Place your palm over the bone (femur) that ends before the knee bends and direct the injection just above the V in the center of the thigh. Tell your doctor if you have ever had any unusual or allergic reactions to this medication or any other medication. Also tell your healthcare professional if you have any other type of allergy, such as to foods, dyes, preservatives, or animals. For over-the-counter products, read the label or ingredients on the package carefully.
While certain medications should not be used together at all, in other cases two different medications can be used together, even if an interaction occurs. In these cases, your doctor may want to change the dose or other precautions may need to be taken. When you receive this medication, it is especially important for your healthcare professional to know if you are taking any of the medications listed below. The following interactions have been selected based on their potential importance and are not necessarily exhaustive.
This medication is generally not recommended for use with any of the following medications, but it may be necessary in some cases. If both medications are prescribed together, your doctor may change the dosage or how often you use one or both medications. Using this medication with any of the following medications may increase the risk of certain side effects, but using both drugs may be the best treatment for you. Certain medications should not be used at the same time food is eaten or when certain types of food are ingested, as interactions can occur. The use of alcohol or tobacco with certain medications can also cause interactions.
Talk to your healthcare professional about using your medication with food, alcohol, or tobacco. This medication comes with a medication guide. Please read and follow these instructions carefully. Ask your doctor if you have any questions. Use a new needle each time the medication is injected.
The dosage of this medication will be different for each patient. Follow your doctor's instructions or the instructions on the label. The following information includes only the average doses of this medication. If your dose is different, do not change it unless your doctor tells you to. The amount of medication you take depends on the strength of the medication.
In addition, the number of doses you take each day, the time between doses, and the time you take the medication depend on the medical condition you are using it for. Call your doctor or pharmacist for instructions. Ask your healthcare professional how you should dispose of any medication you are not using. It is very important that your doctor monitor your progress at regular visits to make sure that this medication is working properly. Blood and urine tests may be needed to check for unwanted effects. This medication should not be used by women who are pregnant or who may become pregnant.
Testosterone can cause congenital anomalies if a pregnant woman comes into contact with the medication. Make sure your doctor knows if your sexual partner is pregnant. If you become pregnant while using this medication, tell your doctor right away. Your blood pressure may get too high while you are using this medication. This can cause headaches, dizziness, or blurred vision.
You may need to measure your blood pressure at home. If you think your blood pressure is too high, call your doctor right away. This medication can cause a serious lung problem called pulmonary oily microembolism (POME). Tell your doctor right away if you have a cough or urge to cough, dizziness, fainting, trouble breathing, sweating, pressure in your throat, or chest pain. This medication can cause a serious type of allergic reaction called anaphylaxis, which can be life-threatening and requires immediate medical attention.
Tell your doctor right away if you have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth after you receive the medication. This medication may increase the risk of prostate cancer, especially in older men. Make sure your doctor knows if you have prostate cancer or if someone in your family has prostate cancer. This medication may cause blood clotting problems.
Tell your doctor right away if you have pain, redness, or swelling in your arm or leg, sharp chest pain, or trouble breathing. This medication may increase the risk of heart or vascular problems, such as a heart attack or stroke. Tell your doctor right away if you have chest pain that may spread to your arms, jaw, back, or neck, fainting, headache, nausea, vomiting, trouble breathing, problems seeing or speaking, or unusual sweating. If you feel that the medication isn't working as well, don't use more than the prescribed dose.
This medication may cause some people to become agitated, irritable, or show other abnormal behavior. It can also cause some people to have suicidal thoughts and tendencies or to become more depressed. Make sure your doctor knows if you have trouble sleeping, if you get easily upset, if you have a big increase in energy, or if you start acting recklessly. Also tell your doctor if you have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared.
If you or your caregiver notice any of these side effects, report them to your doctor right away. In some cases, this medication can reduce the amount of sperm that men produce and affect their ability to have children. Talk to your doctor before using this medication if you plan to have children. Call your doctor right away if you have pain or tenderness in your upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellowing of your eyes or skin.
These could be symptoms of a serious liver problem. This medication may cause breast swelling (gynecomastia) and breast pain in some patients. If you have questions about this, talk to your doctor. This medication may cause changes in the level of cholesterol and fats in the blood.
If you have this condition, your doctor may prescribe medication to adjust cholesterol and fat. Talk to your doctor if you have questions. Other side effects that are not on the list may also occur in some patients. If you notice any other effects, talk to your healthcare professional. The first thing to do before self-injecting testosterone should be to choose the injection site.
In most cases, doctors consider the upper arm, shoulder, and buttocks to be the best places to administer an intramuscular injection. Just remember that, once you start with an area, it's very important to rotate the injection sites to avoid irritation caused by repeated attempts made in the same place. Knowing where to inject testosterone and having a plan of action regarding site rotation can make it easier to follow a comfortable routine when administering testosterone treatments at home. As you give yourself the injection, be sure to administer the medication at a measured and consistent rate so that your muscles can gradually absorb the medication. The selection of the route of administration of testosterone is influenced by patient preferences, product availability and the cost of the formulation.
Before administering the injection, use a sterile alcohol wipe to disinfect the area around the intended injection site to eliminate bacteria from the skin and minimize the risk of infection. However, this device is expensive compared to administering the ester with conventional syringes and needles. With that said, it's important that you follow your doctor's instructions regarding your medication and pay special attention to the steps mentioned above to ensure that you administer the injections safely and effectively. In summary, stable and consistent serum testosterone concentrations after subcutaneous administration of testosterone enanthate and cypionate suggest that the subcutaneous route is a feasible option and that patients can self-administer it after adequate training. Although published studies on subcutaneous administration of testosterone have not observed serious local adverse reactions (23, 4), mild local reactions were common.
The intramuscular and subcutaneous routes have a defined absorption phase, in which the serum concentration of the administered drug increases progressively until it reaches a maximum (Cmax) and then decreases according to its elimination half-life. However, intramuscular injections are associated with discomfort, patients have difficulty self-injecting and often need the help of family members to administer the drug. To make sure you reduce the risk of infection, it's very important to wash your hands thoroughly with antibacterial soap and clean water before giving an injection. Once you know which sites you can use to administer the injection on your own and how to do the process properly, you'll have no problem taking care of the scheduled injections yourself.
Relationship between 5-dihydrotestosterone and estradiol and testosterone (T) by dose and route of administration during treatment with enanthate T. Therefore, the pharmacokinetics of testosterone esters administered intramuscularly or subcutaneously will vary depending on lymphatic circulation. of the tissue. Local and systemic adverse reactions during subcutaneous administration of testosterone esters (number of reactions in parentheses). The feasibility of using the subcutaneous route for the administration of sexual steroids was also demonstrated in an elegant pharmacokinetic study in which nandrolone decanoate was administered to healthy male volunteers (30).
Since blood flow at the site of drug administration influences the pharmacokinetics of the administered drug, subcutaneous injections show more stable vascular absorption patterns compared to injections intramuscular.
