Almefkem Spas 10 mg250 mg Tablet should be taken with food to avoid stomach upset The dosage and duration will vary depending on the purpose and symptom relief It is important to use it regularly and not discontinue without doctors advice Some common side effects of this medication include dizziness dry mouth blurred vision nausea and drowsiness If these side effects persist or worsen inform your doctor They may suggest ways to prevent or reduce these effects In general it is recommended to use the minimum effective dose to manage symptoms Before using this medicine inform your doctor about any kidney or liver problems as well as other medications you are taking Pregnant and breastfeeding women should consult their doctor before using this medicine