I was experiencing all the side affects and more PRIOR to taking this medication. What brought it all to light was having a menstrual flow since Jan. 10th and ending early March. I realize there will be side effects I have to deal with - also we must remember there are other factors involved - do we smoke, drink alcohol, eat processed foods, eat too much refined sugars, caffeine? Given the opportunity as I slept way too much prior to this drug, if one of the side effects is that I can't sleep - I'll have a valerian root tea at 8:30 p.m to be in bed by 9:00. Cut out alcohols, caffeine, etc. Should nauseau arise - eat smaller portions through out the day. Should constipation arise - increase water and a less fiber intake. We as individuals must try to find that fine medium to a balanced lifestyle and not depend on the doctors for all of our answers. Our bodies and chemical equations are extremely complex and will be for quite some time.