Qutiwel SR 400 Tablet can be taken with or without food However it is recommended to take it at the same time every day to ensure a consistent level of medication in the body Follow the dosage and duration instructions provided by your doctor and if you miss a dose take it as soon as you remember It is important not to stop this medication suddenly without consulting your doctor as it may exacerbate your symptoms However if you experience Neuroleptic malignant syndrome NMS characterized by fever muscle rigidity altered consciousness or seizures discontinue the medicine immediately Common side effects of this medicine include headaches dry mouth and constipation Initially it may cause a sudden drop in blood pressure when changing positions so it is advisable to rise slowly if you have been sitting or lying down It can also cause dizziness and drowsiness so refrain from driving or engaging in activities that require mental focus until you understand how this medicine affects you This medicine may lead to weight gain but making lifestyle modifications such as maintaining a healthy diet and exercising regularly can help reduce this side effect Exercise caution while using this medicine as it may increase the risk of developing diabetes Therefore it is recommended to monitor your blood glucose levels regularly If you experience any unusual changes in mood or behavior new or worsening depression or have suicidal thoughts while taking this medicine inform your doctor immediately