"i am a 50 year old struggling through the initial stages of menopause.  the hot flashes and insomnia have been miserable and hrt is not an option.  my gp recommended trazodone and i am so grateful!  the hot flashes seem to be cyclical with me so i can go months with no issues and then they come back, so i only use trazodone at the height of sleep disruption.  i usually can take 25mg and it works fine, other times i take 50mg.  takes about an hour for it to kick in and i sleep through the hot flashes, which are every 30 minutes.  love this medication and it is so inexpensive!"