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Treatment is available—whether it be Viagra, Cialis, or alternative medications—and your doctor can help you find the right medication plan.

  • Confirm if blue pills interact with foods or supplements.
  • Learn emergency measures in case of overdose or severe reaction.
  • Prefer pharmacies that offer consultation with pharmacists.
  • Avoid bulk purchases without a doctor’s approval.
  • Track dosage progress when using blue pills long-term.
  • Understand legal implications of importing medicines across borders.
  • Maintain records of purchase for health insurance claims.

“ED may be a result of another unaddressed acute or chronic issue or a medication or supplement you may be taking,” Dr. Balsamini says.

Why do people take counterfeit medication?

“Counterfeit drugs are fraudulent and illegal,” says Dr. Laura Balsamini, Pharm.D., the national vice president of pharmacy services at Summit Medical Group. “They may contain no active ingredient, the wrong ingredients, ingredients in higher or lower quantities than labeled, or toxins, and may be manufactured in inferior conditions. These drugs are unregulated, lack evidence of safety or efficacy, and use may lead to harmful outcomes.” In a 2017 study published in the Translational Andrology and Urology journal, a group of researchers looked at the dangers of counterfeit pills for sexual enhancement and counterfeit drugs that treat erectile dysfunction. The study notes that as the population ages, the popularity of these types of drugs has increased, as has counterfeiting of these drugs.

How long does it take Viagra to work?

According to the research, many users don’t even know they’re taking fake drugs, and unknowingly put themselves in dangerous situations. The dangers and risks associated with taking counterfeit drugs are complex. Because the drugs are unregulated and created using unsafe practices, there’s no way of knowing what each pill contains. Additionally, patients who bypass the medical system aren’t screened for potential side effects, drug interactions, and other conditions that can be related to erectile dysfunction. Viagra is a prescription drug that is not sold over-the-counter in the U.S. “It is important that your provider and pharmacist also review your medications to determine if a treatment for ED may potentially interact with another medication you are currently taking.” The bottom line is, if you’re thinking about purchasing Viagra, your first stop should be to your healthcare provider who is equipped to provide medical advice tailored to your health condition and specific symptoms.

Product Dosage Quantity + Bonus Price
Kamagra Gold100 mg12 Pills55.64€ 52.99€
Viagra Oral Jelly100mg21 Sachets78.66€ 74.91€
Levitra Generic60mg360 + 10 Pills906.69€ 863.51€
Cialis Super Active20mg10 Pills55.64€ 52.99€
Cialis Soft Tabs20mg270 + 10 Pills471.40€ 448.95€
Viagra Generic50mg10 Pills26.87€ 25.59€
Cialis Soft Tabs20mg60 + 4 Pills159.37€ 151.78€
Levitra Generic60mg20 Pills81.30€ 77.43€
Cialis Generic60mg180 + 10 Pills313.11€ 298.20€
Viagra Original100mg12 Pills72.54€ 69.09€
Viagra Generic150mg30 + 2 Pills72.32€ 68.88€
Levitra Professional20mg120 + 4 Pills348.44€ 331.85€

Medically accurate: SingleCare’s Medical Review Board analyzes all of our content to confirm it’s in line with current medical advice. Evidence-based: Our content is sourced from reputable U.S.-based healthcare professionals and peer-reviewed research.

  • Avoid websites that request unnecessary personal information.
  • Use VPN services when accessing international online pharmacies.
  • Store proof of purchase and prescriptions for future reference.
  • Research potential counterfeit warning signs.
  • Use official pharmacy apps if available for easier reordering.
  • Check if the pill requires refrigeration or specific temperature storage.
  • Plan purchases around medical appointments for follow-up.

Trustworthy: All of SingleCare’s content goes through a multi-phase review process by our writers, editors, and Medical Board in order to provide clear and credible information.

What are the generic options for erectile dysfunction (ED)?

Davis, a urologist at Mercy Medical Center in Baltimore, Maryland, says he’s aware that some patients have used online overseas pharmacies to access medications, but he always advises against it. “Unless they’re absolutely certain the pharmacy is reputable, there is no way to ensure they are actually receiving the medication that was recommended,” he cautioned. Pfizer recommends that you follow specific precautions when buying Viagra online, including ensuring that the website requires a valid prescription; that you’re purchasing from a U.S.-based online pharmacy with a listed U.S. address and phone number; that the doses are either 25 mg, 50 mg, and 100 mg (the only doses that legal Viagra is sold); and that you are purchasing from a VIPPS-Accredited Pharmacy. RELATED: How to safely buy Cialis online Erectile dysfunction is estimated to affect 30 million men in the United States alone. Over-the-counter ED pills can have risks and are not FDA-approved.

From consultation to confidence in days

To avoid accidentally taking counterfeit pharmaceuticals, Dr. Balsamini says it’s imperative to get your prescription filled from a licensed pharmacy in the U.S. “To avoid accidentally purchasing counterfeit drugs, it is important to avoid purchasing medications from other countries,” she says. “If you do use an internet pharmacy site, ensure it is legitimate by checking the website for the VIPPS (Verified Internet Pharmacy Practice Sites) seal.” Dr. Damon E. L-arginine may help with mild ED but can cause headaches and nausea.

What is the impact of ED on men?

The science of vacuum erectile device in penile rehabilitation after radical prostatectomy. Translational Andrology and Urology, 2(1), 61-66. Zinc status and serum testosterone levels of healthy adults. Nutrition (Burbank, Los Angeles County, Calif.), 12(5), 344–348. Sperm quality in men is improved by supplementation with a combination of L-arginine, L-citrullin, roburins and Pycnogenol®.

