Pexep Plus 125 Capsule IR can be taken with or without food It is advised to take it at a fixed time each day to maintain a consistent level of medicine in the blood Take this medicine in the dose and duration advised by your doctor as it has habitforming potential Try to never skip any doses but if you miss a dose of this medicine take it as soon as you remember Finish the full course of treatment even if you feel better It is important not to stop taking this medicine suddenly as it may result in withdrawal symptoms Some common side effects of this medicine include nausea vomiting confusion memory impairment low sexual desire confusion and delayed ejaculation It may cause dizziness and sleepiness so do not drive or do anything that requires mental focus until you know how this medicine affects you It is important to inform your doctor if you develop any unusual changes in mood or depression as this medicine may cause suicidal thoughts Take caution while taking medicine if you are suffering from liver disease Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works Inform your doctor if you are pregnant planning pregnancy or breastfeeding