The Esfany Tablet is an effective solution for individuals seeking relief from depression symptoms such as low mood anxiety and tension This medication can be taken with or without food The appropriate dosage and frequency will be determined by your doctor to ensure that you receive the right amount for managing your symptoms Initially your doctor may prescribe a lower dose and gradually increase it It is essential not to alter the dosage or stop taking the medication without consulting your doctor even if you start feeling better Making such changes without medical guidance could exacerbate your condition or lead to unpleasant withdrawal symptoms such as anxiety restlessness palpitations dizziness and sleep disturbances For optimal results take the medication at the same time every day Your doctor may suggest taking it in the morning if you experience difficulty sleeping It may take a few weeks before you notice improvements in your mood If you do not observe any enhancement after four weeks inform your doctor Common side effects of the medication may include nausea fatigue increased sweating difficulty sleeping decreased sexual drive delayed ejaculation and potential difficulties achieving orgasm for women Some individuals may experience drowsiness after taking this medication Alert your doctor immediately if you experience sudden worsening of mood or have any thoughts of selfharm Before starting Esfany Tablet inform your doctor if you have epilepsy diabetes liver or kidney disease any heart problems or if you are currently taking medications for depression known as MAO inhibitors as these factors may affect your treatment It is crucial to inform your doctor about all the medications you are taking to ensure your safety