TESTOSTERONE UNDECANEATE 40 MG CAPSULE – REPLACEMENT THERAPY IN MALE HYPOGONAD

Active Ingredients:
Each soft gelatin capsule contains 40 mg testosterone undecanoate dissolved in oleic acid.

COMPOSITION
Each capsule contains 40 mg testosterone undecanoate dissolved in oleic acid.

PHARMACOLOGICAL CLASSIFICATION
A 21.7 Male sex hormones

 PHARMACOLOGICAL ACTION
The active substance is testosterone undecanoate, a fatty acid ester of the natural androgen testosterone.
Testosterone undecanoate is able to bypass the liver via the lymphatic system and is therefore orally active.
Therapy with Testosterone Undecanoate capsules increases plasma levels of testosterone and its active metabolites.

INDICATIONS
Testosterone replacement therapy in male hypogonadal disorders, for example:

after castration;
eunuchoidism;
hypopituitarism.

Moreover, testosterone therapy may be indicated in osteoporosis due to hypogonadal male androgen deficiency.

CONTRA INDICATIONS
Impaired hepatic function and hypercalcaemia.
Known or suspected mammary or prostatic carcinoma.

WARNINGS
Middle aged and elderly males with angina pectoris or other severe circulatory disease should receive androgen treatment only under very careful supervision.

DOSAGE AND DIRECTIONS FOR USE
In general, dosage should be adjusted according to the individual response of the individual patient.
Usually, an initial dosage of 120-160 mg daily for 2 to 3 weeks is adequate, followed by a maintenance dosage of 40 120 mg daily.

Administration:
testosterone undecanoate capsules should be taken after meals, with a little fluid if necessary, and swallowed without chewing. It is preferable that half of the daily dose be taken in the morning and the other half in the evening. If an uneven number of capsules is to be taken, the larger dose should be taken in the morning.

SIDE EFFECTS AND SPECIAL PRECAUTIONS
The following adverse reactions have been associated with androgen therapy:

Priapism and other signs of excessive sexual stimulation.
Oligospermia and decreased ejaculatory volume.
Water and salt retention.

In prepubertal boys androgen therapy is problematic as precocious sexual development, and increased frequency of erections, phallic enlargement and premature epiphyseal closure may occur.
Special precautions:
If androgen associated adverse reactions occur, treatment should be interrupted, and after disappearance of the symptoms, be resumed at a lower dosage.
Patients with latent or overt cardiac failure, renal dysfunction, hypertension, epilepsy or migraine (or a history of these conditions) should be monitored, since androgens may induce salt and fluid retention.
A decrease in protein bound iodine (PBI) may occur, but this has no clinical significance.

KNOWN SYMPTOMS OF OVERDOSAGE AND PARTICULARS OF ITS TREATMENT:
See Side effects and Special Precautions.
Treat symptomatically.

CONDITIONS OF REGISTRATION:
Advertising to the professions only.

IDENTIFICATION:
Soft, reddish brown gelatin capsules with the code ‘ORG’on one side and the code ‘DV3′ on the reverse side.

PRESENTATION:
Securitainers with 60 capsules.

Note:

Testosterone replacement therapy in male hypogonadal disorders, for example

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