Visual side effects associated with tadalafil are rare, likely due to tadalafil’s low affinity for PDE6. In the analysis of 11 integrated randomized, double-blind, placebo-controlled trials lasting 12 weeks [23], there were no reports of ‘‘blue vision’’ among the 1464 men taking tadalafil. In a long-term safety study involving 1173 men taking tadalafil for 18 to 24 months [50], one episode of ‘‘blue vision’’ was reported.
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