It is recommended to take Vibrex 20mg Tablet with food It is important to take the medication at the same time each day Do not skip any doses and complete the full course of treatment even if you start feeling better Suddenly stopping the medication may worsen your symptoms Some common side effects of this medicine include nausea vomiting insomnia difficulty sleeping and diarrhea It may also cause dizziness and drowsiness so refrain from activities such as driving or tasks that require mental focus Most side effects are temporary and tend to fade with time If these side effects bother you or persist consult your doctor Before taking Vibrex 20mg Tablet inform your doctor about any kidney heart or liver problems you may have Also disclose your history of seizures epilepsy or fits Notify your doctor if you experience any unusual changes in mood or behavior new or worsening depression or have any thoughts of selfharm