Previous sertraline use thoughts on another ...

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Hi all.
Fee years ago I was on 50mg of sertraline. I have anxiety and bit of ocd but mainly I'd worry about something silly and unable to stop worrying. Sertaline helped and I stayed on it for a couple of years but I found it sort of made me feel emotionally flat. I weaned off them last year and felt great for a while but now the same issues have come back. I'm also early 40's and wonder if hormone contributing. I'm thinking of asking to return by maybe try something else, anyone had similar? Thanks

I think given your age and the side effects of Sertraline it would be good to check if it’s your hormones first, it’s really really common for anxiety to increase as your Estrogen drops! Do you think you have any other symptoms that could be perimenopause? Definitely worth approaching your GP - it’s very straightforward now to get HRT and at least see how it goes. If it doesn’t work you can always think again about SSRIs. If you do want another SSRI you could also ask for alternatives to sertraline, it can take a few tries to get the best one for you.