Hi all!

I [24F] will be taking 25mg and then 50mg Zoloft for the first time in two weeks (my doc is on vacay and wants me begin the meds when she gets back in case of emergency).

I’m quite nervous to take them. I’ve avoided taking any kind of SSRI for the past year and wanted to handle my anxiety on my own. But this year everything intensified. I have so many physical symptoms and sensations that is hard for me to improve mentally, as my healthy anxiety skyrockets daily. In addition I have panic disorder. Now I am accepting that I need something to help. 

I have a few questions, as I want to ease my mind.

1) My anxiety physical symptoms and sensations include; muscle tension and twitching, fatigue, irritability, restlessness, insomnia, loss of appetite, weight loss, indigestion, flatulence, heart palpitations, tachycardia, horrible periods, dizziness, light headedness, derealization, depersonalization, sensory sensitivity, rigid motor skills. Does the Zoloft make these symptoms worse in the first few weeks? Or is it only certain symptoms that are amplified until my body gets used to it?

2) I take 10mg - 15mg of propranolol daily to lower my heart rate. I have sinus tachycardia and my resting bpm is 80s - 100. It’s a tad higher when my anxiety is high and gets into the 160s/170s if I have a really bad panic attack. Does Zoloft effect the heart, especially palpitations (I hate them so much). Will be safe to take with the Propranolol. 

3) I suck at swallowing big pills. These are 50mgs tablets that will take half of in the beginning. Can I crush these pills and mix it with something? Or can I request a lower dosage in a smaller pill? Or even a different form (liquid or capsule)?

Thank you all! Any info helps. 

I hope you all are doing well and taking care of yourselves.🥰🥰🥰