"some nausea, severe vomiting when i first began...better now. it knocks me out pretty quick, so i take it at night along with 300mg of lamictal and 150mg of trazodone. the worst side effect i&#039;ve noticed is extreme fatigue. i can&#039;t seem to get enough sleep. otherwise, its definitely a step in the right direction. 2 weeks and counting- if the fatigue thing doesn&#039;t let up i&#039;ll probably have to stop it and move on to something else (its that bad). also curbs my appetite considerably."