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They claim that each Viagra pill is identical and that seems reasonable enough to believe. They also claim that the same cannot be said for generics; that theyâre made in such a way that there is a variance pill to pill and in batch to batch. This isnât a knock on the risk factor of side effects or complications, itâs more of an indictment on the confidence you can have in the drug to work at a high level when you take it. So I would not factor side effects into your decision.]