Descriptions:

Testosterone topical gel is used to treat males whose bodies do not produce enough natural testosterone, a condition known as hypogonadism. Testosterone is a crucial male hormone responsible for the growth and development of male sex organs and the maintenance of secondary sex characteristics.

This medicine is available only with a doctor’s prescription and comes in the following dosage forms:

• Gel/Jelly
• Solution

Before Using:

When deciding to use a medication, the benefits must be weighed against the potential risks. This is a decision that you and your doctor will make together. For testosterone topical gel, consider the following:

Allergies:
Inform your doctor if you’ve ever had any unusual or allergic reactions to this or any other medicines. Additionally, disclose any allergies to foods, dyes, preservatives, or animals. For non-prescription products, carefully read the label or package ingredients.

Pediatric:
Studies have not established the safety and efficacy of testosterone topical gel in children.

Geriatric:
Current studies have not shown specific geriatric-related problems limiting the use of testosterone topical gel in the elderly. However, elderly patients may be at an increased risk for heart, blood vessel, or prostate problems (including prostate cancer), requiring caution during treatment.

Breastfeeding:
Studies have shown harmful effects on infants when this medication is used by breastfeeding women. An alternative medication should be considered, or breastfeeding should be discontinued while using testosterone topical gel.

Drug Interactions:
Certain medicines should not be used together, while others may be used concurrently with caution. When taking this medicine, inform your healthcare professional if you’re using any of the following medicines, which could potentially interact with testosterone topical gel:

• Anisindione
• Apixaban
• Bupropion
• Dabigatran Etexilate
• Dicumarol
• Edoxaban
• Insulin (various forms)
• Levoketoconazole
• Methotrexate
• Paclitaxel
• Phenprocoumon
• Rivaroxaban
• Warfarin

These interactions may increase the risk of side effects or require dosage adjustments.

Other Interactions:

The use of alcohol, tobacco, or certain foods can interact with this medication. Discuss with your healthcare professional how to use testosterone topical gel with these substances.

Other Medical Problems:

The presence of other medical conditions may affect the use of testosterone topical gel. Ensure your doctor is aware if you have any of the following:

• Allergy to alcohol or soy products
• Breast cancer (males)
• Prostate cancer (known or suspected)
• Blood clotting problems
• Diabetes
• Enlarged prostate
• History of heart attack or stroke
• Hypercalcemia (high calcium levels)
• Hyperlipidemia (high cholesterol levels)
• Lung disease or breathing problems (e.g., sleep apnea)
• Urination problems
• Heart disease (e.g., congestive heart failure)
• Kidney or liver disease

Proper Use:

Testosterone topical gel comes with a Medication Guide and patient instructions. Read and follow these carefully. If you have questions, ask your doctor.

• Androgel® and Fortesta®: Available in individual packets or multi-dose pumps. Prime the pump before the first use. For Fortesta®, press the pump eight times to prime it, and for Androgel® or Vogelxo™, press three times. After priming, discard the gel and rinse the sink.
• Axiron®: Available in two forms. For the pump actuated metered dose bottle, prime the pump by pressing down three times before measuring your first dose. For the twist actuated metered dose bottle, prime it by twisting the dose dial three times.
• AndroGel®: Available in two strengths—1% and 1.62%. These are applied differently. Do not change your dose unless directed by your doctor.

To Use the Gel:

• Wash your hands with soap and water before and after applying.
• Apply to clean, dry skin on the shoulders, upper arms, or abdomen, depending on the product.
• Allow the gel to dry before dressing.
• Wait 2 to 5 hours before showering or swimming, depending on the product.
• Avoid transferring the gel to another person through skin contact.

Dosing:

Follow your doctor’s instructions. The typical dosage varies by product:

• AndroGel® 1%: Start with 50 mg applied once daily.
• AndroGel® 1.62%: Start with 40.5 mg applied once daily.
• Fortesta®: Start with 40 mg applied once daily.
• Vogelxo™: Start with 50 mg applied once daily.

Missed Dose:

If you miss a dose, apply it as soon as possible. If it’s nearly time for your next dose, skip the missed dose. Do not double the dose.

Storage:

Store the medication in a closed container at room temperature, away from heat, moisture, and direct light. Keep it out of reach of children and dispose of it safely.

Precautions:

Regular check-ups are essential to monitor your progress and detect any side effects. Testosterone can cause birth defects if a pregnant woman comes into contact with it. Be cautious of accidental transfer, especially with children and women.

Testosterone may increase the risk of blood clots, heart attacks, and strokes. If you experience symptoms like chest pain, difficulty breathing, or sudden numbness, seek medical attention immediately.

This medication may also reduce sperm production and affect fertility.

Side Effects:

Common side effects include:

• Blood in urine
• Difficulty urinating
• Bloating, swelling, blurred vision, headaches
• Aggressive behavior, anxiety, chest pain
• Skin irritation at the application site
• Decreased testicle size

If you experience any severe or persistent side effects, contact your doctor.

Note: 

The brand name displayed above is specific to this product. Brand names can vary depending on the manufacturer.