Testosterone

Pronunciation

Generic Name: testosterone (tes-TOS-ter-ohn)
Brand Name: Striant

Testosterone is used for:

Treating symptoms of low testosterone in adult men when their bodies do not make any testosterone or not enough testosterone (hypogonadism). It may be used for other conditions as determined by your doctor.

Testosterone is a male sex hormone. It works by replacing or supplementing the testosterone that is naturally made in the body.

Do NOT use testosterone if:

  • you are allergic to any ingredient in testosterone
  • you are pregnant, may become pregnant, or are breast-feeding
  • you have breast cancer or known or suspected prostate cancer

Contact your doctor or health care provider right away if any of these apply to you.

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Before using testosterone:

Some medical conditions may interact with testosterone. 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 are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have heart problems (eg, heart failure), high cholesterol levels, swelling or fluid build-up (edema), or lung or breathing problems (eg, 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 if you are overweight
  • if you are using insulin
  • if you have a history of blood clots

Some MEDICINES MAY INTERACT with testosterone. 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 testosterone's side effects
  • Oral anticoagulants (eg, warfarin) because the risk of their side effects may be increased by testosterone

This may not be a complete list of all interactions that may occur. Ask your health care provider if testosterone 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 testosterone:

Use testosterone as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with testosterone. Talk to your pharmacist if you have questions about this information.
  • Do not remove the medicine from the blister until you are ready to take testosterone. Make sure that your hands are dry when you open testosterone. Use the medicine immediately after opening the blister pack. Do not store the removed tablet for future use.
  • Use testosterone twice a day, once in the morning and once in the evening (about 12 hours apart) unless otherwise instructed by your health care provider. You may find it convenient to apply the morning dose after brushing your teeth following breakfast and the evening dose following your evening meal.
  • Do not chew or swallow the system.
  • Tear off an individual unit and peel off the paper backing. Push the system through the foil from the front.
  • Place the flat side of the system on your fingertip. Gently push the curved side of the system just above the incisor tooth (on either side of the mouth). Each time you apply a new system, apply it to the opposite side of your mouth.
  • Hold the system firmly in place with a finger on the outside of your upper lip for 30 seconds to make sure it sticks. The system is designed to stay in place until it is removed.
  • If the system sticks to your cheek and not your gum, there is no need to replace the system.
  • Do not remove the system until it is time for the next dose.
  • To remove the system, gently slide it downward from the gum towards the tooth to avoid scratching the gum.
  • Check to see if the system is in place after brushing your teeth, using mouthwash, eating food, or drinking beverages. If the system does not stick or falls off, follow the directions below.
  • If the system does not stick or falls off within the first 8 hours, remove the original system and apply a new one. Apply the next system about 12 hours after the original system that you applied first.
  • If the system falls off after 8 hours but before 12 hours, replace the original system. This replacement will serve as the second dose for the day.
  • After removing the used medicine, discard the system out of reach of children and away from pets.
  • If you miss a dose of testosterone, take 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 take 2 doses at once.

Ask your health care provider any questions you may have about how to use testosterone.

Important safety information:

  • Do NOT take more than the recommended dose without checking with your doctor.
  • Regularly inspect your gums where you apply the system. Gum side effects (redness, irritation, swelling, or pain) are usually temporary. Most only last for a few days, but some may last up to 2 weeks. Contact your health care provider at once if you have any unusual side effects.
  • Tell your doctor or dentist that you take testosterone before you receive any medical or dental care, emergency care, or surgery.
  • Blood clots have happened in patients using testosterone products such as testosterone. 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).
  • 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 testosterone.
  • Diabetes patients - Testosterone 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 testosterone may lower your sperm count. Discuss any questions or concerns with your doctor.
  • Testosterone may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using testosterone.
  • Lab tests, including liver function, complete blood cell counts, blood cholesterol, prostatic specific antigen (PSA) levels, and blood testosterone, may be performed while you use testosterone. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use testosterone with caution in the ELDERLY; they may be more sensitive to its effects, especially an enlarged prostate or prostate cancer.
  • Testosterone 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: Using testosterone while pregnant may cause harm to the fetus. If you think you may be pregnant, contact your doctor right away. It is not known if testosterone is found in breast milk. Testosterone should not be used by women.

Possible side effects of testosterone:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Bitter or strange taste in mouth; change in how food tastes; gum or mouth irritation (eg, gum pain, tenderness, or swelling); headache.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); breast growth or pain; breathing problems while sleeping; calf or leg pain, swelling, or redness; change in the size or shape of the testicles; chest pain; frequent or prolonged erections; mood or mental changes (eg, anger, anxiety); new or worsening trouble urinating (eg, frequent urination, inability to urinate, weak stream); severe headache or dizziness; shortness of breath; swelling of the ankles, feet, or body; symptoms of liver problems (eg, dark urine, pale stools, persistent loss of appetite, upper-right stomach pain, yellowing of the skin or eyes); unexplained or unusual weight gain.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

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 testosterone:

Store testosterone at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Do not use a damaged blister package. Throw testosterone away in a household trash can in a way that prevents children or pets from accidentally using or taking them.

Keep testosterone out of the reach of children and away from pets.

General information:

  • If you have any questions about testosterone, please talk with your doctor, pharmacist, or other health care provider.
  • Testosterone 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 testosterone 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 testosterone. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to testosterone. 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 testosterone.

Issue Date: September 3, 2014
Database Edition 14.3.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine 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 this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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