Monograph Details

Endocrine System > Hypogonadism
TESTIM
Manufacturer
Auxilium Pharmaceuticals, Inc.
Legal Classification
CIII
Pharmacological Class
Androgen.
Generic Name
Testosterone 1%; gel.
Indications
Testosterone replacement therapy.
Children
<18 years: not recommended.
Adults
Apply to clean, dry intact skin of the shoulders and/or upper arms; do not apply to genitals or abdomen. ≥18 years: initially apply 5g (1 tube) once daily in the AM; may increase to 10g after 2 weeks. Do not wash site for at least 2 hours after application.
Contraindications
Breast or prostate cancer. Not for use in women. Pregnant and nursing women must avoid skin contact with application sites on men. Pregnancy (Cat.X). Nursing mothers.
Precautions
Other persons must avoid contact with application site. Avoid showering or swimming for at least 2 hours after application. Cardiac, renal, or hepatic disease. Sleep apnea. Monitor hemoglobin, hematocrit, liver function, PSA, cholesterol, HDL-C, and serum testosterone. Elderly (may increase risk of prostatic hyperplasia). May increase growth of subclinical prostatic carcinoma. Discontinue if edema or jaundice occurs.
Interactions
May potentiate oral anticoagulants, oxyphenbutazone. May alter insulin effects. Increased risk of edema with corticosteroids or ACTH.
Adverse Reactions
Local reactions, headache, increased hemoglobin/hematocrit or BP, depression, hot flushes, insomnia, mood swings, gynecomastia, dysgeusia.
How Supplied
Gel (5g)—30
Additional Resources
Related Prescribing Note