Parotin 20mg Tablet is an effective medication for treating depression as it helps improve mood relieve anxiety and tension It can be taken with or without food The dosage and frequency of use will be determined by your doctor to ensure you receive the appropriate amount for symptom control Initially your doctor may start you on a lower dose and gradually increase it It is important not to change the dosage or discontinue the medication without consulting your doctor even if you feel better Doing so may worsen your condition or result in unpleasant withdrawal symptoms such as anxiety restlessness palpitations dizziness and sleep disturbances To derive maximum benefits it is advisable to take this medicine at the same time every day Your doctor may suggest taking it in the morning if you have trouble sleeping It may take several weeks before you start experiencing an improvement in your symptoms If you do not observe any improvement even after four weeks inform your doctor Some common side effects of Parotin 20mg Tablet include nausea fatigue dry mouth loss of appetite increased sweating dizziness nervousness tremors insomnia difficulty sleeping and constipation Sexual side effects like decreased sexual drive delayed ejaculation and erectile dysfunction may also occur If you experience a sudden worsening of mood or have thoughts of selfharm notify your doctor immediately Before taking this medicine inform your doctor if you have a history of epilepsy diabetes liver or kidney disease heart problems or glaucoma as these conditions may impact your treatment Pregnant or breastfeeding women should consult their doctor before using this medication Additionally inform your doctor about all the medications you are currently taking as some may interact with Parotin 20mg Tablet especially other antidepressants and MAO inhibitors to ensure your safety