The gel syrup PPZ 40mg is not only used for pain relief but also to prevent stomach ulcers and acidity that can occur with longterm use of painkillers It falls under the category of drugs known as proton pump inhibitors PPIs It is recommended to take this medicine one hour before a meal preferably in the morning The dosage will depend on your specific condition and how you respond to the medication It is important to continue taking it as prescribed even if your symptoms improve quickly To enhance the effectiveness of the treatment it is advisable to consume smaller meals more frequently and avoid caffeinated drinks like tea and coffee as well as spicy or fatty foods The most commonly observed side effects of this medication include nausea vomiting headache dizziness flatulence diarrhea and stomach pain These side effects are generally mild but if they are bothersome or persist it is recommended to consult your doctor Prolonged use of this medication may increase the risk of side effects For example using it for more than one year may heighten the risk of bone fractures especially with higher doses It is advisable to speak with your doctor regarding measures to prevent bone loss and osteoporosis such as taking calcium and vitamin D supplements Prior to taking this medication it is important to inform your doctor if you have severe liver problems if you are taking medications for HIV if you have experienced allergic reactions to similar medications in the past or if you suffer from bone loss or osteoporosis Pregnant or breastfeeding women should also consult their doctor before taking this medication