Alkacitrate 138gm Syrup can be consumed with or without food in order to avoid experiencing an upset stomach It is important to take this medicine regularly and not discontinue it even if symptoms improve unless instructed by a doctor The most common side effect of this medication is stomach pain along with possible diarrhea increased urine production and fatigue If any of these side effects persist or worsen it is advisable to inform your doctor They may suggest ways to reduce or prevent these symptoms such as adjusting the dosage or recommending an alternative medicine Prior to taking this medication it is essential to inform your doctor about any other medications you are currently taking as well as any existing heart kidney or liver conditions If you are pregnant or breastfeeding it is crucial to consult your doctor before taking this medicine to ensure it is safe for you