We present an analysis of long-term photometric variability for nearby red dwarfs at optical wavelengths. The sample consists of 264 M dwarfs south of DEC = +30 with V-K = 3.96-9.16 and Mv~10-20 (spectral types M2V-M8V), most of which are within 25 p
c. The stars have been observed in the VRI filters for ~4-14 years at the CTIO/SMARTS 0.9m telescope. Of the 238 red dwarfs within 25 pc, we find that only ~8% are photometrically variable by at least 20 mmag (~2%) in the VRI bands. We find that high variability at optical wavelengths over the long-term can be used to identify young stars. Overall, however, the fluxes of most red dwarfs at optical wavelengths are steady to a few percent over the long term. The low overall rate of photometric variability for red dwarfs is consistent with results found in previous work on similar stars on shorter timescales, with the body of work indicating that most red dwarfs are only mildly variable. We highlight 17 stars that show long-term changes in brightness, sometimes because of flaring activity or spots, and sometimes because of stellar cycles similar to our Suns solar cycle. Remarkably, two targets show brightnesses that monotonically increase (G 169-029) or decrease (WT 460AB) by several percent over a decade. We also provide long-term variability measurements for seven M dwarfs within 25 pc that host exoplanets, none of which vary by more than 20 mmag. Both as a population, and for the specific red dwarfs with exoplanets observed here, photometric variability is therefore often not a concern for planetary environments, at least at the optical wavelengths where they emit much of their light.
