Men Home > Fortesta Warnings and Precautions
Tell your healthcare provider if you have heart disease, an enlarged prostate, or any other medical conditions before using Fortesta. This product isn't suitable for everyone, and the drug's warnings and precautions should be fully understood before starting treatment. If you are allergic to soy or any of the other ingredients used to make this medication, you should not use Fortesta.
What Should I Tell My Healthcare Provider?You should talk with your healthcare provider prior to taking Fortesta™ (testosterone gel) if you have:
- Heart disease
- Liver disease, such as hepatitis, cirrhosis, or liver failure
- Kidney disease, such as kidney failure (renal failure)
- Prostate cancer
- Breast cancer
- An enlarged prostate (also known as benign prostatic hyperplasia, or BPH)
- Sleep apnea
- Any allergies, including to foods, dyes, or preservatives.
Also, let your healthcare provider know if you are:
- Pregnant or thinking of becoming pregnant
Make sure to tell your healthcare provider about any other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
Warnings and precautions to be aware of prior to using this drug include the following:
- Testosterone replacement therapy can cause or worsen an enlarged prostate. It also appears to increase the risk of prostate cancer. Your healthcare provider should evaluate you for prostate cancer before you start Fortesta and periodically thereafter.
- Fortesta can rub off onto others with vigorous skin-to-skin contact, even hours after it is applied (it stays on the surface of the skin until washed off). Take measures to avoid exposing women and children to this medication.
- Fortesta is not approved for use in women. It has not been adequately studied in women and can cause virilization (the development of male characteristics, such as a deep voice or body hair) in women.
- This medication can potentially decrease sperm count, thereby decreasing fertility, although it can also help with certain causes of infertility related to low testosterone. Consult your healthcare provider if you experience difficulty conceiving a child while using Fortesta.
- Androgens can increase the risk of liver problems, including liver cancer. Although these problems have not been reported with Fortesta, they cannot be completely ruled out.
- Androgens can cause fluid retention, which can be dangerous for people with liver, heart, or kidney disease.
- Androgens can sometimes cause high levels of red blood cells. This can increase the risk of blood clots. If Fortesta causes your red blood cells to increase too much, you will need to stop using it.
- Breast enlargement can occur in men using Fortesta.
- Fortesta can worsen (or possibly even cause) sleep apnea.
- Fortesta can potentially react with a few other medications (see Fortesta Drug Interactions).
- This product is considered a pregnancy Category X medication. This means that it is definitely not safe for use during pregnancy (see Fortesta and Pregnancy).
- This medicine is not safe for use while breastfeeding (see Fortesta and Breastfeeding).