Hi, I have been on sertraline 50mg for 4 days now for ocd,panick attacks and anxiety. I understand it takes a while to kick in but how do you cope with the side effects? I have every single one. Racing thoughts, panick, anxiety, nausea, hot flushes. I haven’t ate or slept in 4 days maybe getting 1 hour a night. I’m thinking it’s the sleep that’s making me worse can anyone give advice on what I can do please