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GENERIC NAME
Testosterone Propionate
CHEMICAL NAME
17-Hydroxy-4-androsten-3-one 17-propionate
MOLECULAR STRUCTURE
C 22 H 32 O 3
MOLECULAR WEIGHT
344.49
H3C
COMPOSITION
Each ml of Testorapid contains Testosterone
Propionate USP 100mg in oily base quantity
sufficient.
PHARMACOLOGICAL CLASSIFICATION
Androgenic Hormone.
H3C
CH3
H
H
MECHANISM OF ACTION
Testosterone is secreted from leydig cell of testes. It is responsible for development of secondary
sex characters in males at the time of puberty and subsequent maintenance of spermatogenesis
during reproductive life of males. It binds to intracellular receptors in target cells where as the hormone receptor complex translocates to nucleus where it attaches to specific binding sites on the
chromosomes. This leads to increased synthesis of mRNA and protein
PHARMACOKINETIC PROPERTIES
TTestosterone propionate is an oil-based injectable testosterone. Testosterone Propionate has anabolic as well as androgenic properties, as well as a shorter half life compared to cypionate & enanthate esters. Testosterone propionate has a duration of effect of 1 to 2 days, therefore, restosterone
propionate is much faster acting than other testosterone esters.
Propionate is a rapidly effective testosterone that must be injected more often, and requires a much
more frequent dosing schedule in order to maintain stable blood levels. Testosterone is 98% bound
to a specific testosterone-estradiol binding globulin in plasma, and about 2% is free.
Approximately 90% of a dose of testosterone is excreated in the urine as glucuronic and sulphuric
acid ie., conjugates of testosterone and its metabolites; 6% of a dose is excreated in the feaces,
mostly in the conjugated form. Inactivation of testosterone occurs primarily in the liver. Testosterone
is metabolized to various 17-keto steroids.
Page 1
Testorapid 100mg/ml
GENERIC NAME
Testosterone Propionate
CHEMICAL NAME
17-Hydroxy-4-androsten-3-one 17-propionate
MOLECULAR STRUCTURE
C 22 H 32 O 3
MOLECULAR WEIGHT
344.49
INDICATIONS
Male:
Testicular failure: hypogonadal disorders, eunuchiodism, endocrine impotence,hypopituitarism, loss
of libido, delayed puberty, osteoporosis, infertility due to disorders of spermatogenesis, Male
climacteric symptoms, hereditary angioneurotic oedema.
Female:
Genitial carcinoma, Endometriosis, fibroids, breast carcinoma, menopausal
syndrome.
Page 2
Testorapid 100mg/ml
GENERIC NAME
Testosterone Propionate
CHEMICAL NAME
17-Hydroxy-4-androsten-3-one 17-propionate
MOLECULAR STRUCTURE
C 22 H 32 O 3
MOLECULAR WEIGHT
344.49
Hypersensitivity to testosterone or any other excipients.
Pregnancy and feeding mothers as testosterone esters causes foetal harm.
DRUG INTERACTIONS
Anticoagulant: Testosterone may potentiate the effects of anticoagulant. Antidiabetic agents & Insulin: may reduce the blood glucose level & insulin in diabetic patients. Oxyphenbutazone: concurrent
administration of Oxyphenbutazone and androgens may result in elevated serum levels of oxyphenbutazone. Rifampicin and Phenobarbitone may increase rate of metabolism.
PRESENTATION
5 ampoules of 1ml Testorapid (100mg/ml) in a plastic tray and such 2 trays in a carton.
DOSAGE AND DIRECTIONS FOR USE
TESTORAPID injections should be administered intramuscularly. The most common dosage is 50 to
100mg, every day or 2nd day and total weekly dosage would be in the range of 300-400mg.
Females: 50-100 mg three times in a week for the treatment of breast cancer in women.
STORAGE
Store in a cool dry place below 25 C.
Ampoules to be stored in outer carton box.
MARKETED BY
Alpha-Pharma Healthcare India Pvt. Ltd.
A-317, Sagar Tech Plaza
Andheri-Kurla Road,
Sakinaka Junction, Andheri (E)
Mumbai 400072
India
DATE OF PUBLICATION OF THIS PACKAGE INSERT
20th of April 2007.
Page 3
PRODUCT INFORMATION
PRIMOTESTON DEPOT
(testosterone enanthate)
DESCRIPTION
1 mL PRIMOTESTON DEPOT contains 250 mg testosterone enanthate (equivalent
to approximately 180 mg testosterone) in oily solution.
