Kimchi replied: ""Trazodone is often used in conjunction with selective serotonin reuptake inhibitor, like fluoxetine (Prozac) and has been noted to help with the anxiety that can result from beginning treatment with an SSRI anti-depressant. " - Wikipedia. So really its not a sleep aid, its more to help with anxiety and depression. How long have you been taking this combo with the Prozac? Bear in mind it can take a while to kick in, and its probably a symptom of the depression that is causing the sleep problems... (I say probably, sometimes meds can also cause this) Certainly, it would be good to raise this problem with your doctor next time you see them, but I'd keep taking the meds, give them time to work... true they may not end up working and you may have to try something else, but that would be best for the doctors to decide, IMO. In the meantime you could always try taking something along the lines of a herbal sleep preparation with Valerian in (if you take that, consistently take it and it will get a chance to work, it doesn't seem to work too well as a once off - this was actually recommended to me by my doctor!) I'm not sure of its efficacy in unipolar depressive sleep disturbance (I'm assuming here, sorry if I get it wrong), as I get the opposite problem of sleeping too much when depressed, and I take it at other times when I am having problems sleeping. Try to get to bed at a consistent time, and don't take daytime naps. You could also try the old remedy of a hot cup of milk before bed. Try not to lie awake thinking of problems (I know, easy to say hard to do). Every bit helps, but I would also understand if none of that stuff works at the moment, as its the chemical imbalance in your brain that is probably causing it. I know it doesn't help much to say it, but "hang in there" and hopefully your meds will do the right job. I really don't know of your circumstances, whether or not councelling would be better... it might be worth considering if you don't have any joy with the medicinal approach, it just depends on what is causing the depression. Best of luck! (and I meant to say, I feel for you with the side effects, they can really suck!)"