Sleep Medications Guide

Trazodone hydrochloride — 25mg to 100mg taken at bedtime for insomnia. Providers typically start at a low dose (25-50mg) and adjust based on response. Should be taken shortly before bed, as sedation typically begins within 30-60 minutes.

Adults with insomnia who may also have co-occurring depression or anxiety, or those looking for a non-controlled alternative to traditional sleep medications

Gabapentin — 100mg to 600mg taken at bedtime for insomnia. Providers typically start at 100-300mg and titrate upward if needed. Higher doses may be used for patients with co-occurring pain conditions.

Adults with insomnia accompanied by chronic pain, restless legs syndrome, or anxiety — conditions where gabapentin may address both sleep and the underlying issue

CBT-i — Typically 6-8 weekly sessions lasting 30-60 minutes each. Digital programs may be self-paced over 6-9 weeks. Involves structured sleep diary tracking, stimulus control, sleep restriction, and cognitive restructuring techniques.

Adults with chronic insomnia who want a long-term solution without ongoing medication use, or as a complement to medication-based treatment