{"id":24777,"date":"2022-08-31T07:44:07","date_gmt":"2022-08-31T07:44:07","guid":{"rendered":"https:\/\/zeepedia.com\/?p=24777"},"modified":"2022-09-01T07:33:59","modified_gmt":"2022-09-01T07:33:59","slug":"testogel","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/testogel\/","title":{"rendered":"Testogel &#8211; Testosterone uses, dose and side effects"},"content":{"rendered":"\n<p>16.2 mg\/g&nbsp;transdermal&nbsp;gel<br>testosterone<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Testogel is and what it is used for<\/h2>\n\n\n\n<p>This medicine contains&nbsp;testosterone&nbsp;, a male&nbsp;hormone&nbsp;that is produced naturally in the body.<\/p>\n\n\n\n<p>This medicine is given to adult men as a testosterone replacement to treat various problems caused by testosterone deficiency (male\u00a0hypogonadism\u00a0).\u00a0These complaints should be confirmed by two separate blood test testosterone measurements and also include clinical symptoms such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>impotence,<\/li><li>infertility,<\/li><li>low sex drive,<\/li><li>fatigue,<\/li><li>Depression,<\/li><li>osteoporosis caused by low hormone levels,<\/li><\/ul>\n\n\n\n<p>The testosterone\u00a0contained in Testogel may also be approved to treat other conditions not mentioned in this leaflet.\u00a0Ask your doctor, pharmacist, or other healthcare professional if you have further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Testogel<\/h2>\n\n\n\n<p><strong>Who can use Testogel?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Only men can use Testogel.<\/li><li>Young men under the age of 18 should not use Testogel.<\/li><li>This medicine should not be used by women of any age.<\/li><li>Women (especially pregnant or breastfeeding) or children should not come into contact with Testogel or areas of the skin where Testogel has been applied.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Testogel<\/h2>\n\n\n\n<p>if you have or suspect you have prostate <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/getting-a-cancer-message\/\">cancer<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have or suspect you have breast cancer<\/li><li>if you are allergic to&nbsp;testosterone&nbsp;or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>Your doctor will carry out the necessary examinations before you can start using this medicine and follow up through regular blood tests.<\/p>\n\n\n\n<p>Talk to your doctor or pharmacist before using Testogel:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have difficulty urinating due to an enlarged\u00a0prostate<\/li><li>if you have bone cancer \u2013 your doctor will check your calcium levels<\/li><li>if you have high blood pressure or if you are being treated for high blood pressure because testosterone can cause an increase in blood pressure<\/li><li>if you suffer from severe heart, liver, or kidney disease treatment with this medicine can lead to severe complications in the form of fluid accumulation in the body which is sometimes accompanied by\u00a0heart failure\u00a0(fluid accumulates in the heart)<\/li><li>if you have ischemic heart disease (which affects the supply of blood to the heart)<\/li><li>if you have or have ever had a blood clotting disorder:<ul><li>thrombophilia (a disorder of blood\u00a0coagulation\u00a0that increases the risk of\u00a0thrombosis\u00a0&#8211; blood clots in the blood vessels).<\/li><li>factors that increase your risk of blood clots in the veins: previous blood clots in a vein, smoking, obesity, cancer, immobility, if a close relative has had a blood clot in a leg, lung, or another organ at a young age (that is, before the age of 50 );\u00a0or when you get older<\/li><li>how to recognize a blood clot: painful swelling in a leg or a sudden change in skin color, such as pale, red, or blue skin, sudden shortness of breath, sudden unexplained <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cough-in-children\/\">cough<\/a> that may contain blood, or sudden chest <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/brain-and-nerves\/pain\/\">pain<\/a>, lightheadedness or dizziness, severe stomach pains, sudden loss of vision.\u00a0Seek immediate medical attention if you experience any of these symptoms.<\/li><\/ul><\/li><li>if you have\u00a0epilepsy<\/li><li>if you have\u00a0migraines<\/li><\/ul>\n\n\n\n<p>If any of the above applies to you (or if you are not sure) you should talk to your doctor before using this medicine as its use may worsen these conditions.<\/p>\n\n\n\n<p>Androgens\u00a0can increase the risk of prostate gland enlargement (benign prostatic\u00a0hypertrophy\u00a0) or prostate cancer.\u00a0Regular examinations of the prostate gland must be performed before starting treatment and during treatment by your doctor&#8217;s recommendations.