Pexep 20 Tablet is an effective medication for treating depression as it works to improve mood alleviate anxiety and relieve 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 right amount to manage your symptoms Your doctor may initially start you on a lower dosage and gradually increase it It is important to not change the dosage or discontinue the medication without consulting your doctor even if you feel well Doing so may worsen your condition or lead to unpleasant withdrawal symptoms such as anxiety restlessness palpitations dizziness and sleep disturbances To benefit the most from this medication take it regularly at the same time each day Your doctor may advise taking it in the morning if you have trouble sleeping It may take a few weeks before you begin to notice an improvement in your mood If you do not experience any improvement after four weeks inform your doctor Common side effects of Pexep 20 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 Inform your doctor immediately if your mood worsens suddenly or if you have any thoughts of harming yourself Before taking this medication inform your doctor if you have epilepsy diabetes liver or kidney disease heart problems or glaucoma These conditions may impact your treatment Pregnant or breastfeeding women should consult their doctor before taking Pexep 20 Tablet It is also important to inform your doctor about all the medications you are currently taking as certain antidepressants and MAO inhibitors may interact with Pexep 20 Tablet This will ensure your safety while using the medication