Sertraline shoulder tension & globus sensation

I would be very grateful for some advice if possible?

I have taken Sertraline for a number of years to treat anxiety, OCD and depression. That said I have had breaks (or taken it very infrequently)

I have recently returned Sertraline (February on 100mg) and have now built myself up to 150mg per day. I have been on 150mg for almost 7 weeks now.

My mental health has definitely started to improve but I have this really unpleasant side-effect of globus sensation (lump in throat feeling) and horrible tension across my neck and shoulders. I also clench my teeth. It does come and go a little but is there for most of the day.

Whilst I do generally experience globus sensation as a symptom of my anxiety I suspect this time it is a side effect of the medication at it comes with the neck tension and teeth clenching.

I haven’t had these side affects with Sertraline when I have used it in the past.

My question is should it have started to go after 7 weeks or is my body still getting used to the medication and 150mg dose?

I’m wondering how long I should leave it before asking the GP if I can try a different medication?

Note - although overall my mental health is improving I still wake up feeling anxious and panicky. This tends to calm down within a short time. This issues I mention above stays most of the day.

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