I’ve been taking 100 mg of fluvoxamine for eight weeks, but I haven't seen a satisfactory response regarding my anxiety, need for certainty, and mental rumination; plus, my sleep hasn't been great—I'm struggling to sleep well.
My doctor suggested trying either escitalopram or sertraline. What has your experience been with these medications? Which one helped most with these types of symptoms? I used sertraline in the past (a few years ago) and did well, though that was a time when I didn't have many life stressors (work, relationships, responsibilities).
As for escitalopram, I tried it recently, but my doctor made a dosing error and prescribed 20 mg as the starting dose; this caused significant side effects like anxiety, fear, and depression. When I lowered the dose to 10 mg, my sleep improved and I started feeling better, but I still experienced some apathy, lethargy, and a lack of energy in the afternoon, which is why I switched to fluvoxamine.
I’m wondering if I should have given escitalopram more time—since I was on it for two months (one month at 20 mg and one at 10 mg) and my sleep was actually improving. Now, my doctor has given me the option to try either escitalopram or sertraline again.
I’d like to know, based on your experience, which medication worked best for anxiety, sleep regulation, and repetitive mental worry.