I have had severe daytime sleepiness for quite some time, can't seem to find the problem for that, but seems like even though the drug has helped, I am so sleepy all day long I can barely stay awake, then about 4am, I wake up and can't sleep, then feel terrible when I get out of bed about 7, I also have 8 thyroid nodules and am type 2 diabetic - whewww also 13 year breast cancer survivor!!! WHOOHOO, I seem to not be as depressed as I was with Zoloft alone, would like to hear from others that might experience some different side effects