Litca 450mg Tablet SR is recommended to be taken with food It is important to take it at the same time each day to maintain a consistent level of medicine in the body It is crucial not to skip any doses and complete the full course of treatment even if you start feeling better If you happen to miss a dose take it as soon as you remember Follow the doctors advice and continue taking the medicine for the prescribed duration Avoid abruptly stopping the medication as it may result in harmful effects Possible side effects of this medicine include tremor slurred speech uncoordinated body movements nausea acne increased white blood cell count and memory impairment It may also cause hair loss enlarged thyroid gland skin rash and increased thirst Additionally this medicine may lead to weight gain To control weight it is recommended to maintain a balanced diet and exercise regularly If you have been taking this medicine for an extended period regular monitoring of thyroid and kidney function may be necessary