Ensame 200mg 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 receive the maximum benefit and you may need to continue taking it for several months or longer It is recommended to establish a routine for taking the medication and to continue using it as prescribed even if your symptoms improve The most commonly reported side effects include nausea diarrhea upset stomach constipation and dizziness However not everyone experiences these side effects If you are concerned about the side effects or if they do not improve it is important to inform your doctor In case of diarrhea your doctor may adjust your dosage or discontinue the treatment It is also advisable to drink enough water or fluids to remain hydrated if you experience severe diarrhea or constipation Before taking this medication it is important to inform your doctor if you are pregnant planning to become pregnant or breastfeeding This medication may affect the effectiveness of other medications so it is crucial to inform your doctor about all other medications you are currently taking It is recommended to avoid alcohol consumption as it may enhance the side effects of the medication