<\/p>\n\n\n\n<p>Worsening breathing difficulties during sleep has been reported in some people during treatment with\u00a0testosterone, especially in people who are severely overweight or people who already suffer from breathing difficulties<\/p>\n\n\n\n<p>If you have&nbsp;diabetes&nbsp;and use&nbsp;insulin&nbsp;to control <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/diabetes-type-1\/\">blood sugar levels<\/a>, treatment with&nbsp;testosterone&nbsp;may affect the effect of&nbsp;insulin&nbsp;and your <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/diabetes-type-1\/\">diabetes<\/a> medication may need to be adjusted.<\/p>\n\n\n\n<p>If you get severe skin reactions where the medicine is applied, you should contact a doctor for advice.&nbsp;It may be necessary to interrupt the treatment.<\/p>\n\n\n\n<p>This medicine should not be used by women because of the possible development of male characteristics (such as increased facial or body hair growth, deeper voice, and menstrual cycle disturbances).<\/p>\n\n\n\n<p><strong>Information on further follow-up<\/strong><\/p>\n\n\n\n<p>The following blood tests should be performed by your doctor before and during treatment: testosterone levels in the blood, and complete blood cell count.<\/p>\n\n\n\n<p>You will undergo regular examinations (at least annually or twice a year if you are elderly or if your doctor assesses you as a high-risk patient) during treatment.<\/p>\n\n\n\n<p>If you receive testosterone replacement therapy for a long time, the number of red blood cells in the blood may increase in an abnormal way (\u00a0polycythemia\u00a0).\u00a0You will need to have regular blood tests to make sure this does not happen.<\/p>\n\n\n\n<p><strong>Possible transfer of&nbsp;testosterone<\/strong><\/p>\n\n\n\n<p>In case of close skin contact,&nbsp;testosterone&nbsp;can be transferred to another person if you do not cover the treated area and may result in the other person showing signs typical of&nbsp;testosterone&nbsp;increase (see below).<\/p>\n\n\n\n<p>The following precautions are recommended:<\/p>\n\n\n\n<p>For the patient:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>wash your hands with soap and water after applying the\u00a0gel,<\/li><li>put on clothes that cover the application area as soon as the\u00a0gel\u00a0has dried,<\/li><li>wash the application area before having close skin contact with another person.\u00a0If this is not possible, use clothing that covers the application area, such as a shirt or t-shirt.<\/li><li>wear clothing (eg shirt with sleeves) that covers the application area when in contact with children.<\/li><\/ul>\n\n\n\n<p>If you believe that\u00a0testosterone\u00a0has nevertheless been transferred to someone else (man, woman, or child), this person should<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>immediately wash the skin area in question with soap and water,<\/li><li>if the other person develops changes such as&nbsp;acne&nbsp;or new hair growth on the body or face, deepening of the voice or changes in the menstrual cycle, you must contact a doctor<\/li><li>In children, attention should be paid to early puberty or enlargement of the genitals.<\/li><\/ul>\n\n\n\n<p>You should preferably wait at least 1 hour before showering or bathing after applying for this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>This medicine is not recommended for children, as there is no clinical information for boys under 18 years of age.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Testogel<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, especially the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>oral&nbsp;anticoagulants&nbsp;(blood thinners)<\/li><li>corticosteroids&nbsp;(agent for&nbsp;inflammation&nbsp;)<\/li><li>insulin&nbsp;(used to control blood sugar levels in&nbsp;diabetes&nbsp;).&nbsp;You may need to reduce your insulin dose while using this medicine.<\/li><\/ul>\n\n\n\n<p>If any of the above apply to you (or you are not sure), talk to your doctor or pharmacist before using this medicine.<\/p>\n\n\n\n<p>These medicines may cause your&nbsp;dose&nbsp;of this medicine to need to be adjusted.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>This medicine should not be used by women.<\/p>\n\n\n\n<p>The production of sperm may be inhibited temporarily by this medicine.<\/p>\n\n\n\n<p>If your partner becomes pregnant or plans to have a child, you&nbsp;<strong>must<\/strong>&nbsp;follow the advice to avoid the transfer of testosterone gel (see&nbsp;<strong>Potential transfer of&nbsp;testosterone<\/strong>&nbsp;above).&nbsp;Pregnant women should avoid&nbsp;<strong>all<\/strong>&nbsp;contact with application sites for this medicine.