Is this treatment available in my Florida city?

Yes. Reset My Vitality is a Florida-licensed telehealth practice serving every city in the state, including Miami, Miami Beach, Fort Lauderdale, West Palm Beach, Boca Raton, Orlando, Tampa, Jacksonville, and Naples. Medication ships directly to your door.

Do I pay if I am not prescribed?

No. You only pay if a Florida-licensed clinician determines the treatment is appropriate and writes a prescription. Consultations are risk-free.

How fast will I get started?

Most patients complete intake in under 10 minutes and hear back from a clinician within 1–3 business days. Medication typically arrives within a week of approval.

Is this covered by insurance?

Reset My Vitality is cash-pay so pricing stays transparent and predictable. We can provide a superbill on request for possible out-of-network reimbursement.

Is telehealth as safe as an in-person visit?

For the conditions we treat, peer-reviewed evidence shows telehealth outcomes are equivalent to — and often better than — traditional office care, with significantly higher adherence and follow-up rates.

ED Treatment Florida: Sildenafil & Tadalafil Guide

ED is common, very treatable, and often the first visible sign of vascular or hormonal change worth taking seriously. Here is the modern playbook.

Roughly 30 million men in the U.S. deal with erectile dysfunction at some point; it's incredibly common in my practice. While medications like sildenafil (Viagra), tadalafil (Cialis), and vardenafil are clinically proven and very safe for most, I always tell patients to look at the bigger picture. ED isn't just a nuisance. It's often the 'canary in the coal mine' for bigger issues like cardiovascular disease, low testosterone, or even untreated sleep apnea. ^[1]

The science behind PDE5 inhibitors

To get an erection, you need blood to move into the penis and stay there. This process is driven by nitric oxide and a messenger molecule called cGMP. Usually, an enzyme named PDE5 comes along to break that messenger down. These meds simply slow that breakdown so the signal lasts longer. Just keep one thing in mind: these aren't magic on/off switches. You still need actual sexual stimulation for the chemistry to kick in. ^[2]

Deciding between Sildenafil and Tadalafil

Sildenafil (Viagra) is your classic 'as-needed' option that usually takes about 30–60 minutes to start working and carries you through 4–6 hours.
Tadalafil (Cialis) is known in our clinic as the 'weekend pill' because it lasts up to 36 hours; you can take it as needed or stick to a tiny daily dose to keep things spontaneous.
Vardenafil (Levitra) acts a lot like sildenafil, though some of my patients find it slightly easier on the eyes if they're prone to visual side effects.

Lately, I've seen a huge shift toward daily low-dose tadalafil (2.5–5 mg). Men like it because it takes the 'timer' out of the bedroom, and as a bonus, it often helps with urinary flow if you're dealing with mild BPH. That said, if you're only having issues once in a blue moon, the standard as-needed dosing is usually the most cost-effective way to go. ^[3]

Potential side effects

Most guys just deal with a mild headache, some facial flushing, or a stuffy nose—usually nothing a lower dose can't fix. While serious issues like vision changes or a four-hour erection (priapism) are rare, they are absolute 'go to the ER' moments. Look—the one hard rule I have is that you cannot mix these with nitrates for chest pain. Doing so can cause a drop in blood pressure that's honestly life-threatening. ^[1]

The health signal you shouldn't ignore

In men under 60, ED can actually show up three to five years before a major cardiac event happens. It's a loud and clear signal from your body. When someone comes to see us with new ED, we aren't just writing a script; we're checking your lipids, blood pressure, and glucose. My philosophy is simple: we'll treat the symptom so you feel better, but we’re definitely going to investigate the cause.

How we use telehealth in Florida

Honestly, ED is a perfect fit for telehealth. We can handle the screening, intake, and prescribing through a secure video or message thread from your house, and the meds show up at your door in a plain box. It's fast, it's private, and it gets rid of that awkwardness that keeps so many guys from getting help in the first place.

Available across Florida

Reset My Vitality is a Florida-licensed telehealth practice. The treatments covered in this guide are available to patients statewide, with medication shipped directly to your door. Explore the program for your city:

Key Clinical Studies

A short, responsible summary of recent peer-reviewed research relevant to this topic. This is for education only, not medical advice.

Effect of PDE5 inhibitors on erectile function: an overview of systematic reviews and meta-analyses

BMJ Open · 2021

Key finding: Across pooled systematic reviews, sildenafil and tadalafil consistently improved IIEF erectile function scores vs placebo, with mild, transient adverse events.

Why it matters: Modern, high-level evidence confirming PDE5 inhibitors as first-line oral therapy for ED.

View study

Combination Therapies vs Monotherapy for Erectile Dysfunction: A Systematic Review and Meta-analysis

JAMA Network Open · 2021

Key finding: PDE5 inhibitor monotherapy and combination regimens both produced significant IIEF improvements; combinations offered modest added benefit in select patients.

Why it matters: Informs decisions about sildenafil/tadalafil monotherapy vs add-on strategies in real-world ED treatment.

View study

Scientific References

Peer-reviewed studies and reviews cited in this article.

[1]Huang Y, et al. Effect of phosphodiesterase-type 5 inhibitors on erectile function: an overview of systematic reviews and meta-analyses. BMJ Open. 2021;11(8):e047396. View study
[2]Pyrgidis N, et al. Assessment of Combination Therapies vs Monotherapy for Erectile Dysfunction: A Systematic Review and Meta-analysis. JAMA Network Open. 2021;4(2):e2036337. View study
[3]Associations between phosphodiesterase type 5 inhibitors and vascular function: a systematic review and meta-analysis of randomized controlled trials. Systematic Reviews. 2025. View study

ED Treatment Florida: Sildenafil & Tadalafil Guide | Reset My Vitality