However, the onset of action is relatively low, and the effectiveness is reduced if it is not absorbed properly in the digestive system, or if it is broken down by digestive enzymes before it can reach the bloodstream.Some medications may cause gastrointestinal side effects, such as nausea or vomiting, when taken orally.The expression is used in medicine to describe a treatment that is taken orally (but not used in the mouth such as, for example, caries prophylaxis).[citation needed] Enteral administration includes:[citation needed] Enteral medications come in various forms, including[3] oral solid dosage (OSD) forms:[4] and oral liquid dosage forms:[5] Concomitant ingestion of water facilitates in swallowing tablets and capsules.[6] If the substance has disagreeable taste, addition of a flavor may facilitate ingestion.