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Androgel (Generic Testosterone Topical)

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Topical testosterone products have the potential to hurt anyone who touches the skin in the vicinity of where you put the gel or solution. If they come in contact with skin that has been exposed to testosterone topical preparations, women and children are especially likely to experience negative effects. A woman’s unborn child could be injured if she touches skin that has been exposed to topical testosterone preparations when she is nursing, pregnant, or possibly pregnant. In particular, women who are breastfeeding or who may become pregnant shouldn’t use this drug. The baby could suffer from testosterone’s negative effects.

You must take safety measures to ensure that any testosterone gel or solution on your skin is not in contact with anyone else. To prevent anyone from touching your bare skin, you should put on clothing that completely covers the area after applying testosterone gel or solution and wait for the drug to dry for a few minutes. To get rid of any medication that could be left on your hands after applying the medication, wash your hands with soap and water.

Allow no one to touch the region of your skin where you applied the testosterone gel or solution. You should thoroughly cleanse the area with soap and water if you anticipate having skin-to-skin contact with someone. Anyone who comes into contact with skin that has been exposed to testosterone gel or solution without first washing it should do so as soon as possible. Additionally, you ought to caution people not to handle your clothes, bed linens, or other items that might have testosterone gel or solution on them without your permission.

Women and children who come into contact with skin that has been treated with testosterone-containing treatments may experience some side effects. Women who may have been exposed to testosterone should call their doctor right away if they have acne or the growth of hair in new areas of their bodies. You should notify the child’s doctor right away if they exhibit any of the following symptoms in children who may have been exposed to testosterone: larger genitalia, pubic hair growth, increased erections, increased sexual desire, or aggressive conduct. After the infant stops being exposed to testosterone, the majority of these symptoms should go away, but in some situations, the child’s genitals may continue to be larger than normal.

When youngsters are exposed to testosterone topical, their bones may develop more quickly than they should. This implies that the kids might cease growing earlier than anticipated and might end up being shorter as adults. These children’s bones may continue to be more developed than average even if they are no longer exposed to topical testosterone treatments.

Why is this medication prescribed?

In adult men with hypogonadism, testosterone topical is used to address the symptoms of low testosterone (a condition in which the body does not produce enough natural testosterone). Only men with low testosterone levels brought on by specific illnesses, such as problems with the testicles, pituitary gland (a tiny gland in the brain), or hypothalamus (a portion of the brain), which results in hypogonadism, are treated with testosterone. Before you start using a testosterone topical, your doctor will request certain tests to examine your testosterone levels and see if they are low. When men experience low testosterone as a result of ageing (also known as “age-related hypogonadism”), testosterone should not be used to address the symptoms of low testosterone. The class of drugs known as androgenic hormones includes testosterone. The male sexual organs and other typical male traits grow, develop, and function as a result of the hormone testosterone, which is produced by the body. The way topical testosterone works is by substituting for the testosterone that the body normally produces.

How should this medicine be used?

Topical testosterone is available as a solution and gel to apply topically. Typically, it is administered once daily. Applying testosterone gel or solution is best done in the morning. Apply the testosterone topical at roughly the same time each day to assist you remember to do so. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. Utilize testosterone topical as indicated. Do not use more, less, or more frequently than advised by your doctor.

Topical testosterone preparations are created differently and employed slightly differently. Make sure you are familiar with the topical brand you are applying, as well as how and where to apply it. Carefully read the patient information provided by the manufacturer with your topical testosterone treatment.

If you typically take a shower or bath in the morning, make sure to do so before using testosterone topical products. You can learn when you can take a shower, bath, or swim after applying your topical testosterone product in the manufacturer’s patient information.

Any topical testosterone preparations should not be used on the penis, scrotum, or skin that is irritated, painful, or cut.

Don’t get any testosterone topical in your eyes, please. You should immediately wash your eyes with warm, fresh water if you accidentally get testosterone topical in them. If your eyes start to itch, contact a doctor.

Single-use tubes, packs, and a multiple-use pump are all available for testosterone topical. Every time the top is pressed, a certain amount of testosterone is released by the pump. You may find out how many times to press the pump for each dose from your doctor or pharmacist, as well as how many doses your pump holds. Even if the pump is not empty, dispose of it once you have used that many doses.

The gel and solution of testosterone can burn. When applying testosterone topical, stay away from open flames and refrain from smoking until the gel or solution has completely dried.

Depending on the level of testosterone in your blood during treatment, your doctor may change the dosage of your testosterone.

Although it won’t treat your illness, testosterone topical cream may help reduce your symptoms. Even if you feel well, keep using testosterone topical. Without consulting your doctor, do not stop using testosterone topical. Your symptoms can reappear if you stop using the topical testosterone.

