Table 1.
Testosterone preparations and pharmacokinetics.
Preparation | T max | Therapeutic range | Kinetics | Target value | Dose adjustment | References |
---|---|---|---|---|---|---|
Gel (Testogel 1%, Testim 1%, AndroGel 1%, Androgel 1.62%, Fortesta 2%, Tostran 2%, Testavan 2%) | 8 h | +24 h | Stable, depending on compliance | 20–30 nmol/L | Multiple to get in target range | (Randomized controlled trials (RCTs): (18, 19, 20, 21, 22, 23, 122), observational studies: (24, 25, 26)). |
Short-acting esters (e.g. Testoviron® Depot 50: 20 mg testosterone propionate and 55 mg testosterone enanthate (TE); Testoviron® Depot 100: 25 mg testosterone propionate and 100 mg testosterone enanthate; Sustanon® 250: 30 mg testosterone propionate, 60 mg testosterone phenylpropionate, 60 mg testosterone isocaproate and 100 mg testosterone decanoate) | 24–48 h | 2–4 weeks | High peaks shortly after each injection and low troughs prior to the next | 10–15 nmol/L prior to injection | On the basis of concentrations prior to injection | (6, 7, 28, 29, 30, 31) |
Long-acting undecanoate (Nebido® 1000 mg/4 mL TU (available in a.o. Europe (not US)) and Aveed® 750 mg/3 mL TU (available in US) | 1 week | 10–14 weeks, second booster injection after 6 weeks | Stable | 20–30 nmol/L | Steady state after third injection | (7, 9, 32, 34, 35, 36, 40) |