Testim Warnings and Precautions

Before you start treatment, warnings and precautions for Testim should be reviewed. It is important to know that the skin gel can rub off onto others with skin-to-skin contact, even hours after application, and cause virilization (the development of male characteristics) in women or children. You should not use Testim if you are female or have breast cancer or prostate cancer.


What Should I Tell My Healthcare Provider Before Taking Testim?

You should talk with your healthcare provider prior to taking Testim® (testosterone gel) if you have:
Also, let your healthcare provider know if you are:
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
Make sure to tell your healthcare provider about any other medications you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.

Specific Testim Warnings and Precautions

Warnings and precautions to be aware of prior to using Testim include the following:
  • This medication 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. Other signs of virilization include acne, early development of public hair in children, or abnormal changes in genital size in children.
  • Testim can rub off onto others with 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 the drug, as virilization of women or children may occur. If skin-to-skin contact is anticipated (such as for sexual intercourse), you should wash the area thoroughly before any contact occurs. If accidental contact occurs, the woman or child should wash their skin immediately to remove any of the medication that may have been transferred.
  • Let your healthcare provider know if any women or children who may have come into direct or indirect contact with Testim have signs of virilization. Stop using Testim until the exact cause of the virilization can be determined.
  • Testim 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 the medication and periodically thereafter.
  • Testim 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 taking Testim.
  • Androgens can increase the risk of liver problems, including liver cancer. Although these problems have not been reported with Testim, they cannot be completely ruled out.
  • Androgens can cause fluid retention, which can be dangerous for people with liver, heart, or kidney disease.
  • Breast enlargement can occur in men taking Testim.
  • Testim can worsen (or possibly even cause) sleep apnea.
  • Testim can potentially interact with a few other medications (see Testim Drug Interactions).
  • Testim is considered a pregnancy Category X medication. This means it is definitely not safe for use during pregnancy (see Testim and Pregnancy).
  • This medication is not safe for use during breastfeeding (see Testim and Breastfeeding).
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Testim Gel Information

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