I have been on Lexapro 10 mg for about four weeks now. Since the third day I began taking it, I've been experiencing fatigue, tiredness, and strong sleepiness throughout (but not the whole) day. I take Lexapro at night and this seems to help a little.

I had similar sleepiness side effects with Cymbalta 60 mg when I took it for over a year.

I'm afraid of raising my dose to 20 mg Lexapro because of the possibility of an increase in this side effect, but 10 mg is not working very well for my depression. At least Cymbalta was effective!

My doctor prescribed 450 mg of Wellbutrin XL because it is supposed to be an "energizing" antidepressant. I, however, found that it does not help at all.

I'm at a loss as to what else I can do. Right now, I have to take naps during the day, and I accomplish less each day. The sleepiness is not going away. Ironically, fatigue and lethargy are some of the symptoms of my depression to begin with.

Besides Wellbutrin, I don't know what other options are out there. I highly doubt my doctor will prescribe schedule II stimulants for this. Maybe Provigil is an option, but that would be prescribed off label too.

I know this is a very common problem, but I haven't been able to find a solution. Any ideas? Any medications I may want to speak to my doctor about?

Thanks