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Testosterone 150 mg/ml Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Testosterone

Description: Testosterone 150 mg/ml Topical Gel is a semisolid formulation designed for transdermal delivery of testosterone. This gel is dispensed through a pump mechanism, which allows for easy and precise dosing. The gel-like consistency ensures that the medication is spread evenly and absorbed effectively through the skin. This formulation is commonly used in the treatment of conditions associated with testosterone deficiency, such as hypogonadism, and in certain cases, it may be used to support gender-affirming therapy for transgender men. The topical application targets the site of action while minimizing systemic exposure and side effects.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Testosterone
Topical Gel
65d775d51ca171106a6767a5

Formula Information

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Testosterone 150 mg/ml Topical Gel is a specially compounded medication designed to deliver a controlled dose of testosterone, a key hormone in the body, through the skin. This semisolid formulation is dispensed through a pump mechanism, which ensures that patients can apply a consistent and precise amount of medication with each use. The gel is designed to spread easily and absorb quickly into the skin, providing a convenient and non-invasive method of testosterone replacement therapy.

Testosterone replacement therapy is primarily used to treat various conditions associated with low testosterone levels in men, such as hypogonadism, and can also be used in certain cases for women. Hypogonadism is a condition where the body does not produce enough testosterone, which can lead to symptoms such as decreased libido, erectile dysfunction, fatigue, loss of muscle mass, and bone density, as well as mood disturbances. By restoring testosterone levels to a normal range, this topical gel can help alleviate these symptoms and improve the overall quality of life for patients suffering from testosterone deficiency.

The gel formulation is particularly beneficial for patients who may have difficulties with other forms of testosterone replacement, such as intramuscular injections or oral medications, which can be invasive or have variable absorption. The topical route of administration bypasses the gastrointestinal system and reduces the risk of liver toxicity, a concern with some oral testosterone preparations. Additionally, the use of a pump allows for customizable dosing, which can be adjusted based on the patient's individual needs and response to therapy, as determined by regular monitoring of testosterone levels by a healthcare provider.

It is important for patients and prescribers to be aware of the potential side effects associated with testosterone therapy, which may include skin irritation at the application site, increased red blood cell count, changes in cholesterol levels, and possible stimulation of prostate tissue. Patients should be instructed on proper application techniques, such as applying the gel to clean, dry skin and avoiding swimming or showering for a certain period after application to ensure proper absorption. Regular follow-up and monitoring by a healthcare provider are essential to ensure the effectiveness of the therapy and to mitigate any potential risks.

For more detailed information on Testosterone 150 mg/ml Topical Gel, or if you have any questions regarding this formulation and its use in treating low testosterone levels, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing personalized care and support to both patients and prescribers to optimize treatment outcomes.

Drug Interactions

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Testosterone 150 mg/ml Topical Gel is a hormone replacement therapy primarily used to treat conditions associated with a deficiency or absence of endogenous testosterone, such as hypogonadism, certain types of breast cancer, and gender dysphoria in transgender men. When considering the use of this formulation, it is important to be aware of potential drug interactions that may affect the efficacy of the treatment or increase the risk of adverse effects.

One key interaction is with blood thinners, such as warfarin. Testosterone can enhance the anticoagulant effects of warfarin, potentially increasing the risk of bleeding. Patients on warfarin should have their blood clotting times or INR monitored closely, especially when starting or stopping testosterone therapy. Adjustments to the dose of the blood thinner may be necessary.

Testosterone may also interact with corticosteroids or adrenocorticotropic hormone, which can result in increased fluid retention and should be monitored, particularly in patients with cardiac, renal, or hepatic diseases. Additionally, patients using insulin or oral diabetes medications may require dose adjustments since testosterone can affect glucose metabolism, leading to changes in blood sugar levels.

Enzyme-inducing agents, such as certain anticonvulsants (e.g., phenytoin, phenobarbital) and rifampin, can increase the clearance of testosterone, potentially reducing its therapeutic effects. Conversely, enzyme inhibitors like certain antifungals (e.g., ketoconazole) and protease inhibitors used in the treatment of HIV may increase testosterone levels, leading to a higher risk of adverse effects.

