Contraindicated in:
Use Cautiously in:
CV: MI, STROKE, VENOUS THROMBOEMBOLISM, edema, hot flashes, hypertension.
EENT: deepening of voice.
nasal gel: epistaxis, nasal scabbing, nasopharyngitis, rhinorrhea.
GI: ↑liver enzymes, nausea, vomiting.
GU: ↓fertility, nocturia, priapism, prostatic enlargement, urinary hesitancy, urinary incontinence.
Endo: acne, breast pain, change in libido, gynecomastia, hypercholesterolemia.
Derm: alopecia, dry skin, pruritis.
Hemat: anemia, polycythemia.
Local: chronic skin irritation.
Drug-Drug:
(Generic available)
Topical testosterone products are not interchangeable
Absorption: Skin serves as reservoir for sustained release of testosterone into systemic circulation; 10% absorbed into systemic circulation during 24hr period. Well absorbed through nasal mucosa.
Distribution: Crosses the placenta.
Protein Binding: 98%.
Metabolism/Excretion: Metabolized by the liver; 90% eliminated in urine as metabolites.
Half-life: 10100 min.
(androgenic effects)
ROUTE | ONSET | PEAK | DURATION |
---|---|---|---|
Transdermal (gel) | 30 min | unknown | 24 hr |
Nasal gel | unknown | unknown | 3 mo |
Response is highly variable among individuals; may take mo.
NDC Code*