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Side effects of Tamsulosin may include dizziness, insomnia, vision problems as well as constipation, fainting, low blood pressure upon first standing up, which in turn can lead to dizziness or fainting. Try to take Flomax pills at the same time each day. Tamsulosin relaxes the muscles in the prostate and bladder neck, improving urine flow. Generic Flomax is used to treat the symptoms of an enlarged prostate. Your doctor depending upon the tests and the evaluations of your illness and other factors such as body weight and the degree of severity of the illness.