&nbsp;This medicine may harm the unborn baby.&nbsp;In the event of contact with your partner, the contact area must be washed off as soon as possible with soap and water.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>This medicine does not affect the ability to drive or use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Testogel contains ethanol<\/h2>\n\n\n\n<p>This medicine contains 0.9 g of alcohol (\u00a0ethanol\u00a0) in each\u00a0dose\u00a0of 1.25 g of\u00a0gel.<\/p>\n\n\n\n<p>It can cause a burning sensation on damaged skin.<\/p>\n\n\n\n<p>This medicine is flammable before it has dried.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Testogel<\/h2>\n\n\n\n<p><strong>This medicine should only be used by adult men.<\/strong><\/p>\n\n\n\n<p>Always use this medicine as directed by your doctor or pharmacist.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><strong>When using the pump for the first time<\/strong><\/p>\n\n\n\n<p>Before using the pump for the first time, you need to prepare it for use by:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Remove the cap from the container to expose the pump head<\/li><li>Press the pump head down three times<\/li><li><strong>Do not use\u00a0<\/strong>gel\u00a0one from these three pumps.\u00a0This\u00a0dose\u00a0should be safely disposed of by wiping off the excess with paper.\u00a0Dispose of the paper safely so that no transfer occurs to women, children, or pets.<\/li><li>Your pump is now ready to use.<\/li><li>Each time the pump is pressed, it delivers 1.25 g of\u00a0gel.<\/li><\/ul>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;is 2 pumps applied daily at approximately the same time, preferably in the morning.&nbsp;Dose&nbsp;one can be adjusted by your doctor and the maximum&nbsp;dose&nbsp;one is 4 pumps per day.<\/p>\n\n\n\n<p>Your doctor will tell you the number of pump strokes that will deliver the right amount of&nbsp;gel&nbsp;for you.<\/p>\n\n\n\n<p>When the pump is prepared as described above, the&nbsp;gel&nbsp;is ready to use.<\/p>\n\n\n\n<p><strong>How&nbsp;gel&nbsp;one is applied<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Press the pump head down once to dispense\u00a0gel\u00a0into the palm of your hand.<\/li><li>Choose a clean, dry and healthy area of \u200b\u200bskin on the shoulder and upper arm (see marked areas in the picture).<\/li><li>Gently and evenly spread the\u00a0gel\u00a0on one shoulder and upper arm using your fingers.\u00a0Do not rub the\u00a0gel\u00a0on the skin.<\/li><li>Repeat steps 2 and 3 on the opposite shoulder and upper arm.<\/li><li>If using three or more pumps, use 2 pumps to the first shoulder and arm and up to 2 pumps to the opposite shoulder and upper arm.<\/li><li>Wash your hands with soap and water after applying the\u00a0gel.<\/li><li>Allow\u00a0the gel\u00a0to dry completely before getting dressed.<\/li><\/ol>\n\n\n\n<p>Testogel must not be applied to the genitals (penis and testicles) because the high alcohol content can cause local irritation.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20200325000066#\" rel=\"noopener\"><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">If you have used too much Testogel&nbsp;<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if, for example,\u00a0a child has ingested the medicine by mistake, contact a doctor or hospital for an assessment of the risk and advice.<\/p>\n\n\n\n<p>Consult a doctor or pharmacist.&nbsp;You may be asked to immediately wash the application area and your doctor may stop your treatment.<\/p>\n\n\n\n<p>The following may be signs that you are using too much of the product and you should contact a doctor in this case:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>irritation<\/li><li>nervousness<\/li><li>weight gain<\/li><li>frequent\u00a0erections<\/li><\/ul>\n\n\n\n<p>These symptoms may be because your&nbsp;dose&nbsp;is too high and your doctor would need to adjust your&nbsp;dose&nbsp;(see section 2 Warnings and precautions).<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Testogel<\/h2>\n\n\n\n<p>Do not take a double\u00a0dose\u00a0to make up for a missed\u00a0dose.\u00a0Take the next\u00a0dose\u00a0when it is due.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Testogel<\/h2>\n\n\n\n<p>You should not stop treatment with this medicine unless your doctor tells you to.<\/p>\n\n\n\n<p>If you have further questions about this medicine, contact your doctor or pharmacist<strong>.