FDA orders new warning on GLP-1s over rare eye condition linked to sudden blindness
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FDA orders new warning on GLP-1s over rare eye condition linked to sudden blindness

NBC News • • general

Key Points:

  • The FDA has mandated that all GLP-1 drugmakers add a warning label about a rare eye condition called nonarteritic anterior ischemic optic neuropathy (NAION), which can cause sudden and permanent blindness.
  • NAION affects the optic nerve due to reduced or blocked blood flow, and the FDA identified a potential increased risk of this condition in patients taking GLP-1 drugs such as Novo Nordisk’s Ozempic and Wegovy, and Eli Lilly’s Mounjaro and Zepbound.
  • The FDA's decision follows a 2024 study showing diabetes patients prescribed semaglutide were four times more likely to develop NAION, alongside adverse event reports and clinical trial data indicating cases across all marketed GLP-1 drugs.
  • Risk factors for NAION overlap with conditions common in GLP-1 users, including Type 2 diabetes, sleep apnea, and hypertension, complicating the assessment of direct causality.
  • GLP-1 drug labels also include warnings for pancreatitis, gallbladder issues, kidney injury, and carry a black box warning about a possible risk of thyroid tumors, reflecting comprehensive safety concerns.

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