I had dreadful problems with acute nausea when I began in the 1980s. Went through 5 SSRIs until we found 1 that suited.
I now take escitalopram - 10mg at night, 5mg in the morning. No problems.. It can take 2-3 months B4 the brain begins to benefit: the longer the depression, the longer it may take the brain to respond.
Which would you like to ease first? Anxiety 4 me is totally separate to my depression and is my biggest problem so I have an 'as necessary' pill to take.
Betablockas taken daily can also relief anxiety surges.