My doctor increased my dosage of Sertraline from 75 > 100mg just over four weeks ago. In the past few days, I have begun to wake much earlier than normal and am unable to go back to sleep. Once I get out of bed, I'm hit with nausea and extreme fatigue which lasts nearly the entire day, only lessening in the evening. I am taking my dose before bed (10pm), as I have always done.

Anyone have any ideas for coping with or lessening this fatigue? Is it normal for this side-effect to appear weeks into a dose increase?