Thyroid function may be affected by testosterone therapy as well. Androgens may decrease concentrations of thyroxine-binding globulin, resulting in decreased total T4 serum levels and increased resin uptake of T3 and T4. However, free thyroid hormone levels remain unchanged, and there is no clinical evidence of thyroid dysfunction.

It is also important to note that the use of testosterone with other androgens or anabolic steroids can potentiate the effects and may increase the risk of edema, especially in patients with underlying cardiac, renal, or hepatic conditions. Concurrent use of testosterone with ACTH or corticosteroids may enhance the tendency for edema. Therefore, these combinations should be used with caution and patients should be monitored for the development of edema.

Lastly, patients should be advised to avoid applying other topical preparations to the same area where the testosterone gel is applied, as this may alter the absorption of testosterone or the concomitant medication.

Given the potential for significant drug interactions, it is crucial for prescribers to review all medications, including over-the-counter drugs and herbal supplements, that the patient is taking before initiating therapy with Testosterone 150 mg/ml Topical Gel. Monitoring and possible dose adjustments may be necessary to maintain safety and efficacy. If you have any questions or require further information regarding drug interactions with Testosterone Topical Gel, please do not hesitate to reach out to us at Bayview Pharmacy.

How Does it Work

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The Testosterone 150 mg/ml Topical Gel is a hormone replacement therapy designed to treat conditions associated with low or absent testosterone, primarily in male patients. Testosterone is the principal androgen in men and plays a crucial role in maintaining muscle mass, bone density, sexual function, and overall energy levels. Conditions such as hypogonadism, where the body does not produce enough testosterone, can lead to symptoms like decreased libido, fatigue, loss of muscle mass, and osteoporosis. This gel formulation is intended to normalize testosterone levels in the body, thereby alleviating these symptoms.

The gel is a semisolid formulation that is applied topically, which means it is administered directly onto the skin. It is dispensed through a pump mechanism that is designed to deliver a measured dose of testosterone with each actuation. This allows for consistent dosing and helps to ensure that patients receive the correct amount of medication with each application. The gel is absorbed through the skin and then enters the bloodstream, where it circulates throughout the body and exerts its effects.

Upon application, the testosterone in the gel permeates the stratum corneum, the outermost layer of the skin, and undergoes a process of absorption into the systemic circulation. The gel's base is formulated to enhance the solubility and stability of testosterone, as well as to facilitate its release and absorption. The vehicle in which testosterone is suspended is designed to evaporate quickly, leaving behind the hormone to be absorbed. This delivery system bypasses the gastrointestinal tract and liver, reducing the potential for hepatic metabolism and improving bioavailability.

Once absorbed, testosterone binds to androgen receptors in target tissues, exerting its effects by regulating gene expression. This can lead to an increase in protein synthesis, muscle growth, and the restoration of sexual function, among other benefits. The goal of therapy is to restore testosterone levels to a physiologically normal range, thereby reducing or eliminating the symptoms associated with its deficiency.

Monitoring of testosterone levels, as well as regular check-ups, are necessary to ensure the safety and efficacy of the treatment. Additionally, patients should be instructed on the proper application of the gel, including the sites of application and the avoidance of skin-to-skin contact with others, particularly women and children, to prevent unintentional transfer of testosterone.

If you have any questions or require further information about the Testosterone 150 mg/ml Topical Gel, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to both patients and prescribers to ensure the safe and appropriate use of this formulation.

Other Uses

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The testosterone 150 mg/ml topical gel is primarily prescribed to treat conditions like hypogonadism, where the body does not produce enough testosterone. However, it can also have a range of off-label or secondary uses. For instance, some studies suggest that when applied appropriately, such testosterone gels may help alleviate symptoms of menopause related to estrogen decline. These include managing the decrease in libido some women experience during menopause. That being said, the use of testosterone for this purpose should be approached cautiously and under strict medical supervision to monitor for potential side effects.

