However, when AndroGel use is stopped, testosterone levels will drop below normal in a matter of five days. Low testosterone levels might be a condition that won't go away but that doesn't mean you can't deal with it. Use your medication regularly, keep testosterone levels normal, and you will experience relief from your symptoms.
How to use androgel
When you're using AndroGel (transdermal testosterone), it is ideal that you apply it at the same time each day, preferably in the morning. While you can apply the gel on several sites on your body, like the upper arms and abdominal area (but never the penis, scrotum, or genitals), follow the dosage prescribed to you and just spread out each dose. After application, wash your hands thoroughly with water and soap and let the application sites dry and then cover up to prevent transfer. Don't forget to prime the pump before your first use to ensure accurate dosage. Just press the pump three times and then discard the gel. Take care to properly dispose of the gel so that it won't come in contact with other people.
AndroGel (transdermal testosterone) is not suitable for use by males below 18 years old. You should also avoid using it if you have prostate cancer, breast cancer, or any of the ingredients found in it. Increased risks for acquiring prostate cancer or enlarged prostates are also more prevalent in older men. Women cannot and must not use AndroGel due to potential virilizing effects. Skin contact must also be avoided, specially by pregnant women, since it can cause fetal harm, as well as those nursing since it may cause adverse reactions in nursing infants. Virilizing effects are also possible in fetuses and infants.
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The partition coefficient of the ester in question is important because is effects how long the drug itself stays in the system. If the testosterone transfers too quickly from the oil to the blood, the result is a sudden spike in testosterone which then rapidly drops once the dose has been used up. In the example of free testosterone injected into the muscle from a water suspension (as in Aquiviron, mentioned above), the testosterone is essentially immediately available to the bloodstream due to its low partition coefficient, and thus there is an immediate spike of testosterone which is used up quickly in the body.
The US FDA requires a Risk Evaluation and Mitigation Strategy (REMS) medication guide for Testosterone. For Testosterone Undecanoate, REMS includes elements to assure safe use and implementation system . For additional information: /REMS
US BOXED WARNINGS :
Pulmonary Oil Microembolism (POME) Reactions And Anaphylaxis :
-Serious POME reactions, involving urge to cough, dyspnea, throat tightening, chest pain, dizziness, and syncope; and episodes of anaphylaxis, including life-threatening reactions, have been reported to occur during or immediately after the administration of testosterone undecanoate injection. These reactions can occur after any injection of testosterone undecanoate during the course of therapy, including after the first dose.
-Following each injection of testosterone undecanoate observe patients in the healthcare setting for 30 minutes in order to provide appropriate medical treatment in the event of serious POME reactions or anaphylaxis.
Secondary Exposure To Topical Testosterone :
-Virilization has been reported in children who were secondarily exposed to topical testosterone products.
-Children should avoid contact with unwashed or unclothed application sites in men using testosterone topical.
-Healthcare providers should advise patients to strictly adhere to recommended instructions for use.
Safety and efficacy have not been established in patients younger than 18 years.
Testosterone Enanthate and Testosterone Implant are indicated for delayed puberty in adolescent patients.
Testosterone Cypionate: Safety and efficacy have not been established in patients younger than 12 years.
Consult WARNINGS section for additional precautions.
Testosterone enanthate ( USAN , BAN ) (brand names Delatestryl , Testostroval , Testro LA , Andro LA , Durathate , Everone , Testrin , Andropository ), or testosterone heptanoate , is an androgen and anabolic steroid and a testosterone ester .    Along with testosterone cypionate and testosterone propionate , it is one of the most widely used testosterone esters.  Testosterone enanthate was first introduced in 1952.  Administered via intramuscular injection , it is the most widely used form of testosterone in androgen replacement therapy . 
Testosterone enanthate ( USAN , BAN ) (brand names Delatestryl , Testostroval , Testro LA , Andro LA , Durathate , Everone , Testrin , Andropository ), or testosterone heptanoate , is an androgen and anabolic steroid and a testosterone ester .    Along with testosterone cypionate and testosterone propionate , it is one of the most widely used testosterone esters.  Testosterone enanthate was first introduced in 1952.  Administered via intramuscular injection , it is the most widely used form of testosterone in androgen replacement therapy .