WARNING

Delatestryl, also known as testosterone enanthate, is a medication used to treat low testosterone levels in men. While it can be effective, there are some risks associated with its use. Here are some of the potential risks:

• Cardiovascular Risks: Testosterone therapy, including Delatestryl, may increase the risk of cardiovascular problems such as heart attack, stroke, and blood clots, especially in men with pre-existing heart conditions.
• Prostate Issues: There is a concern that testosterone therapy may stimulate the growth of existing prostate cancer or increase the risk of developing prostate cancer. Regular monitoring of the prostate is recommended during treatment.
• Fluid Retention: Testosterone can cause sodium and water retention, leading to edema (swelling) in some individuals. This can exacerbate conditions like congestive heart failure or kidney problems.
• Liver Toxicity: Excessive use of testosterone may strain the liver, potentially leading to liver damage or dysfunction.
• Behavioral Changes: Testosterone therapy can sometimes lead to mood swings, aggression, or irritability, particularly in individuals predisposed to such behaviors.
• Endocrine Disruption: Long-term use of testosterone therapy can suppress the body’s natural production of testosterone, leading to testicular atrophy and infertility.
• Skin Reactions: Some individuals may experience skin reactions at the injection site, such as pain, redness, or irritation.

It’s crucial for individuals considering Delatestryl or any testosterone therapy to discuss the potential risks and benefits with their healthcare provider. They can help determine if the treatment is appropriate and monitor for any adverse effects during the course of therapy.

Why is this medication prescribed?

Delatestryl, or testosterone enanthate, is prescribed for the treatment of low testosterone levels in men, a condition known as hypogonadism. Testosterone is a hormone responsible for the development and maintenance of male characteristics, as well as various physiological functions.

Here’s why Delatestryl may be prescribed:

• Hypogonadism: Delatestryl is primarily used to treat men with hypogonadism, where the body doesn’t produce enough testosterone. This can result in symptoms such as reduced libido, erectile dysfunction, fatigue, decreased muscle mass, and mood changes.
• Delayed Puberty: In some cases of delayed puberty in boys, where secondary sexual characteristics fail to develop by the usual age, testosterone therapy may be prescribed to induce puberty.
• Certain Medical Conditions: Testosterone therapy may also be used in certain medical conditions where low testosterone levels are observed, such as HIV/AIDS-related wasting syndrome.

How should this medicine be used?

Delatestryl is typically administered by intramuscular injection into the buttocks every 1 to 4 weeks, depending on the specific dosage prescribed and the individual’s response to treatment. The dosage and frequency will be determined by a healthcare provider based on factors such as the severity of testosterone deficiency, the individual’s age, and overall health.

It’s essential to follow the dosing schedule prescribed by the healthcare provider and not to self-administer or adjust the dosage without medical supervision. Delatestryl injections should be administered by a healthcare professional in a clinical setting to ensure proper technique and safety.

Before starting Delatestryl therapy, individuals should undergo a thorough evaluation by a healthcare provider, including a physical examination, blood tests to measure testosterone levels, and assessment of any underlying health conditions that may affect treatment. Regular monitoring and follow-up visits are typically recommended to evaluate the effectiveness of therapy and monitor for any potential side effects.

Other uses for this medicine

Besides hormone replacement therapy, Delatestryl may also be used in the treatment of certain medical conditions such as delayed puberty, certain types of breast cancer in women, and certain types of anemia.

What special precautions should I follow?

As for special precautions when using Delatestryl, it’s essential to consider the following:

• Prostate Health: Testosterone therapy, including Delatestryl, should be used with caution in men with prostate cancer or benign prostatic hyperplasia (BPH) as it can exacerbate these conditions. Regular monitoring of prostate-specific antigen (PSA) levels and prostate health is essential during treatment.
• Cardiovascular Health: Individuals with a history of cardiovascular disease should use Delatestryl with caution due to the potential risk of cardiovascular events such as heart attack and stroke. It’s crucial to discuss the cardiovascular risks and benefits with a healthcare provider before starting treatment.
• Liver Function: Delatestryl may affect liver function, so individuals with liver disease or dysfunction should use it cautiously and under close medical supervision.
• Blood Clotting Disorders: Testosterone therapy can increase the risk of blood clots, especially in individuals with a history of clotting disorders. It’s important to inform the healthcare provider of any such conditions before starting treatment.
• Sleep Apnea: Testosterone therapy, including Delatestryl, may worsen sleep apnea or other breathing disorders, particularly in individuals with obesity or existing respiratory issues.
• Adolescents: Delatestryl is not approved for use in children and adolescents unless specifically prescribed by a healthcare provider for the treatment of delayed puberty. Close monitoring of growth and development is necessary in this population.
• Drug Interactions: Delatestryl may interact with certain medications, including blood thinners, insulin, and corticosteroids. It’s essential to inform the healthcare provider about all medications, supplements, and herbal products being taken before starting Delatestryl therapy.

Always follow the healthcare provider’s instructions and recommendations regarding the use of Delatestryl, including dosage, administration, and monitoring for potential side effects or complications.

What special dietary instructions should I follow?

