Testosterone injection and gel
Nebido, Testogel, Tostran
Granskad av Sid DajaniSenast uppdaterad av Michael Stewart, MRPharmSSenast uppdaterad 22 Feb 2025
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Testosterone is given as replacement therapy when natural testosterone levels fall too low.
If you experience frequent or persistent erections as a result of the treatment, please let your doctor know.
If you are using a gel, testosterone can be transferred to other people through close skin contact. This may cause side-effects in the other person. To prevent this from happening, cover the treated area with clothes or take a shower before you have close contact.
Överblick
Testosterone is a male sex hormone used to treat low testosterone levels in men.
It is available as an injection or a gel.
Innan du påbörjar behandlingen, berätta för din läkare om eventuella befintliga hälsotillstånd eller andra mediciner du tar.
If using the gel, it can transfer to others through close skin contact, so cover the treated area.
Frequent or persistent erections are a side-effect that needs medical attention.
Common side-effects include headaches, mood changes, skin irritation, and changes in blood test results.
About testosterone
Typ av medicin | An androgen (a male sex hormone) |
Används för | Androgen deficiency in men; delayed puberty in men |
Även kallad | Nebido®, Roxadin®, Sustanon 250®, Testavan®, Testogel®, Tostran® |
Tillgänglig som | Injection and gel |
Testosterone is produced by the testicles. It is known as an androgen - a male sex hormone. Testosterone is essential for the normal growth and development of the male sex organs and sexual characteristics. Where a man's natural testosterone levels are too low (a condition called male hypogonadism), testosterone is prescribed as replacement therapy. It can be prescribed as a gel which is applied to the skin or as an injection.
Before taking or using testosterone
Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking/using testosterone it is important that your doctor knows:
Om du har några problem med hur din lever fungerar, eller om du har några problem med hur dina njurar fungerar.
If you have a heart condition or high blood pressure.
If you have a condition called thrombophilia which affects the way your blood clots, or if you are at higher risk of blood clots for any other reason.
If you have any of the following conditions: epilepsy, migraine, or diabetes.
If you have a breathing problem while you are asleep called sleep apnoea.
If you have cancer.
Om du tar eller använder några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.
Om du någonsin har haft en allergisk reaktion mot en medicin.
How to take or use testosterone
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about the specific brand of testosterone you have been prescribed, and it will also provide you with a full list of the side-effects which you could experience.
Take or use testosterone exactly as your doctor tells you to. Your dose will be on the label of the pack to remind you. The doses given below are intended to be a guide only.
If you are having injections: these are given by your doctor or nurse, usually on a regular basis, so make sure you know when your next treatment is due.
If you are using Testavan®, Testim®, Testogel® or Tostran® gels: apply the gel at about the same time each day, to a clean, dry area of your skin. The manufacturer's information leaflet will explain which areas of your skin the gel can be applied to - please read this carefully before you use the gel. Your doctor or pharmacist will explain to you how much gel you should use each time.
If you miss a dose, read the manufacturer's information leaflet which comes with your treatment for advice on what to do.
Få ut det mesta av din behandling
Please try to keep any routine appointments with your doctor. This is so your doctor can check on your progress.
If you experience frequent or persistent erections, you must let your doctor know about this. Your dose may need to be adjusted or your treatment stopped for a while to avoid any injury.
If you are using a gel, testosterone can be transferred to other people through close skin contact. This may cause side-effects in the other person. To prevent this from happening, cover the treated area with clothes or take a shower before you have close contact. It is very important that pregnant women avoid contact with any areas of your skin which have been treated with testosterone gel.
Please be aware that testosterone preparations can interfere with anti-doping testing used in competitive sports.
Can testosterone cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains the most common ones associated with testosterone. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common testosterone side-effects | Vad kan jag göra om jag upplever detta? |
Headache and other aches and pains | Ask your pharmacist to recommend a suitable painkiller |
Mood changes, feeling dizzy | Speak with your doctor if troublesome |
Feeling sick (nausea), tummy (abdominal) pain | Stick to simple foods - avoid rich or spicy meals |
Skin rash and irritation, acne, swollen hands or feet, increased blood pressure, increased breast size, breast pain, increased body hair, prostate problems, increased weight, baldness | If any become troublesome, let your doctor know |
Changes to some blood test results | Din läkare kommer att övervaka dessa |
If you experience any other symptoms which you think may be due to the medicine, please speak with your doctor or pharmacist for further advice.
How to store testosterone
Förvara alla läkemedel utom räckhåll och synhåll för barn.
Förvara på en sval, torr plats, borta från direkt värme och ljus.
Viktig information om alla läkemedel
Viktig information om alla läkemedel
Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
If you are having an operation or dental treatment tell the person carrying out the treatment which medicines you are taking.
Om du köper några mediciner, kontrollera med en apotekare att de är säkra att ta tillsammans med dina andra mediciner.
Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.
Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.
Om du har några frågor om denna medicin, fråga din apotekare.
MHRA - Rapportera biverkningar
Rapportera misstänkta biverkningar av läkemedel, vacciner, e-cigaretter, medicintekniska händelser, defekta eller förfalskade (falska) produkter till Läkemedelsverket för att säkerställa säker och effektiv användning.

Osäker på att blanda mediciner?
Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.
Vanliga frågor
What is male hypogonadism?
Male hypogonadism is a condition where a man's natural testosterone levels are too low. Testosterone is prescribed as a replacement therapy for this condition.
What should I do if I forget to apply my testosterone gel?
If you miss a dose of your testosterone gel, you should refer to the manufacturer's information leaflet that came with your treatment. This leaflet will provide advice on what steps to take for a missed dose.
Can I use over-the-counter painkillers with testosterone?
For common side-effects like headaches and other aches and pains, you can ask your pharmacist to recommend a suitable painkiller. It's always best to check with a pharmacist if you buy any medicines to ensure they are safe to take with your testosterone or any other medicines you are using.
What if I experience tummy pain or feel sick after starting testosterone?
If you experience feeling sick (nausea) or tummy (abdominal) pain as a side-effect, you should stick to simple foods and avoid rich or spicy meals. If these symptoms continue or become troublesome, speak with your doctor or pharmacist for further advice.
Why do I need regular appointments with my doctor while on testosterone?
Routine appointments with your doctor are important so they can monitor your progress with the testosterone treatment. This allows them to check how you are responding and make any necessary adjustments to your treatment plan.
What should I do with expired or unused testosterone?
You should not keep out-of-date or unwanted medicines. Instead, take them to your local pharmacy, which will properly dispose of them for you.
Vidare läsning och referenser
- Manufacturer's PIL, Testogel® 16.2 mg/g, gel in sachet; Besins Healthcare (UK) Ltd, The electronic Medicines Compendium. Dated October 2024.
- Manufacturer's PIL, Tostran® 20mg/g transdermal gel; ADVANZ Pharma, The electronic Medicines Compendium. Dated September 2024.
- Mediciner Komplett BNF 89:e Utgåvan; Brittiska Läkarföreningen och Kungliga Farmaceutiska Sällskapet i Storbritannien, London.
Om författarenVisa fullständig biografi

Michael Stewart, MRPharmS
Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare
BPharm (Hons), MRPharmS
Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.
Om recensenten

Sid Dajani
Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.
Artikelhistorik
Informationen på denna sida är skriven och granskad av kvalificerade kliniker.
Artikeln finns också på Engelska, Tyska, Spanska, Franska, Italienska, Portugisiska, Hindi, Hebreiska, Arabiska, och Svenska.
Next review due: 22 Feb 2028
22 Feb 2025 | Senaste versionen

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