My side effects were awful for the first 3 weeks, I had increased anxiety and could not leave the house, I had the shakes, felt like I would pass out at any moment, felt sick could not eat and a really foggy head. After the 3 weeks I finally managed to get out of bed and do a couple of minor things, then I had a couple of good days followed by bad, I thought great going back to square one! but then the good days out weighed the bad, the only problem now is I have my period (sorry if it is tmi) but this has made my anxiety increase but then it always had. I am hoping that once that finishes I can start back on my road to recovery. I am on 50mg of sertraline and 1mg of fluanoxol. I am due to see my psychiatrist next week to see if I need to increase or stay on the dosage I am. What dosage are you on? and how long have you been taking that dosage for? I hope you start feeling better soon as I can totally relate to how you are feeling at the moment, it is good to speak to people on here as they are the only ones that know what you are going through, no one else seems to understand.