Ensure that you take the New Silofast D 4 Tablet at the same time each day Take it whole without breaking chewing or crushing it Your doctor will prescribe a dosage that is most appropriate for you It is important to take the medication consistently to gain maximum benefits and effectively treat your symptoms even if you feel well It may take up to 4 weeks before you notice an improvement in your symptoms so continue taking the tablets regularly If your symptoms do not improve after 4 weeks or if they worsen inform your doctor The common side effects of this medicine include reduced sex drive erectile dysfunction and tenderness or enlargement of the breasts If you experience these side effects and they cause concern or do not subside contact your doctor for advice You may also experience dizziness or drowsiness especially when you first start taking the medication Remember that your doctor prescribed this medicine because the benefits outweigh the risks of side effects New Silofast D 4 Tablet is not recommended for use by women or children Inform your doctor if you have low blood pressure or liver or kidney disease before taking the medication as it may not be suitable for you This medicine can also interact with other drugs so make sure to inform your doctor about all other medications you are taking You may be advised to use a condom during sexual activity and have your blood pressure regularly monitored If you consume alcohol discuss it with your healthcare team