The most common side effects of this medicine include reduced sex drive, inability to get an erection (impotence) and tenderness or enlargement of your breasts. If these side effects worry you or do not go away, call your doctor for advice. You may also feel dizzy or drowsy. These risks are higher when you first start taking this drug. Remember, your doctor has given you this medicine because the benefits are greater than the risks of the side effects. Tam-D 0.4 mg/0.5 mg Tablet should not be taken by women or children. Before taking it, tell your doctor if you have low blood pressure or liver or kidney disease. This medicine may not be suitable. It can also affect, or be affected by, other drugs. So let your doctor know all the other medicines you are taking. You may be advised to wear a condom during sex, if your partner is or maybe pregnant. Your doctor may recommend to get your blood pressure checked frequently. Avoid drinking alcohol as it can cause excessive dizziness with this medicine. The following information is an educational aid only. It is not indicated as medical advice or alternative treatment. Consult your Doctor on safety and effectiveness.