To prevent an upset stomach it is recommended to take Pam 20mg Tablet DT with food The dosage and duration of treatment will vary depending on the condition being treated and how well it alleviates your symptoms It is important to continue taking the medication as prescribed even if you start feeling better unless your doctor advises otherwise Common side effects may include mild vomiting stomach pain nausea headache and dizziness If these side effects persist or worsen it is important to inform your doctor They may be able to suggest methods for preventing or reducing these symptoms Prior to using this medication inform your doctor if you have a history of stomach ulcers heart disease high blood pressure or liver or kidney disease Also make sure to disclose all other medications you are taking as they may interact with or be affected by Pam 20mg Tablet DT If you are pregnant or breastfeeding consult your doctor before using this medication