Are the Viagra and Cialis meds from India, China, etc. same quality and strength as from U.S?

Not always. China & India don't have very good reputations for drugs. I've read dozens of posts about taking "imported" Levitra that had NO effect, or very little effect, or caused tremendous back pain, or bad headaches. And, yes, I've read SOME posts that said the drugs were fine. There are good, and bad, aftermarket manufacturers. Ask yourself, "If the pill I took wasn't REALLY what I thought it was, what WAS it I just took?" Also keep in mind that there is NO legal generic for Levitra, yet. It's still under U.S. patent. Yes Levitra is Vardenafil HCL, but is that what you just bought? How can we tell? If I'm going to buy Levitra on-line, I'll buy from Canada. Their standards are just a little bit higher.

Yes. Quality is pretty much the same. Medications have the same ingredients as originals. Differs only manufacturers and prices.