I had to switch back to remeron. Trazadone was useless for a week, then started making me throw up. I lost weight but not sustainable. Instead of 30mg remeron, I cut back to 15mg and increased my zoloft from 25 to 50mg. I'm not losing but I stopped gaining weight at least. Mind you, I did this with my doctors instruction. Don't mess with your meds without a doctor involved, folks.