Tips for managing fatigue after dosage increase

I’ve just recently increased from 100mg to 150mg, so it’s not my first rodeo with Pristiq. However, I didn’t experience crushing fatigue as a side effect with the other dosages (50mg and 100mg).

Feels like I’m weighed down by concrete, could fall asleep at any second, and like my brain is cognitively running 4 seconds behind. I can’t step away from work at the moment because I’m involved in a time critical project, but it’s definitely having a huge negative impact in that space.

Happy to wait the 8-12 weeks for my brain to adapt to the dosage and the side effect to diminish, but in the meantime hoping to hear if you’ve had any success managing the Pristiq induced fatigue in a practical sense.

Did you aim to have more overall sleep? Does napping help? I feel like I’m drinking more coffee, just as a default approach to tiredness, but to no effect.