There are no specific dietary instructions associated with Delatestryl use. However, maintaining a healthy diet rich in fruits, vegetables, lean proteins, and whole grains can support overall health and well-being, which may complement testosterone therapy.

What should I do if I forget a dose?

• If it’s close to the time for your next scheduled dose, you may be advised to skip the missed dose and continue with your regular dosing schedule.
• If you remember the missed dose significantly before your next scheduled dose, your healthcare provider may advise you to take the missed dose as soon as possible and adjust subsequent doses accordingly.
• It’s important not to double up on doses to make up for a missed one without consulting your healthcare provider, as this can increase the risk of side effects.

What side effects can this medication cause?

Delatestryl (testosterone enanthate) can cause various side effects, ranging from mild to severe. It’s important to note that not all individuals will experience these side effects, and the severity and frequency of side effects can vary from person to person. Some common side effects of Delatestryl include:

• Injection Site Reactions: Pain, swelling, redness, or irritation at the injection site are common side effects. These usually resolve on their own but can be bothersome for some individuals.
• Fluid Retention: Testosterone therapy can cause sodium and water retention, leading to edema (swelling) in some individuals, particularly in the ankles and feet.
• Acne: Increased oil production in the skin can lead to acne or exacerbate existing acne in some individuals.
• Mood Changes: Testosterone therapy can affect mood and behavior, leading to mood swings, irritability, or increased aggression in some individuals.
• Gynecomastia: Some men may experience breast enlargement or tenderness (gynecomastia) as a result of testosterone therapy.
• Changes in Libido: Testosterone therapy can affect libido (sex drive), leading to increased or decreased sexual desire in some individuals.
• Headache: Headaches are a common side effect of testosterone therapy, though they are usually mild and temporary.
• Sleep Disturbances: Some individuals may experience changes in sleep patterns, such as insomnia or increased sleepiness.
• Erythrocytosis: Testosterone therapy can stimulate the production of red blood cells, leading to a condition called erythrocytosis or polycythemia. This can increase the risk of blood clots and cardiovascular events.
• Suppression of Natural Testosterone Production: Long-term use of testosterone therapy can suppress the body’s natural production of testosterone, leading to testicular atrophy and infertility.
• Worsening of Sleep Apnea: Testosterone therapy may worsen obstructive sleep apnea or other breathing disorders, particularly in individuals with obesity or existing respiratory issues.
• Liver Toxicity: Excessive use of testosterone may strain the liver, potentially leading to liver damage or dysfunction.
• Cardiovascular Risks: Testosterone therapy may increase the risk of cardiovascular problems such as heart attack, stroke, and blood clots, especially in men with pre-existing heart conditions.

It’s essential for individuals undergoing testosterone therapy to discuss any potential side effects with their healthcare provider. They can provide guidance on managing side effects and determine if any adjustments to the treatment plan are necessary. Additionally, individuals should seek medical attention if they experience severe or persistent side effects while taking Delatestryl.

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

Storage and disposal of Delatestryl:

• Storage: Delatestryl should be stored at room temperature, away from moisture and heat. Avoid freezing. Keep it out of reach of children and pets.
• Disposal: Dispose of unused or expired Delatestryl properly according to local regulations or guidelines. Do not flush medications down the toilet or pour them into a drain unless instructed to do so.

In case of emergency/overdose

• In case of overdose or emergency, such as severe allergic reaction (anaphylaxis), chest pain, difficulty breathing, or sudden vision changes, seek immediate medical attention or contact your local emergency services.
• If you suspect an overdose of Delatestryl or experience severe side effects, contact a poison control center or go to the nearest emergency room for assistance.

What other information should I know?

• Regular Monitoring: Regular follow-up visits with your healthcare provider are important to monitor your response to Delatestryl therapy, adjust dosage if necessary, and evaluate for any potential side effects or complications.
• Lab Tests: Your healthcare provider may order periodic blood tests to monitor testosterone levels, blood counts, liver function, and other parameters while you are taking Delatestryl.
• Inform Healthcare Providers: Make sure to inform all healthcare providers involved in your care, including specialists, dentists, and pharmacists, that you are taking Delatestryl. This is important for avoiding potential drug interactions and ensuring appropriate medical care.
• Medical Alert Bracelet: If you have a medical condition or allergy that requires emergency treatment, consider wearing a medical alert bracelet or carrying a medical alert card indicating that you are taking testosterone therapy.
• Regular Exercise and Healthy Lifestyle: Engage in regular exercise and maintain a healthy lifestyle, including a balanced diet, adequate sleep, and stress management, to support overall health and well-being while undergoing testosterone therapy.
• Follow Instructions: Follow all instructions provided by your healthcare provider regarding the use of Delatestryl, including dosage, administration, and any special precautions or dietary instructions.
• Patient Education: Educate yourself about the potential risks, benefits, and side effects of Delatestryl. Ask your healthcare provider any questions or concerns you may have about the medication.

By following these guidelines and staying informed, you can safely and effectively manage your treatment with Delatestryl. Always consult your healthcare provider for personalized medical advice and recommendations.