Generic Name: testosterone (tes-TOS-ter-one)
Brand Name: Examples include AndroGel and Testim
Children who have been exposed to Testim gel have developed symptoms such as enlarged genitals; increased pubic hair, erections, or sex drive; aggressive behavior; and increased bone age. Contact the child's doctor right away if any of these symptoms occur. Children should avoid contact with unwashed or unclothed application sites in men who use Testim gel.
Closely follow the recommended instructions for use of Testim gel.
Testim gel is used for:
Treating symptoms of low testosterone in adult men when the body does not make any testosterone or not enough testosterone (hypogonadism). It may also be used for other conditions as determined by your doctor.
Testim gel is an androgen hormone. It works by replacing or supplementing the testosterone that is naturally made in the body.
Do NOT use Testim gel if:
- you are allergic to any ingredient in Testim gel
- you are female
- you are pregnant, may become pregnant, or are breast-feeding
- you have known or suspected breast or prostate cancer
Contact your doctor or health care provider right away if any of these apply to you.
Before using Testim gel:
Some medical conditions may interact with Testim gel. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you have allergies to medicines, foods, or other substances, especially soy products or alcohol
- if you have heart problems (eg, congestive heart failure), coronary artery disease, angina (chest pain), high cholesterol levels, swelling or fluid buildup (edema), lung problems, or sleep apnea (long pauses in breathing while you sleep)
- if you have cancer, diabetes, an enlarged prostate or benign prostatic hypertrophy (BPH), kidney or liver problems, or high blood calcium levels, or you are overweight
- if you are using insulin
- if you have a history of blood clots
Some MEDICINES MAY INTERACT with Testim gel. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Corticosteroids (eg, prednisone) or corticotropin (ACTH) because they may increase the risk of Testim gel's side effects
- Anticoagulants (eg, warfarin), carbamazepine, or oxyphenbutazone because the risk of their side effects may be increased by Testim gel
- Propranolol because its effectiveness may be decreased by Testim gel
This may not be a complete list of all interactions that may occur. Ask your health care provider if Testim gel may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Testim gel:
Use Testim gel as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Testim gel comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Testim gel refilled.
- Apply Testim gel to clean, dry skin on the shoulders and/or upper arms. Some brands of Testim gel may be applied to the stomach area. Check with your pharmacist to see if your brand may be applied to the stomach area.
- Apply Testim gel to clean, dry skin.
- Do not allow another person to apply Testim gel for you.
- Do not apply Testim gel to the scrotum or genitals. Do not apply it over open sores, wounds, or irritated skin.
- Wash your hands with soap and water immediately after using Testim gel.
- Allow Testim gel to dry for a few minutes before dressing.
- Cover the application site (eg, with a shirt) to prevent others from coming into contact with Testim gel. If direct skin-to-skin contact with another person is expected, wash the application site well with soap and water to remove the medicine.
- For best results, wait 5 hours after applying Testim gel before showering or swimming. You may shower or swim after 2 hours with some brands of Testim gel. Check with your pharmacist if you have questions about how long you should wait after applying Testim gel before you shower or swim.
- If you miss a dose of Testim gel, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
Ask your health care provider any questions you may have about how to use Testim gel.
Important safety information:
- Tell your doctor or dentist that you use Testim gel before you receive any medical or dental care, emergency care, or surgery.
- Testim gel may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Testim gel with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Testim gel is not approved for treating low testosterone levels caused by aging. Discuss any questions or concerns with your doctor.
- Patients who use androgens (such as testosterone) may have an increased risk of prostate cancer. Check with your doctor if you have questions about your risk of prostate cancer while you use Testim gel.
- Do not allow others to come into contact with the medicine, the application site, or any unwashed clothing that may have touched the application site. If someone else comes into contact with Testim gel, have them wash the area with soap and water right away.
- Contact your doctor right away if your female partner develops a change in hair distribution, an increase in acne, or any masculine signs.
- Testim gel is flammable. Do not store or use near an open flame or while smoking.
- Blood clots have happened in patients using testosterone products such as Testim gel. Tell your doctor if you have ever had a blood clot. Call your doctor right away if you have symptoms of a blood clot (eg, swelling, warmth, numbness, change of color, or pain in a leg or arm; chest pain; shortness of breath; coughing up blood).
- Testim gel may increase the risk of heart attack or stroke. Call your doctor right away if you have chest pain or pressure, confusion, one-sided weakness, or speech or vision problems.
- Testim gel may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using Testim gel.
- Diabetes patients - Testim gel may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
- Large doses of Testim gel may lower your sperm count. Discuss any questions or concerns with your doctor.
- Lab tests, including liver function, complete blood cell counts, blood cholesterol, prostate-specific antigen (PSA), and blood testosterone, may be performed while you use Testim gel. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Use Testim gel with caution in the ELDERLY; they may be more sensitive to its effects, especially an enlarged prostate or prostate cancer.
- Testim gel should not be used in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: Testim gel may cause harm to the fetus. It is not known if this medicine is found in breast milk. Testim gel should not be used by women.
Possible side effects of Testim gel:
Seek medical attention right away if any of these SEVERE side effects occur:
Acne; change in sex drive; headache; skin irritation at the application site.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); breast tenderness or enlargement; calf or leg pain, swelling, or redness; change in the size or shape of the testicles; dark urine; excessive daytime sleepiness; frequent, prolonged, or painful erections; interrupted breathing while sleeping; loss of appetite; memory problems; mood or mental changes (eg, anxiety, depression, hostility, suicidal thoughts); nausea; new or worsening trouble urinating (eg, frequent urination, inability to urinate, weak urine stream); pale stools; severe or persistent headache; shortness of breath; skin discoloration; stomach pain; swelling of the ankles, feet, or legs; trouble sleeping or other sleep changes; unexplained or unusual weight gain; unusual tiredness or weakness; vomiting; yellowing of the skin or eyes.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.Proper storage of Testim gel:
Store Testim gel at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Testim gel out of the reach of children and away from pets.
- If you have any questions about Testim gel, please talk with your doctor, pharmacist, or other health care provider.
- Testim gel is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take Testim gel or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Testim gel. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Testim gel. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using Testim gel.