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USA: Makers of GLP-1 drugs ordered to add warnings about rare eye condition that can lead to blindness

The US Food and Drug Administration (FDA) told makers of popular weight-loss GLP-1 drugs that they must add warning labels about a rare eye condition that can cause sudden blindness.

Manufacturers of Ozempic, Wegovy, Mounjaro and Zepbound must warn about nonarteritic anterior ischemic optic neuropathy (NAION). The disorder happens when vessels supplying blood to the optic nerves become blocked, depriving the nerves of oxygen.

The condition can cause painless decreased vision in one eye, which can be permanent, the FDA said.

In a statement to the BBC, the American Academy of Ophthalmology said "any added risk appears small, and it has not been established that these medications cause NAION".

"GLP-1 medications offer important benefits for people with diabetes, obesity, and heart disease, so our message to patients is simple," the group said. "Don't stop your medication without talking to your doctor, and if you notice sudden, painless vision loss in one eye, see an ophthalmologist promptly."

There is no known treatment to reverse vision loss caused by NAION. It is the most common cause of acute optic nerve injury in people over 50 years old, according to the academy.

The FDA said it conducted a detailed review of reports of NAION in GLP-1 users as well as a review of other studies and concluded there is an "increased risk of rare NAION events" in people taking the drugs.

In a statement, Novo Nordisk, the manufacturer of Wegovy, one of the most popular weight-loss medications, said the company believes the data "do not establish a cause-and-effect relationship".

"We recognize that NAION can have a profound impact on patients and their families. Patient safety is a top priority for Novo, and we continue to monitor the safety of our medicines," the manufacturer said.

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Source: BBC News, 10 November 2026

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