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Testosterone Gel, 1%

TESTOSTERONE GEL, 1%

Manufacturer: Encube Ethicals Private Limited

Score: 148.0

Quick Summary

Testosterone Gel, 1% is a topical gel formulation of testosterone used for replacement therapy in adult males with conditions associated with a deficiency or absence of endogenous testosterone. The recommended starting dose is 50 mg of testosterone applied once daily, with dose adjustments based on serum testosterone concentrations. Important safety information includes warnings about secondary exposure to testosterone, particularly for children and women, and contraindications such as carcinoma of the breast or known or suspected carcinoma of the prostate. Adverse reactions may include acne, application site reactions, and prostate disorders. Special population considerations include use during pregnancy, nursing, pediatric, and geriatric populations.

Key Clinical Findings and Indications

  • Replacement therapy in adult males for conditions associated with a deficiency or absence of endogenous testosterone
  • Primary hypogonadism (congenital or acquired)
  • Hypogonadotropic hypogonadism (congenital or acquired)

Important Safety Information

Warning

Secondary exposure to testosterone can occur, particularly for children and women, resulting in virilization and other adverse effects

Contraindications

  • Carcinoma of the breast or known or suspected carcinoma of the prostate
  • Pregnancy

Adverse Reactions

  • Acne
  • Application site reactions
  • Prostate disorders
  • Gynecomastia
  • Testis disorder

Dosing Recommendations

General Guidance

Dose adjustments should be based on serum testosterone concentrations, with a goal of achieving normal testosterone levels

Hypogonadism

Adult Dose

50 mg of testosterone applied once daily

Pediatric Dose

Not established for pediatric patients less than 18 years old

Special Population Considerations

Pregnancy

  • Testosterone Gel, 1% is contraindicated in pregnant women
  • Testosterone is teratogenic and may cause fetal harm when administered to a pregnant woman

Nursing Mothers

  • Testosterone Gel, 1% may cause virilization of female infants if exposed to the drug through breast milk

Pediatric Use

  • The safety and efficacy of Testosterone Gel, 1% in pediatric patients less than 18 years old has not been established
  • Improper use may result in acceleration of bone age and premature closure of epiphyses

Geriatric Use

  • There have not been sufficient numbers of geriatric patients involved in controlled clinical studies utilizing Testosterone Gel, 1% to determine whether efficacy in those over 65 years of age differs from younger subjects
  • Geriatric patients treated with androgens may also be at risk for worsening of signs and symptoms of BPH

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