Use topical testosterone products as directed:

  1. Make sure the skin is clean and thoroughly dry in the area where you intend to administer testosterone topical.
  2. Open the bottle of topical testosterone. Using a package, fold the top edge at the perforation, then tear the packet open along the perforation. Remove the top off the tube if you’re using one. If you are using an Androgel® or Volgelxo® pump for the first time, press down on the top of the pump three times. Press down on the top of the Fortesta® pump eight times if you’re using it for the first time. Always flush any surplus medication that emerges from the pump after priming it down the drain or into a trash container away from children and animals.
  3. To put the drug on the palm of your hand, squeeze the packet, tube, or pump the appropriate number of times. Applying testosterone gel might be simpler if you press the drug onto your palm and dot it on your skin in little amounts.
  4. To the chosen area, apply the medication.
  5. Put the used packet or tube in a trash can safely, away from children and animals.
  6. As soon as possible, wash your hands with soap and water.
  7. Before you cover the region with clothing, give the medication time to dry.

Other uses for this medicine

Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.

What special precautions should I follow?

Before using testosterone gel,

  • If you have an allergy to testosterone, any other medications, or any of the ingredients in topical testosterone products, let your doctor and pharmacist know right away. Request a list of the components from your pharmacist.
  • Inform your doctor and pharmacist about all prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products that you are now taking or intend to use. Mention any of the following: insulin (Apridra, Humalog, Humulin, among others); dexamethasone, methylprednisolone (Medrol), and prednisone are examples of oral steroids. Warfarin (Coumadin, Jantoven) is an anticoagulant (blood thinner) (Rayos). Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects.
  • If you have breast cancer or believe you may have prostate cancer, let your doctor know. Most likely, your doctor will advise against using testosterone topical.
  • Inform your doctor if you have or have ever had diabetes, high blood calcium levels, benign prostate hyperplasia (BPH), sleep apnea, heart, kidney, liver, or lung disease. Sleep apnea is a condition in which breathing stops briefly while you sleep.
  • If you are 65 years of age or older, talk to your doctor about the advantages and disadvantages of using topical testosterone. If an older man does not already have hypogonadism, he should generally avoid using topical testosterone.
  • You should be aware that individuals who use testosterone at larger levels, in conjunction with other male sex hormone products, or in ways other than those prescribed by a doctor have reported experiencing serious negative effects. Heart attack, heart failure, or other heart issues; stroke and mini-stroke; liver disease; seizures; or changes in mental health like depression, mania (frenzied, abnormally excited mood), aggressive or unfriendly behaviour, hallucinations (seeing things or hearing voices that are not there), or delusions are some of these side effects (having strange thoughts or beliefs that have no basis in reality). If they abruptly stop using testosterone topical, people who use higher doses of the hormone than are advised by a doctor may also experience withdrawal symptoms like depression, extreme fatigue, craving, irritability, restlessness, loss of appetite, difficulty falling or staying asleep, or a decreased sex drive. Use testosterone topical exactly as your doctor has prescribed.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

As soon as you remember, use the missed dose. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missed dose, do not administer a second dose.

What side effects can this medication cause?

Topical testosterone may have negative effects. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Breast pain or enlargement
  • Reduced sexual arousal
  • Acne
  • Depression
  • Mood shifts
  • Headache
  • Bleak eyes
  • Itchy or dry skin
  • Diarrhea
  • Skin irritation or redness

Some adverse effects can be very harmful. Call your doctor right away if you have any of the following symptoms:

  • Lower leg discomfort, edoema, warmth, or redness
  • Breathing difficulty
  • Hands, foot, ankles, or lower legs swelling
  • Nausea or diarrhoea
  • Slow or challenging speech
  • Unsteadiness or weakness
  • Arm or leg weakness or numbness
  • Chest pain
  • Breathing issues, especially when sleeping
  • Erections that are excessively frequent or prolonged
  • Weak urine flow, frequent urination, strong urge to urinate immediately, and difficulty urinating
  • The skin or eyes turning yellow

When used in high doses, testosterone topical may reduce the quantity of sperm (male reproductive cells) produced. If you’re a man who wants to start a family, talk to your doctor about the potential risks of taking this medication.

Prostate cancer risk may rise as a result of testosterone use. Discuss the dangers of using this drug with your doctor.

Other negative effects from testosterone topical use are possible. If you experience any strange issues while taking this drug, call your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

What should I know about storage and disposal of this medication?

Keep this medication tightly closed in the original container and out of the reach of children. Store it away from excessive heat and moisture at room temperature (not in the bathroom).

To prevent unauthorised or intentional use, store topical testosterone products in a secure location. To find out if any medication is missing, keep track of how much is still in the bottle.

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning.

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medicines website at for additional information.

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Additionally, information can be found online at Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

What other information should I know?

Keep all of your appointments with your physician and the lab. To determine how your body reacts to testosterone, your doctor may order specific lab tests.

Inform the lab staff and your doctor that you are using testosterone topical prior to any laboratory test.

Do not share your medication with anybody else. Topical testosterone is a prohibited drug. Only a limited amount of refills are permitted for prescriptions; if you have any doubts, speak with your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Androgel®
  • Axiron®
  • Fortesta®
  • Testim®
  • Vogelxo®
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