Milpran 50mg Tablet can be consumed with or without food It is recommended to take this medication at the same time every day to ensure a consistent level in the bloodstream In case you miss a dose take it as soon as you remember Do not skip any doses and complete the full course of treatment even if you start feeling better Abruptly stopping this medication can worsen your symptoms There are several common side effects associated with Milpran 50mg Tablet including nausea vomiting insomnia constipation anxiety decreased appetite increased sweating and sexual dysfunction It may also cause dizziness and drowsiness so it is advisable not to drive or engage in activities that require mental focus until you are aware of how this medicine affects you However these side effects are usually temporary and resolve on their own over time If they persist or become bothersome please consult your doctor Before taking Milpran 50mg Tablet inform your doctor if you have any kidney heart or liver problems or if you have a history of seizures epilepsy or fits Notify your doctor if you experience any unusual changes in mood or behavior new or worsening depression or if you have any suicidal thoughts