Alkeran 2mg Tablet should be taken on an empty stomach but it is important to take it at the same time every day Your doctor will determine the appropriate dose and frequency based on your specific condition and this may change over time It is crucial to follow your doctors instructions carefully as taking the medication incorrectly or in excessive amounts can lead to severe side effects It may take a few weeks or months before you begin to notice the benefits of the medication so it is important to continue taking it unless advised otherwise by your doctor Alkeran can make your skin more sensitive to sunlight so it is advised to wear protective clothing or use sunscreen when exposed to the sun The most common side effects of Alkeran include nausea vomiting and anemia a low number of red blood cells This medication may also lower the number of blood cells in your body which can increase your susceptibility to infections Regular blood tests are necessary to monitor your blood cell count as well as your kidney liver and heart function during treatment If you experience signs of infection such as fever chills body aches or unusual bruising or bleeding or if you notice blood in your urine or stool it is important to inform your doctor immediately Before starting Alkeran inform your doctor if you have a history of bleeding liver or kidney problems or if you are currently taking any medications for infections This medication can interact with many other drugs so it is important to disclose all the medications you are currently using to your doctor Alkeran is not recommended during pregnancy or while breastfeeding and it is important to use effective contraception for both males and females during treatment to avoid pregnancy