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Generic medicines contain the same active ingredient and are equally effective and equivalent as the branded products but are available at a lower price. Viagra is the most well-known treatment for adult men with erectile dysfunction, sometimes known as impotence. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Sildenafil citrate is the active ingredient in Viagra and is available in a generic, unbranded tablet. Generic medicines are required meet the same standards of safety, quality and efficacy as the branded medication. To receive market approval from the European Medicines Agency and MHRA, a generic medicine must be 'bioequivalent' to the originator product.