Take SilotrifD 4 Combipack at the same time every day Do not break chew or crush the tablets Your doctor will prescribe the appropriate dosage for you In order to achieve the maximum benefit and effectively treat your symptoms it is important not to miss any doses even if you feel 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 worsen inform your doctor The most common side effects of this medication include reduced sex drive erectile dysfunction and tenderness or enlargement of the breasts If you experience these effects and they concern you or do not go away seek advice from your doctor You may also experience dizziness or drowsiness These risks are higher when starting the medication Remember that your doctor has prescribed this medication because the benefits outweigh the risks of the side effects SilotrifD 4 Combipack should not be taken by women or children Inform your doctor if you have low blood pressure liver disease or kidney disease before taking this medication It may not be suitable for you Additionally it can interact with other medications so inform your doctor about all other medications you are taking You may be advised to use a condom during sex and have your blood pressure monitored regularly Speak to your healthcare team if you consume alcohol