I’ve always wondered if there is a genetic component to these medications as far as sides are concerned, I take generic tadalafil, 5mg daily, no sides at all. Have never seen nor tried any of the “gas station” variety, but apparently (according to Mens Health) one of their authors lives nearby in Spokane, and he was able to find all the contraband gas station dick pills. I’ve seen the FDA warnings that tell you they contain analogues of most PDE5 meds.