Table 3

Testosterone therapy options1,126

FormulationRoute of administrationFrequency of administrationAdvantagesDisadvantages
Testosterone 1% and 2% gel availableTransdermal gelApplied daily, requires dose titrationFast onset; provide uniform and normal serum levels for 24 hoursSkin irritation at application site
Potential for interpersonal transfer
Non-compliance long term
Testosterone undecanoateOral capsulesOnce or twice dailyLymphatic absorption decrease liver involvementLevels fluctuate
Daily or twice-daily commitment
Must be taken with food
Testosterone undecanoateIntramuscular injectionEvery 10–14 wk adjusted to maintain trough testosterone level > 12 nmol/LSteady-state levels
Lower frequency of administration improves compliance
Long duration of action prevents drug withdrawal in the event of adverse side effects
Testosterone enanthateIntramuscular injectionEvery 2–3 wkShort duration of action allows drug withdrawal if there are adverse side effectsLevels fluctuate
Testosterone propionateIntramuscular injectionCurrently available as 1 of 4 testosterone esters used in sustanon 250, which is usually administered every 3 wk; sustanon’s duration of action prevents drug withdrawal in the event of adverse side effects127
FormulationRoute of administrationFrequency of administrationAdvantagesDisadvantages
Testosterone 1% and 2% gel availableTransdermal gelApplied daily, requires dose titrationFast onset; provide uniform and normal serum levels for 24 hoursSkin irritation at application site
Potential for interpersonal transfer
Non-compliance long term
Testosterone undecanoateOral capsulesOnce or twice dailyLymphatic absorption decrease liver involvementLevels fluctuate
Daily or twice-daily commitment
Must be taken with food
Testosterone undecanoateIntramuscular injectionEvery 10–14 wk adjusted to maintain trough testosterone level > 12 nmol/LSteady-state levels
Lower frequency of administration improves compliance
Long duration of action prevents drug withdrawal in the event of adverse side effects
Testosterone enanthateIntramuscular injectionEvery 2–3 wkShort duration of action allows drug withdrawal if there are adverse side effectsLevels fluctuate
Testosterone propionateIntramuscular injectionCurrently available as 1 of 4 testosterone esters used in sustanon 250, which is usually administered every 3 wk; sustanon’s duration of action prevents drug withdrawal in the event of adverse side effects127
Table 3

Testosterone therapy options1,126

FormulationRoute of administrationFrequency of administrationAdvantagesDisadvantages
Testosterone 1% and 2% gel availableTransdermal gelApplied daily, requires dose titrationFast onset; provide uniform and normal serum levels for 24 hoursSkin irritation at application site
Potential for interpersonal transfer
Non-compliance long term
Testosterone undecanoateOral capsulesOnce or twice dailyLymphatic absorption decrease liver involvementLevels fluctuate
Daily or twice-daily commitment
Must be taken with food
Testosterone undecanoateIntramuscular injectionEvery 10–14 wk adjusted to maintain trough testosterone level > 12 nmol/LSteady-state levels
Lower frequency of administration improves compliance
Long duration of action prevents drug withdrawal in the event of adverse side effects
Testosterone enanthateIntramuscular injectionEvery 2–3 wkShort duration of action allows drug withdrawal if there are adverse side effectsLevels fluctuate
Testosterone propionateIntramuscular injectionCurrently available as 1 of 4 testosterone esters used in sustanon 250, which is usually administered every 3 wk; sustanon’s duration of action prevents drug withdrawal in the event of adverse side effects127
FormulationRoute of administrationFrequency of administrationAdvantagesDisadvantages
Testosterone 1% and 2% gel availableTransdermal gelApplied daily, requires dose titrationFast onset; provide uniform and normal serum levels for 24 hoursSkin irritation at application site
Potential for interpersonal transfer
Non-compliance long term
Testosterone undecanoateOral capsulesOnce or twice dailyLymphatic absorption decrease liver involvementLevels fluctuate
Daily or twice-daily commitment
Must be taken with food
Testosterone undecanoateIntramuscular injectionEvery 10–14 wk adjusted to maintain trough testosterone level > 12 nmol/LSteady-state levels
Lower frequency of administration improves compliance
Long duration of action prevents drug withdrawal in the event of adverse side effects
Testosterone enanthateIntramuscular injectionEvery 2–3 wkShort duration of action allows drug withdrawal if there are adverse side effectsLevels fluctuate
Testosterone propionateIntramuscular injectionCurrently available as 1 of 4 testosterone esters used in sustanon 250, which is usually administered every 3 wk; sustanon’s duration of action prevents drug withdrawal in the event of adverse side effects127
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