Okay, it's been something like 10 days since I doubled my dose (up to 75 mg), and I finally think I've got the nausea kicked. I put it like that because it really does feel sometimes like I'm in a martial arts battle with these side effects. Take that, nausea! Kick to the head!

I've found that initial side effects tend to go away if you hang in there long enough. Now I just have to get through the fatigue. Yesterday I fell asleep in my chair in a noisy hotel lobby. Despite going to bed at 10:30 last night, I wasn't able to wake up until 10:30 this morning.

But I know the fatigue will dissipate, at which point I'll be able to truly assess whether the medication is working to lessen my depression. I try to give a new med at least a month before I question its efficacy. So far I'm too overwhelmed by the physical side effects to tell if I feel less depressed.

Ka-bang!