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The two work exactly the same but when you buy Viagra online they are much more expensive because of the brand name. Since Viagra has come off patent, it has become possible for other manufacturers to produce generic versions of the active ingredient Sildenafil. In some cases, SILDENAFIL may cause sudden vision loss in one or both eyes. Stop taking SILDENAFIL and consult your doctor immediately if you experience a sudden decrease or loss of vision. Low self-esteem, work stress, bereavement and&nbsp