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Very common&nbsp;side effects&nbsp;(may affect up to 10 in 100 patients)<\/strong><\/p>\n\n\n\n<p>This medicine can cause:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>changes in your emotional state which mean<ul><li>mood changes<\/li><li>anger or aggression<\/li><li>impatience<\/li><li>insomnia<\/li><li>abnormal dreams<\/li><li>increased sex drive<\/li><\/ul><\/li><li>skin reactions such as:<ul><li>acne<\/li><li>hair loss<\/li><li>dry skin<\/li><li>skin irritation<\/li><li>hair color changes<\/li><li>rash<\/li><li>delicate skin<\/li><\/ul><\/li><li>increased number of red blood cells:<ul><li>hematocrit\u00a0(proportion of\u00a0red blood cells\u00a0in the blood)<\/li><li>hemoglobin\u00a0(the substance that carries oxygen in the blood), is tested through regular blood tests<\/li><\/ul><\/li><li>changes in the\u00a0prostate\u00a0(including increased levels in the blood of a\u00a0protein\u00a0called\u00a0a prostate-\u00a0specific\u00a0antigen, which is produced in the prostate)<\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;side effects&nbsp;(may affect up to 1 in 100 patients)<\/strong><\/p>\n\n\n\n<p>This medicine can cause:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>increase in&nbsp;blood pressure&nbsp;et<\/li><li>redness<\/li><li>inflammation&nbsp;of the veins<\/li><li>diarrhea<\/li><li>open stomach<\/li><li>pain in the mouth<\/li><li>breast development<\/li><li>sore nipples<\/li><li>pain in the testicles<\/li><li>fluid accumulation<\/li><li>increased&nbsp;erection&nbsp;er<\/li><\/ul>\n\n\n\n<p>Other&nbsp;side effects&nbsp;that have been observed during treatment with this medicine: fatigue, depression, anxiety, headache, dizziness, skin sensations, blood clots, difficulty breathing, feeling sick, sweating, abnormal body hair growth, muscle or bone pain, difficulty urinating, reduced sperm count, muscle weakness, feeling unwell, weight gain.<\/p>\n\n\n\n<p>As this medicine contains alcohol, frequent applications may cause skin irritation and dry skin.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Testogel should be stored<\/h2>\n\n\n\n<p>No special storage instructions.<\/p>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Use before the expiry date which is stated on the carton and bottle after EXP.&nbsp;The expiration date is the last day of the specified month.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is\u00a0testosterone.\u00a0One gram of\u00a0gel\u00a0contains 16.2 mg of\u00a0testosterone.\u00a0One pump pressure gives 1.25 g of\u00a0gel\u00a0containing 20.25 mg of\u00a0testosterone.<\/li><li>Other ingredients are carbomer, isopropyl myristate,\u00a0ethanol, sodium hydroxide, and water.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<p>This medicine is a colorless,\u00a0transdermal\u00a0gel\u00a0supplied in a multi-dose container with a pump containing 88 g of\u00a0gel\u00a0and a minimum of 60\u00a0doses.<\/p>\n\n\n\n<p>This medicine is supplied in packs of 1, 2, 3, or 6 containers.\u00a0Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing authorization holder and manufacturer<\/h2>\n\n\n\n<p>Marketing Authorisation Holder<\/p>\n\n\n\n<p>Laboratoires Besins International<\/p>\n\n\n\n<p>3, rue du Bourg l&#8217;Abb\u00e9<\/p>\n\n\n\n<p>75003 Paris<\/p>\n\n\n\n<p>France<\/p>\n\n\n\n<p>Manufacturer<\/p>\n\n\n\n<p>Laboratoires Besins International<\/p>\n\n\n\n<p>13, rue P\u00e9rier<\/p>\n\n\n\n<p>92120 Montrouge<\/p>\n\n\n\n<p>France<\/p>\n\n\n\n<p>Or<\/p>\n\n\n\n<p>Delpharm Drogenbos<\/p>\n\n\n\n<p>Groot Bijgaardenstraat 128<\/p>\n\n\n\n<p>1620 Drogenbos<\/p>\n\n\n\n<p>Belgium<\/p>\n\n\n\n<p><strong>This medicine is approved in the European Economic Area under the names:<\/strong><\/p>\n\n\n\n<p>The Netherlands Testogel 16.2 mg\/g&nbsp;transdermal&nbsp;gel<\/p>\n\n\n\n<p>Norway Testogel<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This medicine contains\u00a0testosterone\u00a0, a male\u00a0hormone\u00a0that is produced naturally in the body.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22500],"tags":[25663,25657,25656,25661,25658,25659,25660,25654,25662,25655],"class_list":["post-24777","post","type-post","status-publish","format-standard","hentry","category-medicines","category-t","tag-benefits-of-testogel","tag-benefits-of-testosterone","tag-testogel","tag-testogel-side-effects","tag-testosterone","tag-testosterone-side-effects","tag-what-is-testogel","tag-what-is-testosterone","tag-what-testogel-is-used-for","tag-what-testosterone-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24777","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=24777"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24777\/revisions"}],"predecessor-version":[{"id":24796,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24777\/revisions\/24796"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=24777"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=24777"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=24777"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}