Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor, I lately noticed a sharp decline in my memory. Let me tell you afew things about me. 1. I have a very hard time falling asleep and lately I felt very weak, so my doctor prescribed me Trazadone to help me fall asleep and it is helping me sleep/ 2. I am on Zoloft for the last 40 years. 3. I am 65 years old. 4. I Have very bad knees. I have an apt. for a knee replacement in July, but I am not sure I can wait so long, because the pain has gotten much worse lately. 5. I often take 2 motrins or 2 extra strength Tylenol for pain. I usually take it lately almost every day, once. Thank you very much for your help. I am waiting to hear from you soon. Gitel Jakobovics
[|AI|]  Hi, I understand your concern and would explain that your symptoms could be related to depression and the lack of concentration. Trazodone can also influence in the memory problems.  For this reason, I recommend discussing with your doctor on the possibility of switching to Mirtazapine.  It is also necessary consulting with a neurologist for a physical exam, some cognitive tests and a brain MRI.  Hope I have answered your query. Let me know if I can assist you further.