The Sam 200mg Tablet can be taken with or without food The dosage will depend on your body weight and the specific condition being treated It is important to take this medication regularly in order to obtain the maximum benefits even if your symptoms improve You may need to take it for several months or longer so establishing a routine is recommended Some common side effects of this medication include nausea diarrhea upset stomach constipation and dizziness However not everyone experiences these side effects If you are concerned about them or they persist it is important to inform your doctor In cases of diarrhea your doctor may adjust the dosage or discontinue the treatment It is also advisable to drink sufficient amounts of water or other fluids to stay hydrated in the event of severe diarrhea or constipation Before taking this medication please inform your doctor if you are pregnant planning to become pregnant or breastfeeding The use of this medication may either reduce or increase the effectiveness of other medicines so it is crucial to disclose all other medications you are currently taking Additionally it is advisable to avoid consuming alcohol as it may intensify the side effects