Table 1.
Testosterone Products Approved by the Food and Drug Administration in Unites States (2021)
| Delivery System/Drug |
Brand Name |
Recommended Dose Regimen |
Available Format |
|---|---|---|---|
| Topical/Transdermal | |||
| Testosterone patch | Androderm | 2 or 4 mg patch/day | 4 mg starting dose, should not apply the patch to the same are within 7 days applied to back, abdomen, upper arms |
| Testosterone gel | AndroGel | 1% gel – 50 to 100 mg of testosterone per day | 25 or 50 mg testosterone packets |
| 1.62 % gel – 40.5 to 81 mg of testosterone per day | 20.25 mg testosterone one pump actuation or a 20.25 mg packet. 40.5mg testosterone two pump actuation or a 40.5 packet Applied to shoulders and upper arms |
||
| Testosterone gel | Testim | 1% gel – 50mg of testosterone /tube | 50 mg /day starting dose Applied to shoulder and upper arms |
| Testosterone gel | Fortesta | 2% gel 10mg/0.5 g per pump actuation | 40 mg (4 pump actuations)/day starting dose Applied to inner thighs |
| Testosterone gel | Vogelxo | 1% gel 50 or 100mg per tube or packet, 12.5mg per actuation for pump | Generic testosterone gel |
| Testosterone Gel | 1.62% gel similar to AndroGel (1.62%) | Generic, same as AndroGel 1.62% | |
| Testosterone lotion | Axiron | 2% lotion 30 mg/pump actuation | Start with 60 mg Applied to axilla Discontinued |
| Buccal/Nasal | |||
| Buccal tablets | Striant | 30 mg twice/day | Applied to gum, dislodging of tablets Discontinued |
| Nasal gel | Natesto | 11 mg gel intranasal three times per day | Start with 1 actuation (5.5 mg) one into each nostril total 11mg Apply to nose three times per day. |
| Oral Capsule | |||
| Testosterone undecanoate | Andriol | 40 mg capsules two or three times a day | 80 to 120 mg per dayNot available in US |
| Testosterone undecanoate | Jatanzo | 158 to 396 mg twice per day | Start with 237mg twice a day with food. |
| Testosterone undecanoate | Tlando | 225 mg twice per day | Tentative approval by FDA |
| Injection | |||
| Testosterone enanthate | Xyosted | 50, 75 and 100mg in 0.5mL sesame oil | Autoinjector Start with 75 mg once per week subcutaneously injection to abdomen |
| Delatestryl | 200mg/mL sesame oil | Intramuscular injection once in 2 weeks Not available in US |
|
| Testosterone cypionate | Depo-Testosterone | 100 mg/mL or 200 mg/mL in cottonseed oil | Administered by deep intramuscular injection to gluteal muscle once in 2 weeks. Can be administered subcutaneously every week |
| Testosterone undecanoate | Aveed | 750 mg/3mL (250 mg/mL) in castor oil | Start with 750 mg, repeat 750 mg after 4 weeks and then every 10 weeks. Deep IM slowly into gluteal muscle. 30 minutes observation for pulmonary oil embolism, most last for few minutes to some several hours. |
| Implants | |||
| Testosterone | Testopel pellets | 75 mg per pellet | Inserted subcutaneously by health professional in fat in hip area Implant 2 to 6 implants will last 3 to 4 months; 6 to 10 implants will last for 4 to 6 months |