androgel with questioner
testosterone topical (patches and gel) (tess TOSS ter own TAH pih cal)
Androderm, AndroGel, Testim, Testoderm
What is the most important information I should know about AndroGel?
• Notify your doctor if you experience nausea; vomiting; swelling of theankles; changes in skin color; too frequent or prolonged erections; breathingdisturbances, including those associated with sleep; or yellowing of the skinor eyes androgel with questioner.
• Notify your doctor if a female partner experiences male-pattern baldness,excessive body hair growth, an increase in acne, menstrual irregularities, orsigns of masculinity androgel with questioner.
What is AndroGel?
• Testosterone is a naturally occurring "male" sex hormone necessaryfor many processes in the body androgel with questioner.
• AndroGel is used to treat men for conditions that result from a lackof natural testosterone androgel with questioner.
• AndroGel may also be used for purposes other than those listed in thismedication guide androgel with questioner.
What should I discuss with my healthcare provider before using AndroGel?
• Do not use AndroGel if you have cancer of the breast or prostate androgel with questioner. Testosteronemay worsen some cancers of these types androgel with questioner.
• Before using AndroGel, tell your doctor if you have
· diabetes;
· sleep apnea or if you have risk factors for sleep apnea (e.g., obesity,chronic lung disease);
· heart disease; or
· liver disease or kidney disease androgel with questioner.
• You may not be able to use AndroGel, or you may need a dosage adjustmentor special monitoring if you have any of the conditions listed above androgel with questioner.
• AndroGel is not approved for use by women and must not be used by women androgel with questioner. AndroGel is in the FDA pregnancy category X androgel with questioner. This means that AndroGel is knownto cause birth defects in an unborn baby androgel with questioner. Pregnant women should avoid skin contactwith the AndroGel application site in men androgel with questioner. If unwashed or unclothed skin towhich AndroGel has been applied comes in contact with the skin of a pregnantwoman, wash the general area of contact on the woman with soap and water assoon as possible androgel with questioner.
• Men over 65 years of age that use AndroGel may be at increased risk forthe development of prostatic enlargement or cancer androgel with questioner. You may not be able to usetopical testosterone, or you may require a lower dose or special monitoring androgel with questioner.
How should I use AndroGel?
• Use AndroGel exactly as directed by your doctor androgel with questioner. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you androgel with questioner.
• To use testosterone topical scrotal patches:
· Testoderm patches should be applied to clean, dry scrotal skin androgel with questioner. Thescrotal hair should be dry-shaved before a patch is applied androgel with questioner. Do not use chemicalhair removers to remove scrotal hair androgel with questioner.
· Each patch should be worn for 22 to 24 hours androgel with questioner.
· Apply a new patch every 24 hours androgel with questioner.
· Scrotal patches should be removed during bathing, showering, or swimmingand may be reapplied following these activities androgel with questioner. Patch removal is optional duringintercourse androgel with questioner.
· If a Testoderm patch falls off, try to reapply it androgel with questioner. If it comes offafter being worn for more than 12 hours and it cannot be reapplied, wait untilthe next scheduled application time to apply a new system androgel with questioner.
• To use testosterone topical patches (non-scrotal):
· Androderm patches can be applied to clean, dry skin on the back, abdomen,upper arms, or thighs androgel with questioner. Testoderm TTS patches can be applied to the arms , back,or upper buttocks androgel with questioner. Do not apply these patches to the scrotum, any bony partof the body (hip bone, outer thigh bone, shoulder bone), or to an area thatwill be under prolonged pressure during sleep or sitting androgel with questioner. Apply the patch toskin that is not oily, damaged, or irritated androgel with questioner. For Androderm patches, the siteof application should be different, with a 7 day period between applicationsto the same site androgel with questioner.
· Androderm and Testoderm TTS patches should be worn for 24 hours androgel with questioner. Androdermpatches should be applied at the same time each evening androgel with questioner. Testoderm TTS patchesshould be applied at the same time daily, either during the day or night androgel with questioner.
· It usually is not necessary to remove patches of this type during sexualintercourse or when showering or bathing androgel with questioner.
· If an Androderm patch falls off, try to reapply it androgel with questioner. If it cannot bereapplied and it is before noon, apply a new patch; if it is after noon, waituntil the evening and apply a new patch at the regularly scheduled time androgel with questioner. Ifa Testoderm TTS patch falls off, try to reapply it androgel with questioner. If it comes off after beingworn for more than 12 hours and it cannot be reapplied, wait until the nextscheduled application time to apply a new system androgel with questioner.
• To use the testosterone topical gel:
· Apply the gel once daily (preferably in the morning) to clean, dry,unbroken skin on the shoulders or upper arms androgel with questioner. The AndroGel can also be appliedto the abdomen androgel with questioner. Do not apply Testim gel to the abdomen androgel with questioner. After opening a pouch,squeeze the entire contents into the palm of your hand and immediately applyit to the application site androgel with questioner. Allow the gel to dry for a few minutes before dressing androgel with questioner. Wash your hands with soap and water after the gel has been applied androgel with questioner.
