What next after Citalopram and Sertraline didn’t help?

[NewLifePending]

Suffered general anxiety in varying degrees for about 5 years. The last year have been really hard and I took the decision to try medication. Citalopram was a no go as it stopped me sleeping and made the anxiety worse.
Then I’ve tried Sertraline. It’s had positive effects on me with regards to sleep and managing my terrible PMT anger, but the anxiety is still there. I’ve increased from 50 to 100 then 150 for the last 5 weeks and no improvement.
I’m speaking to the doctor today about changing medication but what are my next options?

I also take propranolol on and off but find that doesn’t really help either l.

Thanks in advance

Ok, I’m going to give it a go. I’ve got to wean down the sertraline first but I’ll give it a try.
Thank you everyone

Has anyone on mirtazapine noticed any weight changes?

Careful with the weight gain with mirtazepine. It's pretty indeyof what you eat as it seems to alter your metabolism.

I'd go for Duloxetine as the next choice.