I'm still taking 75mg. The anxiety has gotten better, but it's still there in certain situations. My digestive system is still "upset" and I'm starting to experience some similar side effects that I had while on Paxil 20mg, such as jaw clenching and just an overall feeling of not feeling well. I'm afraid if I increase to the Zoloft 100mg the side effects are going to be the same as Paxil 20mg. I felt "normal" on Zoloft 25mg and 50mg, and also on Paxil 10mg. But, my anxiety was out of control. My question is, can I go back to Zoloft 50mg and take another "daily" medication to treat the anxiety level from reaching a certain point? I have Xanax .25mg, but I don't want to be on that everyday!
My advice would be No. If you go back to 50mg, you will be at a very low therapeutic dose for Zoloft (Setraline). For someone with an anxiety disorder, especially for someone like yourself who's been getting frequent panic attacks, you should be on a dose between 100mg to 150mg. If you go lower (like 50mg) than the average mean, you won't get the full effect of the medication.
If you want to take another "daily" medication, a doctor would recommend a benzodiazepine, such as Xanax. The daily dosage for Xanax is about .5mg, and you could take two(.25mg) in order to get that dosage amount, while your body adjusts to the Zoloft, and gets jittery. The Xanax will calm you down, during this jittery phase.
Do note, that Xanax has a very short half life, and that is why it works faster and quicker than the other benzodiazepines. If you want to be on a benzodiazepine that lasts in your system longer, without a need to take Xanax regularly during your day, you may want to swtich to a benzodiazepine like Klonopin (Clonazepam), with your doctor's approval, due to it's longer half life. You could then develop a more adaptable tolerance to any anxiety symptoms, since you have the Klonopin to calm you down, while the Zoloft is still working in your system.
You'll be able to wean yourself off the Xanax, once the Zoloft gets more settled in your system, so don't feel you'll be on Xanax the rest of your life. You're only taking it temporarily.
Beta blockers control the physical symptoms of anxiety, like higher heart palpitations, however it's better to be on a antidepressant long term, since the antidepressant medication rebuilds your brain from its previous atrophy due to psychological stress, which beta blockers don't .