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testosterone oral; testosterone undecanoate (Jatenzo)

Indications: - hypogonadism Contraindications: - breast cancer - known or suspected prostate cancer * caution use in the elderly (insufficient safety data) Dosage: - start 237 mg BID (take with food) - titrate to 150-396 mg BID* * based on serum testosterone drawn 6 hours after the morning dose at least 7 days after starting treatment Capsules: 158,, 198, & 237 mg Adverse effects: - hypertension - increased risk of cardiovascular disease - polycythemia - diarrhea - dyspepsia - eructation - peripheral edema - nausea - headache - prostatic hypetrophy * also see testosterone Drug interactions: - insulin: may reduce insulin requirements; monitor for hypoglycemia - anticoagulants: may affect INR - glococorticoids in combination may increase risk of edema - drugs known to increase blood pressure * also see testosterone

Interactions

drug adverse effects of androgens

General

testosterone (Delatestryl Testopel, Striant, Intrinsa, Xyosted)

References

  1. Swerdloff RS, Wang C, White WB, et al. A new oral testosterone undecanoate formulation restores testosterone to normal concentrations in hypogonadal men. J Clin Endocrinol Metab 2020 Aug; 105:dgaa238. PMID: 32382745 Free PMC article. https://academic.oup.com/jcem/article/105/8/dgaa238/5834353
  2. HIGHLIGHTS OF PRESCRIBING INFORMATION Jatezo (ttestosterone undecanoate) https://www.jatenzo.com/assets/pdfs/jatenzo-pi.pdf