Zesam 200mg Tablet can be consumed with or without food The dosage will vary depending on the purpose of treatment and your body weight It is important to take this medication regularly in order to obtain the maximum benefit and you may need to continue taking it for several months or longer Therefore try to establish a routine for taking it and continue using it as prescribed even if your symptoms improve The most common side effects of Zesam 200mg Tablet include nausea diarrhea upset stomach constipation and dizziness However not everyone experiences these side effects If you are concerned about them or if they persist it is advisable to inform your doctor In the case of diarrhea your doctor may consider reducing the dosage or discontinuing the treatment It is important to stay adequately hydrated by consuming enough water or fluids during episodes of severe diarrhea and constipation Before starting this medication it is crucial to inform your doctor if you are pregnant planning to become pregnant or breastfeeding The use of this medicine can either decrease or increase the effectiveness of certain other medications so it is important to disclose all other medications you are currently taking to your doctor Additionally it is recommended to avoid consuming alcohol as it may intensify the side effects