Megalis 10 mg contains tadalafil, a PDE-5 inhibitor used to treat erectile dysfunction. While it is generally safe when prescribed and taken correctly, there are important considerations for men with existing hearing problems.

Hearing-related risks:

Sudden decrease or loss of hearing (sometimes with ringing in the ears or dizziness) has been reported in a small number of people taking tadalafil or similar drugs. It's not always clear whether the medication directly caused the issue, but it's a recognized serious side effect.

Some product information for tadalafil‑containing medicines like Megalis 10 explicitly warns patients to stop taking the drug and seek medical help immediately if they experience sudden hearing changes.

What this means if you already have hearing issues:

Extra caution is advised. If you have a history of hearing problems, tinnitus (ringing), or nerve-related hearing loss, talk to your physician before starting Megalis.

Regular monitoring and reporting any new symptoms (eg, decreased hearing, ringing, fullness in the ear) is important.

Do not continue the medication if you notice sudden hearing changes — prompt medical evaluation is recommended.

Overall safety:

While many men take tadalafil without hearing problems, the potential for rare auditory side effects means it isn't automatically “safe” for everyone with pre-existing hearing issues. Individual risk factors like age, diabetes, cardiovascular disease, and existing audit conditions can further influence safety. A detailed discussion with your doctor or ENT specialist can help determine if Megalis is appropriate for your situation.