Hi everyone, I've been on/off medication a few times in last 10 years (mostly escitalopram and last 2 times sertraline). I got back on sertraline 2 months ago and I don't see any improvement, only getting worse. Talked to the doc and she suggested to switch to escitalopram. Initially escitalopram worked great for me, but after being off/on I felt it wasn't working that good (however sertraline it's not working at all).

Do you think it's a good choice to go back on escitalopram? If so, is it better to tapper of sertraline and start at the same time escitalopram (I'm at 100mg sertraline, so it would be 50mg sertraline and 5 mg escitalopram, then after 5 days no sertraline 10mg escitalopram and after 10 days 20mg escitalopram)? Or to tapper of sertraline for 5 days and then start escitalopram?

Thank you