Protocol Service
Sexual Health
Sildenafil and Tadalafil Prescriptions in Scarsdale, NY
Protocol Health prescribes sildenafil and tadalafil for erectile dysfunction after a provider review, at our Scarsdale, NY clinic and by telehealth. Both work on demand by supporting blood flow; they differ mainly in how long they last.
Consultation $249, or $349 with blood work.
Sildenafil and tadalafil are FDA-approved for erectile dysfunction.
Medically reviewed by Richard Dentico, MD, Medical Director
★ 5.0 on Google · 107 reviews (as of October 2026) · Physician-led, family-owned
Our Scarsdale clinic serves Westchester County. Telehealth in NY, NJ, CT, FL and CA.
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Sildenafil / Tadalafil at Protocol Health
Before you book
Sildenafil versus tadalafil
Both treat ED through the same mechanism. Sildenafil (Viagra) lasts roughly 4 to 6 hours; tadalafil (Cialis) can last up to about 36 hours and also comes as a low daily dose. In head-to-head trials they had similar effectiveness, and many couples preferred tadalafil.
Who can take them?
Most men with ED, after a review.
- Men with ED
- Men without contraindicated heart medications
- Men who want to try medication first
Safety
A review comes first.
Nitrates. These medications must not be combined with nitrate heart medicines.
Side effects. Headache, flushing and congestion are common.
Underlying cause. ED can signal heart or hormone issues worth checking.
How the prescription works
Review first. Heart health and medications are checked.
On demand or daily. Tadalafil also comes as a daily low dose.
Generics. Both are available as generics.
Follow-up. Dose or medication changed if needed.
Getting a prescription
In the Scarsdale clinic or by telehealth where appropriate.
- Intake. Symptoms and medications.
- Review. By a provider.
- Prescription. Sent to the pharmacy.
- Follow-up. Adjusted if needed.
Common questions
Sildenafil / Tadalafil: frequently asked questions
Which lasts longer?
Tadalafil, up to about 36 hours; sildenafil roughly 4 to 6.
Are they equally effective?
Head-to-head trials show similar effectiveness.
Can I get them by telehealth?
Yes, for eligible patients after a review.

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