Sildenafil may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

The Potential Role of Arginine Supplements on Erectile Dysfunction: A Systemic Review and Meta-Analysis. The Journal of Sexual Medicine, 16(2), 223–234. The counterfeit pharmaceutical industry, valued at around $200 billion worldwide, includes dangerous fake drugs like Viagra, posing significant health risks. Counterfeit Viagra often contains harmful substances, highlighting the importance of purchasing medications from reputable sources to ensure safety. People take counterfeit medicine for various reasons, including price as well as the stigma around conditions like erectile dysfunction. DHEA might help with mild ED, but it can cause oily skin and acne. While some people turn to over-the-counter solutions as alternatives to Viagra, most of these products do not have scientifically proven benefits for erectile dysfunction and are not regulated by the FDA.

  • Choose blue pills that offer clear usage and warning labels.
  • Avoid marketplaces known for counterfeit or substandard drugs.
  • Read up on the history and development of commonly used blue pills.
  • Understand the difference between immediate and extended-release pills.
  • Confirm if the pills have child-proof packaging.
  • Seek advice on storage duration for opened bottles.
  • Consider the environmental impact of packaging disposal.

Despite claims, products like L-Arginine and DHEA should be used cautiously due to potential side effects and risks. L-arginine is an amino acid found naturally in food. It helps the body produce nitric oxide (NO), which widens blood vessels.

Why is generic medication often cheaper than the brand-name equivalent?

Kristina Acri (Ph.D), an economist with Colorado College, who has been studying counterfeit drugs for two decades, said in an interview with NPR in 2017, “I think there are conditions—weight loss, erectile dysfunction, addiction—for which there’s a stigma attached to them. Patients may be too ashamed to see a physician… and that opens the door to counterfeiters.” Sexual enhancement drugs are some of the most common counterfeit drugs in the world. And with erectile dysfunction treated like a pop culture reference instead of a real medical condition—which it is—it’s understandable that men would look for alternative outlets for obtaining medication. And they’re finding them, but at a dangerous cost. For many years there was a high cost to purchasing Viagra.

A Word From Verywell

However when Pfizer released a generic in 2017, the financial burden was lessened. You can currently get 30 tablets of the generic at 50 mg blue tablets for about $20-$25. However, there may still be an assumption that the high cost prohibits some patients from taking real Viagra and other sexual enhancement drugs. Due to more affordable generic options, there really is no need to take the chance with counterfeits. Regardless of the rising popularity in counterfeit drugs, the dangers associated with taking illegal and unregulated substances from the black market are high. Without NO, blood vessels in the penis can't fill with blood to achieve an erection.

What are counterfeit drugs, and are they harmful?

Many people do not realize that they can purchase affordable generic options at pharmacies, which are safe and legal. To avoid counterfeit Viagra, it’s crucial to obtain prescriptions from licensed pharmacies in the U.S. and verify online pharmacies through the VIPPS seal. The counterfeit drugs are a dangerous and booming market in both developing and developed countries. Worldwide, the counterfeit pharmaceutical industry is valued at around $200 billion (USD), making it the most profitable counterfeit goods industry in the world.

Serious side effects

It’s not just an overseas problem; the combination of expensive co-pays and online pharmacies are making counterfeit drugs a frightening reality for many Americans. In April 2019, thousands of fake Viagra and Cialis pills, and sexual enhancement drugs, were seized at Greater Rochester International Airport. The illicit drugs were valued at over $60,000, and every single drug was a counterfeit posing as the real deal. Counterfeit drugs are drugs that are not legal, and have either been intentionally falsified to represent a drug on the market, or have not met quality standards of specifications. According to the World Health Organization (WHO), “Substandard and falsified medical products may cause harm to patients and fail to treat the diseases for which they were intended.” The ingredients contained in counterfeit medicines are alarming, to put it lightly. In theory, L-arginine supplements should improve the quality of erections by boosting NO production, but study results are mixed. Some evidence suggests that doses of 1,500 to 5,000 milligrams (mg) might help those with mild to moderate ED.

Storage Condition Temperature Range Light Sensitivity Humidity Control Shelf Life Storage Location Recommendations
Cool, Dry Place 15°C - 25°C Protect from light Low humidity 2-3 years Keep in original packaging
Avoid Moisture Room temperature No direct sunlight Humid environments harmful Check expiry regularly Store out of reach of children
Refrigeration Not necessary N/A N/A Follow manufacturer instructions Use airtight containers if needed

Even so, it is important to remember that people get plenty of L-arginine from their diet and that NO is only one of the components needed to achieve an erection.

Understanding Sildenafil

The U.S. Food and Drug Administration (FDA) takes counterfeit drugs seriously, and works with other agencies and the private sector to keep Americans safe from the dangers associated with illegal counterfeit drugs. According to Muhammed Zaman, author of Bitter Pills: The Global War on Counterfeit Drugs, Viagra is one of the most counterfeited drugs in the world. The drug sildenafil citrate, known by its brand name Viagra, was approved by the FDA in 1998 as the first oral treatment approved for erectile dysfunction. Nearly two decades later it remains one of the most popular drugs for treating ED, which is why so many fakes persist.

Side effects

Pfizer, the company that produces Viagra, conducted an investigation in 2011 on ingredients contained in counterfeit Viagra. The study involved Pfizer Global Security searching online for “Viagra,” using two popular search engines, and then ordering pills from the top 22 sites. Pfizer then tested the chemical composition of the Viagra pills. In addition to pills that contained too much of the active ingredient or not enough, they discovered ingredients such as blue printer ink, amphetamines (like speed), Metronidazole (a strong antibiotic commonly used to treat vaginal infections), or drywall as a binding agent. There are many reasons why people take counterfeit medicine, both intentionally and unintentionally.