Ist 20mg Tablet SR can be taken with or without food but it is important to take it at the same time every day in order to maximize its effectiveness You should only take it as directed by your doctor The dosage and frequency of intake will depend on the specific condition you are being treated for Your doctor will determine the appropriate amount necessary to alleviate your symptoms When taking the tablet it should be swallowed whole with a drink of water It is important to continue taking this medication for the duration prescribed by your doctor Dizziness is the most common side effect associated with this medicine If you experience any bothersome or severe side effects it is important to inform your doctor To reduce the likelihood of dizziness it is recommended to rise slowly from a seated or lying position and to avoid engaging in activities that require alertness such as driving Before starting this medication inform your doctor if you have a history of heart problems or bleeding disorders It is also crucial to disclose all other medications you are taking as some may interact with this medicine and affect its effectiveness Additionally it is important to avoid engaging in any strenuous or stressful activities to prevent premature labor