Adesam 200 Tablet can be taken with or without food The dosage will depend on the purpose of treatment and your body weight It is important to take this medication regularly in order to obtain the maximum benefits and you may need to continue taking it for several months or longer Establishing a routine for taking the medication is recommended even if your symptoms improve The most commonly observed side effects include nausea diarrhea upset stomach constipation and dizziness However not everyone experiences side effects If you are concerned about them or they persist it is important to inform your doctor In the case of diarrhea your doctor may adjust the dosage or discontinue the treatment It is advisable to drink sufficient water or fluids to prevent dehydration if you experience severe diarrhea or constipation Before taking this medicine inform your doctor if you are pregnant planning to become pregnant or breastfeeding The use of this medicine may affect the effectiveness of other medications so it is important to disclose all other medications you are currently taking to your doctor Avoiding alcohol consumption is recommended as it can potentially increase the occurrence of side effects