Generic Name: testosterone topical (tes TOS ter one TOP i kal)
Brand Names: Androderm, AndroGel, Axiron, FIRST-Testosterone, FIRST-Testosterone MC, Fortesta, Testim

What is Axiron?

Axiron topical solution is an underarm testosterone treatment.

Testosterone is a naturally occurring male hormone necessary for many processes in the body.

Axiron is used to treat adult males who have low or no testosterone.

Axiron may also be used for purposes not listed in this medication guide.

Important information

Axiron should not be used by a woman. Testosterone can cause birth defects in an unborn baby. A pregnant woman should avoid coming into contact with Axiron solution has been applied. If contact does occur, wash with soap and water right away. Axiron topical solution is absorbed through the skin and can cause side effects or symptoms of male features in a child or woman who comes into contact with the medication.

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Call your doctor if a person who has close contact with you develops enlarged genitals, premature pubic hair, increased libido, aggressive behavior, male-pattern baldness, excessive body hair growth, increased acne, irregular menstrual periods, or any signs of male characteristics.

Before using Axiron

Do not use Axiron if you are allergic to testosterone, or if you have prostate cancer or male breast cancer.

To make sure you can safely use Axiron, tell your doctor if you have any of these other conditions:

  • diabetes;

  • sleep apnea or chronic breathing problems;

  • liver disease or kidney disease; or
  • if you are overweight.

FDA pregnancy category X. Axiron should not be used by a woman. Testosterone can cause birth defects in an unborn baby. A pregnant woman should avoid coming into contact with Axiron solution, or with a man's skin areas where the solution has been applied. If contact does occur, wash with soap and water right away.

See also: Pregnancy and breastfeeding warnings (in more detail)

Older men who use Axiron may have an increased risk of prostate enlargement or cancer. If you are over 65, talk with your doctor about your specific risk. Axiron solution should not be used on anyone younger than 18 years old. Improper use of Axiron may affect bone growth in children.

How should I use Axiron?

Use Axiron exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Axiron comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Before using a new bottle of Axiron for the first time, you will need to prime the pump. To prime the pump gently push down on the pump 3 times. Do not use any solution that comes out while priming. Wash it down the sink to avoid accidental exposure to others. Your pump is now ready to use.

Axiron is to be applied to the armpits only. Before applying, make sure that your armpit is clean, dry and that there is no broken skin. Do not apply Axiron to any other parts of your body such as your stomach area (abdomen), penis, scrotum, shoulders or upper arms.

Apply Axiron at about the same time each morning. Axiron should be applied after showering or bathing. You can use an antiperspirant or deodorant before applying Axiron. If you use antiperspirant or deodorant, then it should be applied at least 2 minutes before you apply this medicine.

To be sure Axiron is helping your condition, your blood will need to be tested often. Your prostate or liver function may also need to be tested. Visit your doctor regularly.

Use Axiron regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Store this medicine at room temperature away from moisture and heat.

What happens if I miss a dose?

Apply the solution as soon as you remember. Skip the missed dose if it is almost time to apply your next dose. Do not use extra solution to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid?

Do not apply Axiron to your stomach area (abdomen), penis, scrotum, shoulders or upper arms.

Do not apply Axiron with your fingers or hands.

Avoid swimming, bathing, or showering for at least 2 hours after applying Axiron solution.

Avoid splashing in the eyes. In case of contact with eyes, flush thoroughly with water. If irritation persists, seek medical advice.

Axiron solution is flammable until dry. Let the solution dry before smoking or going near an open flame.

Axiron side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Axiron: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Axiron and call your doctor at once if you have any of these serious side effects:

  • problems with urination;

  • swelling of your ankles;

  • frequent, prolonged, or bothersome erections; or

  • nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Topical testosterone is absorbed through the skin and can cause symptoms of male features in a woman or child who comes into contact with the medication. Call your doctor if your female partner has male-pattern baldness, excessive body hair growth, increased acne, irregular menstrual periods, or any other signs of male characteristics.

Less serious Axiron side effects may include:

  • breast swelling or tenderness;

  • increased acne or hair growth;

  • headache, depressed mood; or

  • changes in your sex drive.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Axiron?

Tell your doctor about all other medicines you use, especially:

  • insulin;

  • a blood thinner (warfarin, Coumadin, Jantoven); or

  • a steroid such as methylprednisolone (Medrol), prednisone (Sterapred), and others.

This list is not complete and other drugs may interact with Axiron. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about Axiron.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Axiron only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.

Copyright 1996-2014 Cerner Multum, Inc. Version: 12.02. Revision Date: 2012-04-18, 12:24:52 PM.

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