Citivin Plus 500mg400mg Tablet can be taken with or without food preferably at the same time each day It is recommended to take it at the same time each day to maintain a consistent level of the medicine in your body Follow the dosage and duration prescribed by your doctor If you miss a dose take it as soon as you remember Do not skip any doses and complete the full course of treatment even if you start feeling better It is important not to stop this medication suddenly without consulting your doctor as it may worsen your symptoms Some common side effects of Citivin Plus 500mg400mg Tablet include hyperactivity stomach pain nervousness and decreased blood pressure These side effects are usually temporary and resolve on their own If they persist or bother you consult your doctor Stay hydrated by drinking plenty of fluids as this medicine may cause diarrhea To control weight gain it is advised to maintain a balanced diet and exercise regularly