This is not an easy question to answer in totality. In my “research” I have been on a number of sites to buy a sample of various oral ED treatments, including Viagra, Cialis, Levitra, Herbal Viagra, Kamagra, and “generic” versions of the aforementioned.
I have then had the pills that were delivered analysed by a practising clinician. I say that were delivered because in one case, where my payment was cashed in Madagascar, I received nothing and a week later the online “Quality Pharmacie” site had disappeared. That taught me to pay by credit rather than debit card where you can have more avenues to reclaim against obvious fraud.
The genuine articles contained the active ingredients; sildenafil (Viagra), taladafil (Cialis)and verdenafil (Levitra) in the quantites proclaimed on the packets. The pills also looked the right size and colour and the packaging was as seen on the manufacturers’ sites. These were usually the tablets that cost a similar amount each. The Kamagra came from India where Pfizer, the manufacturer of Viagra don’t have a patent. It came in a well-packaged box and had the required amount of the active ingredient in each pill. The “generic” versions of the brand names came from a variety of countries and the prices vary a fair bit. Sadly, the less the price, the dodgier the product. I received generic Cialis from a Canadian pharmacy which was cheaper than branded, but not by much, but was at least 100% kosher. However I had some form of import tax to pay on it when I went up to the local post office to get it, which made the purchase just as expensive as if I’d have gone for the real thing. It also took well over 2 weeks to get here- they probably used ship rather than air-mail, despite it weighing very little!
The herbal Viagra had no sildenafil in it, but a variety of plant-based essences in it, plus a chemical binding agent. It worked to a degree, but that was probably because I did not want to spoil my sexual activity with my partner by having a fake pill and suffering ED, and so some extra adrenalin got the blood into the places I needed! One of the cheapest was clearly a fake. It was the wrong shape, had no name on the pill, and contained mainly salt and sawdust. No chance of that treating ED then!
My conclusion was that you should look out for a long-established (i.e. over a year) site, and one that accepts payment by credit card. It should also have a genuine headquarters postal address- not some PO Box number, plus a telephone number for you to call and check what they sell, how long it will take to ship, and any discounts (yes, you can try hustling a little). The downside of the telephone contact is that unless you block your number they can be forever telephoning you asking if you want a repeat prescription.
Prescription. That was the other thing. The genuine sites would not take your order unless you had had a prescription. That’s the UK law. You need a consultation with an online doctor or a prescription issued from a GP that you’ve visited. Take Pharmacy 2U for instance, a long-established and genuine company. They have a series of questions for you to answer about your medical conditions, medications you are taking, age etc. They sometimes come back to ask supplementary questions where they want to clarify your answer. All in all the online consultation took about the same time to compete and be approved, than the 5 minute face to face consultation I had when wanting ED treatment with my family GP.
My conclusion was that if you are looking for genuine branded Viagra, Cialis or Levitra, you should be paying approximately similar prices from genuine online sites. Some do special deals and packages to tempt you, and all do discount if you buy in bulk.
However all my activity in this area was before Pfizer lost its patent on sildenafil/Viagra in the UK (and other places in Europe). The upshot is that you should now be finding ED pills with the required amounts of sildenafil, branded as sildenafil, and selling for a lot less than branded Viagra. In fact even branded Viagra is being remarketed at a reduced price. If you buy in bulk you can actually find sildenafil selling for less than one pound per pill. The fact that GPs are being encouraged to move patients away from Viagra to sildenafil (to save money for the NHS) indicates that the NHS has no worries about the genuineness of sildenafil as an ED treatment every bit as good as Viagra. Pharmacy 2U stocks and sells sildenafil at a very competitive price and has quick and efficient online consultations.