Question 1

Why low-dose melatonin?

Accepted Answer

Most over-the-counter doses (3-10 mg) are far above what the body produces and can cause grogginess. 0.3-1 mg is the sweet spot.

Question 2

Is trazodone addictive?

Accepted Answer

No. Unlike Ambien/Lunesta, it doesn't activate GABA the way benzodiazepines do.

Question 3

What if neither works?

Accepted Answer

Persistent insomnia warrants a sleep study. CBT-I (cognitive behavioral therapy for insomnia) outperforms every medication long-term.