The recommended way to take Palicalm 3mg Tablet ER is with or without food However it is important to take it at the same time each day to maintain a consistent level of the medication in your body Follow the dosage and duration instructions given by your doctor and if you happen to miss a dose take it as soon as you remember It is crucial not to stop this medication suddenly without consulting your doctor as it may worsen your symptoms However if you experience Neuroleptic malignant syndrome NMS characterized by fever muscle rigidity and altered consciousness discontinue the medicine immediately Nystagmus involuntary eye movement and tremor are common side effects of this medication It may also cause dizziness and sleepiness so refrain from driving or engaging in activities that require mental focus until you understand how the medicine affects you If you are using Palicalm 3mg Tablet ER be cautious as it may increase the risk of developing diabetes It is advisable to monitor your glucose levels regularly Inform your doctor if you experience any unusual changes in mood or behavior new or worsening depression or have suicidal thoughts while taking this medicine