I would chew it, because it's made to be chewed and might not dissolve well in your system otherwise, until asking a doctor. If the packaging says to chew and swallow without water, I'd do that. Well, I would probably take at least a sip of water to wash it down...

Basically, till you can ask the doctor, go with what the packaging instructions say. ( https://www.generess.com/emarketing/womenshealth/generess/patient/using.page agrees )