Aksam 200mg Tablet can be taken with or without food The dosage will depend on the reason for treatment and your body weight It is important to take this medication regularly in order to obtain the maximum benefit and you may need to continue taking it for several months or even longer It is recommended to establish a routine for taking the medication even if your symptoms improve The most commonly observed side effects include nausea diarrhea upset stomach constipation and dizziness However not everyone experiences these side effects If you are concerned about them or if they do not resolve on their own it is important to inform your doctor In case you experience diarrhea your doctor may adjust the dosage or discontinue the treatment It is advisable to drink plenty of water or fluids to stay hydrated if you develop severe diarrhea or constipation Prior to taking this medication inform your doctor if you are pregnant planning to become pregnant or breastfeeding The use of this medicine can alter the effects of certain other medications so it is important to disclose all other medications you are currently taking to your doctor It is also recommended to avoid consuming alcohol as it may intensify the side effects