Frepram 40mg Tablet can be consumed with or without food The dosage and frequency will be determined by your doctor to ensure that you receive the appropriate amount to manage your symptoms Initially your doctor may start you on a lower dose and gradually increase it It is important not to alter the dosage or discontinue the medication without consulting your doctor even if you feel well Doing so may worsen your condition or lead to unpleasant withdrawal symptoms such as anxiety restlessness palpitations dizziness and sleep disturbances To derive the maximum benefit take this medication regularly at the same time every day If you have difficulty sleeping your doctor may advise you to take it in the morning It may take a few weeks before you begin to feel improvement If you do not notice any improvement even after four weeks inform your doctor Common side effects of this medication include nausea vomiting fatigue dry mouth increased sweating insomnia decreased sexual drive delayed ejaculation and erectile dysfunction Some individuals may experience drowsiness after taking this medication Inform your doctor immediately if you experience any sudden worsening of mood or have thoughts about selfharm Before taking Frepram 40mg Tablet inform your doctor if you have epilepsy seizure disorder diabetes liver or kidney disease any heart problems or if you are currently taking medications for depression known as MAO inhibitors These factors may impact your treatment It is important to disclose all the medications you are taking to ensure your safety