Abstract
Trazodone did not appear to be a potent respiratory depressant or cardiotoxic or neurotoxic agent in our cases. Further experience is needed to determine a recommended treatment procedure. It is not clear whether the experience with these two cases can be extrapolated to elderly patients, patients with serious physical illnesses, or cases involving larger ingestions. Additional information is required concerning concurrent ingestion of trazodone and alcohol or other CNS-depressant drugs. It would appear that standard treatment including emptying of the stomach, activated charcoal and cathartic, and close observation to monitor and support the respiratory and cardiovascular systems is appropriate. These two case reports suggest that trazodone lacks the serious toxicity encountered with other antidepressant compounds when taken in large overdoses.
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