Tadalista Super Active contains tadalafil, a phosphodiesterase type 5 (PDE5) inhibitor. In rare cases, PDE5 inhibitors, including tadalafil, have been associated with sudden sensorineural hearing loss, which is usually unilateral (one ear) and can occur suddenly. Here’s why it can happen: Mechanism (Hypothesized) Blood flow changes: PDE5 inhibitors work by relaxing blood vessels, increasing blood flow to certain tissues (like the penis). In rare cases, this can affect the inner ear’s delicate blood vessels, which are essential for Tadalista Super Active . Reduced or altered blood flow can damage cochlear cells, leading to hearing loss. Pressure changes in the inner ear: Some studies suggest that vasodilation may alter inner ear fluid dynamics, causing sudden auditory symptoms. Interaction with pre-existing conditions: People with high blood pressure, heart disease, diabetes, or ear disorders may be more vulnerable to this side effect. Symptoms to Watch For Sudden decrease or loss of hearing in one ear Ringing in the ear (tinnitus) Dizziness or balance issues (rare) Precautions Stop taking the medication immediately if you notice sudden hearing changes. Seek immediate medical attention, as early treatment can improve outcomes. Avoid if you have a history of ear problems or are on other medications that may affect hearing.