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.

Sildenafil vs Tadalafil Florida: Which ED Medication Is Right for You?

Both work. They just work differently. Here is an honest comparison of sildenafil and tadalafil so you can pick the one that fits your life.

Sildenafil and tadalafil—the generics for Viagra and Cialis—are the absolute heavy hitters of the ED world. They’re cousins in the same drug family, PDE5 inhibitors, and chemically speaking, they do the same heavy lifting. But in my 13 years of clinical practice, I’ve found that how they actually fit into your Friday night is where the similarities end. Choosing between them usually depends on one thing: how much you like to plan ahead. ^[1]

Where they overlap

Look—both meds work by relaxing the smooth muscle in your blood vessels, which lets blood go where it needs to during arousal. One thing I always tell my patients is that these aren't 'magic' pills; they don't cause an erection out of thin air, so you still need sexual stimulation for things to move. They’re both FDA-approved, they both have affordable generic versions now, and they generally work for about 70–80% of the guys I treat. ^[2]

Timing and duration

Sildenafil usually kicks in within 30–60 minutes and sticks around for 4–6 hours. It’s picky, though—if you take it after a heavy steak dinner or something fatty, it’s going to take much longer to work.
Tadalafil is the 'weekend pill.' It starts working in about 30 minutes but lasts up to 36 hours, and it doesn't really care what you ate for dinner or if you had a drink.
Daily low-dose tadalafil (2.5–5 mg) is the game-changer for spontaneity. You take it every morning like a vitamin so you’re always ready, no stopwatches required.

Side effects: what to expect

Most guys handle these well, but you might notice some flushing, a stuffy nose, or a headache. Sildenafil occasionally causes weird vision changes—everything might look a little blue for an hour—while tadalafil sometimes leads to back or muscle aches a day later. Usually, these side effects are pretty mild and disappear once the medication leaves your system, but it's something we keep an eye on in the clinic. ^[3]

So, which one wins?

I get asked this every day, and honestly, there isn't a 'better' drug. It just depends on what kind of lifestyle you're looking for. ^[1]

Go with sildenafil if you want the cheapest on-demand option and don't mind planning your dose around your meals and your date.
On-demand tadalafil is great if you want a much bigger window of opportunity and don't want to worry about when you last ate.
Choose the daily tadalafil route if you hate waiting for a pill to kick in, or if you also deal with an enlarged prostate, since it helps with those urinary symptoms too.

A word on safety

I have to be straight with you: you cannot mix either of these with nitrates for chest pain or certain high-dose alpha-blockers. It can make your blood pressure tank. If you have a history of heart, liver, or kidney issues, we’ll need to do a more thorough check. My job is to make sure your treatment is safe for your heart before we worry about anything else.

The bottom line

At the end of the day, sildenafil and tadalafil are both incredibly effective. Most of my patients try one for a few weeks, see how they feel, and then maybe switch to the other to see if the grass is greener. If sildenafil doesn't do the trick for you, don't sweat it—tadalafil often does. It’s all about finding your 'just right.'

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 phosphodiesterase-type 5 inhibitors on erectile function: an overview of systematic reviews and meta-analyses

BMJ Open · 2021

Key finding: PDE5 inhibitors, including sildenafil and tadalafil, consistently improved erectile function across systematic reviews and meta-analyses.

Why it matters: Directly supports PDE5 inhibitors as first-line oral treatment for erectile dysfunction.

View study

Assessment of Combination Therapies vs Monotherapy for Erectile Dysfunction

JAMA Network Open · 2021

Key finding: Combination therapy and PDE5 inhibitor monotherapy both improved erectile function, with added benefit for selected patients.

Why it matters: Helps compare standard sildenafil/tadalafil therapy with add-on strategies for ED.

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]Zhang Y, et al. Associations between phosphodiesterase type 5 inhibitors and vascular function: a systematic review and meta-analysis on randomized-controlled trials. Systematic Reviews. 2025. View study