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What should I discuss with my healthcare provider before taking tadalafil? A 
small number of patients have lost eyesight in one eye after taking tadalafil. 
This type of vision loss is called non-arteritic anterior ischemic optic 
neuropathy (NAION). NAION causes a sudden loss of eyesight because blood flow 
is blocked to the optic nerve. It is not clear at this time if tadalafil causes 
NAION. NAION also happens in patients who do not take this medicine. People who 
have a higher chance for NAION include those who:

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