I have been on Effexor XR for about 9 months now. The side effects are, of course, horrendous. But these are most noticeable when I've missed a dose by a few hours. The thing is, sometimes when I have been taking my medication on time, I find it strangely difficult to get up in the mornings. Could this lethargy be a side effect of Effexor XR? What can I do to counter this effect? I've missed half of my lectures this term as a result of how difficult I find it to get up in the morning. Help!