Tadalafil (cialis) Eye Floaters

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Sebtp1973

I take 5 mg tadalafil around 3 days a week for the past 3-4 months or so. Suddenly, I'm getting eye floaters. For those who don't know, eye floaters are lighted shapes that float around in your vision. I got eye floaters before when I look at a bright light. But I've noticed floaters recently, even when I haven't looked at a bright light. They go away pretty quickly though. I looked up if this is a tadalafil side effect, and it is. I've even read ED medication can cause serious damage to the eye, up to blindness.

Has anyone experienced this? How concerned should I be? I'd hate to stop taking tadalafil, so I hope I am either imagining this, or it's something mild I don't have to worry about, or it goes away at some point.
57 yrs old.
Pre-Trost treatment, 110 composite curve (75 up, 35 left)
Post-Trost xiaflex treatment, 0-15 degree curve.

Pfract

You should be very concerned and discontinue immediately. Vision side effects with Cialis are a no go and just in case, i would consult with your family doctor about it.

If you read on the leaflet that comes with the medication this is what it says: https://uspl.lilly.com/cialis/cialis.html#section-1.3

Quote"5.4 Effects on the Eye

Physicians should advise patients to stop use of all phosphodiesterase type 5 (PDE5) inhibitors, including CIALIS, and seek medical attention in the event of a sudden loss of vision in one or both eyes. Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION), a rare condition and a cause of decreased vision, including permanent loss of vision, that has been reported rarely postmarketing in temporal association with the use of all PDE5 inhibitors. Based on published literature, the annual incidence of NAION is 2.5-11.8 cases per 100,000 in males aged ≥50.

An observational case-crossover study evaluated the risk of NAION when PDE5 inhibitor use, as a class, occurred immediately before NAION onset (within 5 half-lives), compared to PDE5 inhibitor use in a prior time period. The results suggest an approximate 2-fold increase in the risk of NAION, with a risk estimate of 2.15 (95% CI 1.06, 4.34). A similar study reported a consistent result, with a risk estimate of 2.27 (95% CI 0.99, 5.20). Other risk factors for NAION, such as the presence of "crowded" optic disc, may have contributed to the occurrence of NAION in these studies.

Neither the rare postmarketing reports, nor the association of PDE5 inhibitor use and NAION in the observational studies, substantiate a causal relationship between PDE5 inhibitor use and NAION [see Adverse Reactions (6.2)].

Physicians should consider whether their patients with underlying NAION risk factors could be adversely affected by use of PDE5 inhibitors. Individuals who have already experienced NAION are at increased risk of NAION recurrence. Therefore, PDE5 inhibitors, including CIALIS, should be used with caution in these patients and only when the anticipated benefits outweigh the risks. Individuals with "crowded" optic disc are also considered at greater risk for NAION compared to the general population; however, evidence is insufficient to support screening of prospective users of PDE5 inhibitors, including CIALIS, for this uncommon condition.

Patients with known hereditary degenerative retinal disorders, including retinitis pigmentosa, were not included in the clinical trials, and use in these patients is not recommended."

I know you didn't mention vision loss, but.....

FrankPD

I've been taking 5mg for about a month.  I've had floaters for a long time and have been monitoring it.  I go back to the eye doctor for a check up in July.

I'll definitely let you know if they worsen.
I have a girlfriend
Age 48, No injury
Diagnosis January 2022  
Six plaques
Hourglassing when flaccid and semi-erect
Only have my congenital curve
Massaging with vitamin E cream twice a day 
5mg Tadalafil, Healthy diet
Discomfort/aching sometimes

Callum

I've been taking Cialis as well, and I encountered similar issues at first. Initially, I noticed some visual disturbances, like floaters, which made me concerned. However, over time, these side effects lessened, and I found my overall experience improved. It's great that you're keeping track of your floaters and have a follow-up scheduled with your eye doctor in July. Staying proactive about your health is important, and I hope everything goes well for you!
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