May be taken with or without food: Swallow whole, do not chew/crush.
Contraindications
Patients receiving MAOI therapy or w/in 14 days of discontinuing such treatment. Narrow-angle glaucoma, urinary retention, severe HTN, severe CAD, hyperthyroidism.
Glaucoma, prostatic hypertrophy or bladder neck obstruction, CV disease, increased IOP or DM. Swallowing difficulties or upper GI narrowing or abnormal esophageal peristalsis. Patients on digitalis. Severe hepatic impairment. Elderly.