The recommended way to take SiluriD4 Combipack is to take it at the same time every day It should be swallowed whole and not broken chewed or crushed Your doctor will prescribe the appropriate dosage for you To get 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 see an improvement in symptoms so it is important to 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 SiluriD4 Combipack include reduced sex drive difficulty in achieving an erection impotence and tenderness or enlargement of the breasts If these side effects concern you or persist contact your doctor for guidance You may also experience dizziness or drowsiness especially when you initially start taking the medication Remember that your doctor has prescribed this medicine because the benefits outweigh the risks of potential side effects SiluriD4 Combipack should not be taken by women or children Before taking the medication inform your doctor if you have low blood pressure or liver or kidney disease as it may not be suitable for you It can also interact with other medications so make sure to inform your doctor about all the other medicines you are taking Your healthcare team may advise you to use a condom during sexual intercourse and monitor your blood pressure regularly If you consume alcohol it is important to discuss it with your healthcare team