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Does CIALIS Cause Vision Loss?

Conditions leading to a sudden decrease or loss of vision, including a condition called NAION, have been rarely reported in patients taking PDE5 inhibitors (oral ED [erectile dysfunction] medicines, including CIALIS). It is not possible to determine whether these cases are related directly to these medicines, to underlying conditions such as diabetes or high blood pressure, to a combination of these factors, or to other factors.

What is NAION?

NAION stands for nonarteritic anterior ischemic optic neuropathy. NAION is a condition in which the blood supply to the nerve that carries signals from the back of the eye to the brain is decreased. This is a rare but serious condition as it may lead to permanent loss of vision, including blindness.

What causes NAION?

The exact cause of NAION is unknown. NAION is more likely to occur in persons with the following conditions:
  • Previous history of NAION
  • Older age (greater than 50 years)
  • Diabetes mellitus
  • High blood pressure (hypertension)
  • High cholesterol
  • Cigarette smoking
  • A variation in the structure of the nerve that carries signals from the eye

There are other conditions that may be associated with NAION. Please talk to your health care professional.

How common is NAION?

NAION is a rare condition with 2-10 cases per 100,000 people over 50 years of age per year.

What are the symptoms of NAION?

Any sudden decrease or loss of vision may be a symptom of NAION. This may first be noticed after a person awakens from sleep. There is usually no pain associated with NAION.

What should I do if I have a sudden decrease or loss of vision?

If you experience a sudden decrease or loss of vision, stop taking any oral ED medication, including CIALIS, and call a doctor right away.

If I am being prescribed CIALIS for the first time, should I tell my doctor about any previous instance(s) of sudden decrease in vision?

As for any medicine, it is very important for you to tell your doctor about all your medical problems, including those in the past. Also, tell your doctor about all medications you're taking. If you have had NAION in one eye, you have a greater likelihood of getting it in the other eye. Only your doctor can determine if CIALIS is right for you.

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CIALIS is indicated for the treatment of erectile dysfunction.

Important Safety Information for CIALIS® (tadalafil)

CIALIS IS NOT FOR EVERYONE. Only your doctor can decide if CIALIS is right for you. Before taking CIALIS, ask if you're healthy enough for sexual activity and be sure to tell your doctor about all your medical conditions and all medications. Don't take CIALIS if you take nitrates as the combination can cause a sudden, unsafe drop in blood pressure.
CIALIS for daily use remains in your body for as long as you take it. Tell your doctor about all medications, especially if you take nitrates (often used for chest pain) or medicines for blood pressure, alpha blockers, antifungals, or HIV, so your doctor can be aware of potential drug interactions.
Don't drink alcohol in excess (to a level of intoxication) with CIALIS, as this may increase your chances of getting dizzy or lowering your blood pressure. CIALIS does not protect against sexually transmitted diseases, including HIV. The most common side effects with CIALIS were headache and upset stomach. Backache and muscle ache were also reported, sometimes with delayed onset.
As with any ED tablet, in the rare event of an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.
In rare instances, men taking prescription ED tablets (including CIALIS) reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It's not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call your doctor right away.
CIALIS is available by prescription only. For additional safety information, talk to your doctor about this medicine and see the full Patient Information.
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