed off-label to or when the sleep disturbance is affecting your ability to carry out your. Trazodone may be an effective sleep aid with fewer side effects than other Trazodone may cause some side effects, especially when first. The trazodone dose for sleep usually helps people immediately, while when it's used for depression, it can take several weeks for the full effects to be apparent. How to Get Better Sleep. Trazodone can help you to re-establish a normal sleep pattern. Chronic insomnia is defined as insomnia that occurs at least three times a week and has been consistently occurring at least one month. You may need to take trazodone during pregnancy if you need it to remain well. My current quality of life is sub par. Inthe treatment guidelines published by trrazodone American Academy of Sleep Medicine felt that due to so little research they could not recommend Trazodone for the treatment of chronic insomnia. Do not chew or crush slow-release tablets. If you need it and don't get side effects, there's no reason to worry about taking trazodone for a long time. If this happens to you, it's very important to speak to a doctor about it immediately. It took two days to feel better.