The recommended dosage for Sildura 4 Combipack is to take it at the same time every day It should be taken as a whole and should not be broken chewed or crushed Your doctor will determine the appropriate dosage for you To effectively treat your symptoms and gain the most benefit from the medication it is important not to miss any doses even if you start feeling well It may take up to 4 weeks to notice an improvement in symptoms so continue taking the medication regularly If your symptoms do not improve after 4 weeks or if they worsen inform your doctor The most common side effects of Sildura 4 Combipack include reduced sex drive erectile dysfunction and tenderness or enlargement of the breasts If these side effects concern you or persist consult your doctor for advice You may also experience dizziness or drowsiness These risks are more likely at the beginning of treatment Remember that your doctor has prescribed this medication because the benefits outweigh the potential risks of side effects Sildura 4 Combipack should not be taken by women or children Inform your doctor if you have low blood pressure as well as liver or kidney disease before taking this medication It may not be suitable for you Additionally this medication may interact with other drugs so it is important to inform your doctor about all other medications you are taking Your healthcare team may recommend using a condom during sexual activity and monitoring your blood pressure regularly If you consume alcohol discuss it with your healthcare team