· Cover the application site with clothing after the gel has dried toprevent transfer of testosterone to another person androgel with questioner. If direct skin-to-skin contactwith another person is anticipated, the application site must be washed thoroughlywith soap and water before that encounter androgel with questioner. If there is accidental transfer oftestosterone to the skin of another person, wash the general area of contacton the other person with soap and water as soon as possible androgel with questioner.
· Wait at least 5 or 6 hours after application of AndroGel, or 2 hoursafter application of Testim, before showering or swimming androgel with questioner. However, showeringor swimming 1 hour after application of either testosterone topical productshould have a minimal effect on the amount of testosterone absorbed if doneinfrequently androgel with questioner.
· Do not apply the gel to the scrotum or genitals or to skin that hasopen sores, wounds, or irritation androgel with questioner.
• Your doctor may want to perform tests to monitor the amount of testosteronein the body, liver function, prostate function, or other factors during treatmentwith AndroGel androgel with questioner.
• It is important to use AndroGel regularly to get the most benefit androgel with questioner.
• Dispose of all used patches and aluminum foil packets properly, out ofthe reach of children and pets androgel with questioner.
• Store AndroGel at room temperature away from moisture and heat androgel with questioner. Patchesshould not be stored outside the pouch provided androgel with questioner. Damaged patches should notbe used androgel with questioner.
What happens if I miss a dose?
• Apply the next patch or gel packet as soon as you remember androgel with questioner. Do not usetwo doses simultaneously, unless otherwise directed by your doctor androgel with questioner.
What happens if I overdose?
• An overdose of AndroGel is unlikely to occur and is not likely to threatenlife androgel with questioner. If you do suspect an overdose, or if a patch or the gel has been ingested,call an emergency room or poison control center for advice androgel with questioner.
What should I avoid while using AndroGel?
• Avoid transfer of AndroGel gel to another person androgel with questioner. Wash your hands afterapplication of the gel and cover the application site with clothing after thegel has dried androgel with questioner. If direct skin-to-skin contact with another person is anticipated,the application sites must be washed thoroughly with soap and water before thatencounter androgel with questioner. If another person accidentally contacts the gel or treated area,the exposed individual should wash with soap and water androgel with questioner.
• Wait at least 5 or 6 hours after application of AndroGel before showeringor swimming androgel with questioner. However, showering or swimming 1 hour after application shouldhave a minimal effect on the amount of testosterone absorbed if done infrequently androgel with questioner.
• Testosterone patches applied to the back, abdomen, upper arms, or thighsdo not usually need to be removed during sexual intercourse or when showeringor bathing androgel with questioner. Scrotal testosterone patches should be removed during bathing, showering,or swimming and may be reapplied following these activities androgel with questioner. Removal of a scrotalpatch is optional during intercourse androgel with questioner.
What are the possible side effects of AndroGel?
• If you experience any of the following serious side effects, stop usingAndroGel and seek emergency medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of the throat;swelling of the lips, tongue, or face; or hives);
· nausea or vomiting;
· changes in skin color;
· swelling of the ankles;
· breathing disturbances, including those associated with sleep;
· too frequent or prolonged erections; or
· liver damage (yellowing of the skin or eyes, nausea, abdominal painor discomfort, unusual bleeding or bruising, or severe fatigue) androgel with questioner.
• Other, less serious side effects may be more likely to occur androgel with questioner. Continueto use AndroGel and talk to your doctor if you experience
· itching, discomfort, redness, or irritation at the patch applicationsite;
· emotional changes;
· increased blood pressure;
· decreased interest in sex;
· changes in blood cholesterol or number of red blood cells (detectedby blood tests);
· prostate changes or difficulty urinating;
· enlarged, swollen or tender breasts; or
· acne androgel with questioner.
• Notify your doctor if a female partner experiences male-pattern baldness,excessive body hair growth, an increase in acne, menstrual irregularities, orsigns of masculinity androgel with questioner.
• Side effects other than those listed here may also occur androgel with questioner. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome androgel with questioner.
What other drugs will affect AndroGel?
• Before using AndroGel, tell your doctor if you are taking any of thefollowing medicines:
· warfarin (Coumadin);
· insulin or an oral diabetes medication such as glipizide (Glucotrol),glyburide (Diabeta, Micronase, Glynase), repaglinide (Prandin), rosiglitazone(Avandia), pioglitazone (Actos), and others;
· propranolol (Inderal, Inderal LA, others); or
· a corticosteroid such as hydrocortisone (Cortef, Hydrocortone, Solu-Cortef),dexamethasone (Decadron, Hexadrol others), methylprednisolone (Depo-Medrol,Medrol, Solu-Medrol), prednisolone (Prelone Pediapred), prednisone (Deltasone,Orasone, others), and others androgel with questioner.
• You may not be able to use AndroGel, or you may require a dosage adjustmentor special monitoring during treatment if you are taking any of the medicineslisted above androgel with questioner.
• Drugs other than those listed here may also interact with AndroGel androgel with questioner. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines, including vitamins, minerals, and herbal products androgel with questioner.
Where can I get more information?
• Your pharmacist has additional information about AndroGel written forhealth professionals that you may read androgel with questioner.
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