Additionally, this gel may be used in gender-affirming hormone therapy for transgender men and nonbinary individuals. In this context, it can help in developing more masculine characteristics such as facial and body hair growth, a deeper voice, and increased muscle mass. Physicians prescribing this formulation for gender-affirming therapy will tailor the dosage regimen to the individual patient's therapeutic goals and physiological response.

Some athletes and bodybuilders have been known to use testosterone gels to potentially enhance muscle mass and performance. However, such use is controversial, often against the rules of sports governing bodies, and can be associated with significant health risks. As a result, we do not endorse this use of testosterone gel, and it should be used only under a doctor's prescription for recognized medical conditions.

Off-label uses of testosterone gel should be discussed with a healthcare professional. They can provide guidance on the potential risks and benefits, and monitor for side effects such as skin irritation, increased red blood cell count, or effects on cholesterol levels and heart health. The gel is designed to be absorbed through the skin, and its semisolid formulation ensures that the active ingredient is delivered in a controlled manner. Patients with known allergies to any components of the gel or with a history of hormone-sensitive tumors should avoid using this product.

For any further questions on the use of testosterone 150 mg/ml topical gel, whether for labeled indications or other uses, we encourage both patients and prescribers to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is equipped to provide detailed information and support, ensuring the safe and appropriate use of our formulations.

Frequently Asked Questions

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What is Testosterone 150 mg/ml Topical Gel used for?

Testosterone 150 mg/ml Topical Gel is used to treat conditions caused by a lack of testosterone hormone in men. This can include symptoms such as low sex drive, impotence, fatigue, and depression. The gel is applied topically, allowing the testosterone to be absorbed through the skin.

How do I use the Testosterone Topical Gel?

To use the gel, apply the prescribed amount to clean, dry, intact skin as directed by your healthcare provider. Common application sites include the shoulders, upper arms, or abdomen. Avoid applying the gel to broken or irritated skin. Do not apply to the genitals.

What are the advantages of using a gel formulation for testosterone replacement?

Using a gel formulation allows for consistent, daily dosing and steady absorption of testosterone through the skin. It avoids the peaks and troughs associated with injections and is a non-invasive alternative to other forms of testosterone replacement therapy.

Can women use Testosterone 150 mg/ml Topical Gel?

No, this medication is not generally recommended for women. It is specifically designed for men who have conditions related to low testosterone levels. Women exposed to this testosterone gel may experience unwanted side effects such as hair growth or changes in menstrual periods.

How long does it take for Testosterone Topical Gel to work?

The time it takes for the testosterone levels to rise and symptoms to improve can vary between individuals. Some may notice improvements within a few weeks while others might take a few months. It is important to follow up with your healthcare provider to monitor your testosterone levels and adjust the treatment if necessary.

How do I know if the dosage is right for me?

Your healthcare provider will determine the appropriate dosage based on your blood testosterone levels, medical condition, and response to treatment. Regular monitoring and follow-up appointments are essential to ensure the dose remains appropriate for your condition.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is near the time of your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

What are the possible side effects of Testosterone Topical Gel?

Possible side effects can include skin irritation at the application site, increased red blood cell count, headache, high blood pressure, and changes in prostate-specific antigen levels. Contact your healthcare provider if these side effects persist or worsen.

Can Testosterone Topical Gel transfer to others?

Yes, testosterone gel can transfer from your body to others. This can occur if they touch the area where the gel was applied or if there is skin-to-skin contact before the gel has completely dried. To prevent transfer, cover the application site with clothing after the gel has dried and wash your hands with soap and water.

How should I store Testosterone Topical Gel?

Store the gel at room temperature away from light and moisture. Do not freeze it. Keep it out of reach of children and pets. Dispose of any unused or expired gel according to your pharmacist’s instructions to prevent accidental exposure.

Can I bathe or swim after applying Testosterone Topical Gel?

It's advised to avoid showering, bathing, or swimming for a certain amount of time after applying the gel to ensure proper absorption. Typically, you should wait at least 5 to 6 hours before getting the application site wet. Be sure to follow the specific instructions provided by your healthcare provider.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Testosterone 150 mg/ml Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)