"this drug makes me so lethargic i can&#039;t drive for fear of falling asleep at the wheel. i can barely get out of bed. this got worst when my md upped the dose to 1.8, i think maybe i should go back a dose. i lose 5lbs in 4 weeks, but i haven&#039;t decided its worth since i am so fatigued i can&#039;t function on a normal level. most days i can&#039;t even get out of my pajamas but it is the only sympton i have experienced. my md said he had not heard this complaint from any other patient."