Piromak 20mg Tablet MD is best taken with food to avoid experiencing an upset stomach The dosage and duration of treatment will vary depending on the condition being treated and the effectiveness in alleviating symptoms It is important to continue taking the medication as prescribed even if you start to feel better until your doctor advises you to stop Common side effects of Piromak include mild vomiting stomach pain nausea headache and dizziness If any of 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 Before using Piromak inform your doctor if you have a history of stomach ulcers heart disease high blood pressure or liver or kidney disease Additionally let your doctor know about all other medications you are taking as they may interact with or be affected by Piromak Pregnant or breastfeeding women should consult their doctors before using this medication