Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/22/2025

Trazodone-Induced Orthostatic Hypotension

Clinical Evidence and Guidelines

  • The American Academy of Sleep Medicine guidelines note that trazodone is associated with significant risks, including orthostatic hypotension, in older adults 1
  • Multiple guidelines identify trazodone as a common cause of orthostatic hypotension that should be discontinued or modified as first-line management, although this particular fact is from a less preferred source, a more preferred source is not available 2