PRIMOTESTON DEPOT contains the following excipients: benzyl benzoate and
castor oil.
PHARMACOLOGY
The depot effect of testosterone enanthate permits long intervals between injections.
This ester not only has a long-lasting, but also a very intensive androgenic effect.
The duration of action of 1 mL PRIMOTESTON DEPOT is approximately 2-4 weeks
depending on the initial hormonal status.
INDICATIONS
Androgen replacement therapy for confirmed testosterone deficiency in males.
1 of 3
CONTRAINDICATIONS
Prostatic carcinoma, mammary carcinoma in males, previous or existing liver
tumours.
Hypersensitivity to any of the ingredients.
PRECAUTIONS
Androgens are not indicated for enhancing muscular development in healthy
individuals or for increasing physical ability.
As a precaution, regular examinations of the prostate are recommended.
Haemoglobin and haematocrit should be checked periodically in patients on longterm androgen therapy to detect cases of polycythemia (see ADVERSE EFFECTS).
In rare cases benign and in even rarer cases malignant liver tumours leading in
isolated cases to life-threatening intra-abdominal haemorrhage have been observed
after the use of hormonal substances such as the one contained in PRIMOTESTON
DEPOT. The doctor must therefore be informed of the occurrence of unusual upper
abdominal complaints which do not disappear spontaneously within a short time as it
may then be necessary to withdraw the preparation.
Interactions with other medicines
Phenobarbital increases the break-down of steroid hormones in the liver (possible
impairment of efficacy).
The clotting status should be monitored particularly closely when PRIMOTESTON
DEPOT is administered together with coumarin derivatives.
ADVERSE EFFECTS
High-dosed or long-term administration of testosterone occasionally increases the
tendency to water retention and oedema. Caution should therefore be exercised in
patients predisposed to oedema.
In very rare cases, jaundice and liver function test abnormalities were reported.
Rare cases of polycythaemia were reported. Gynaecomastia may occur in rare
cases. Acne may occur.
Spermatogenesis is inhibited by long-term and high-dosed treatment with
PRIMOTESTON DEPOT.
If, in individual cases, frequent or persistent erections occur, the dose should be
reduced or the treatment discontinued in order to avoid injury to the penis.
Various skin reactions including injection site reactions may occur.
Hypersensitivity reactions may occur.
091216 Primoteston Depot
2 of 3
3 of 3
PROPECIA
Finasteride
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions
about PROPECIA. It does not contain all the
available information.
It does not take the place of talkingto your doctor
or pharmacist.
All medicines have risks and benefits. Your
doctor has weighed the risks of you taking
PROPECIA against the benefits they expect it
will have for you.
If you have any concerns about taking this
medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
PROPECIA
Side Effects
Tell your doctor or pharmacist as soon as
possible if you do not feel well while you are
taking PROPECIA.
PROPECIA helps most men with male pattern
hair loss, but it may have unwanted side effects in
a few men. All medicines can have side effects.
Sometimes they are serious, most of the time they
are not. You may need medical treatment if you
get some of the side effects.
Ask your doctor or pharmacist to answer any
questions you may have.
Tell your doctor if you notice any of the
following and they worry you:
difficulty in achieving an erection
less desire for sex
decreased amount of semen released during
sex (this decrease does not appear to interfere
with normal sexual function)
Each of these side effects occurred in less than
two men in one hundred. It is important to
understand that, in clinical trials, these unwanted
effects disappeared in men who stopped taking
PROPECIA, as well as in many men who
continued treatment.
Also, tell your doctor if you notice problems
with ejaculation and it worries you.
Tell your doctor immediately if you notice any
of the following:
breast swelling and/or tenderness
skin rash, itchiness
hives or nettlerash (pinkish, itchy swellings
on the skin)
testicle pain
Supplier
PROPECIA is supplied in Australia by:
Merck Sharp & Dohme (Australia) Pty
Limited
A.B.N. 14 000 173 508
54-68 Ferndell Street
SOUTH GRANVILLE NSW 2142
This leaflet was prepared in September 2008.
Australian Register Number:
AUST R 62084
Disposal
If your doctor tells you to stop taking the
tablets, or the tablets have passed their expiry
date, ask your pharmacist what to do with any
that are left over.
Product description
What it looks like
PROPECIA comes as a tan,octagon-shaped tablet
with a 'P' logo marked on one side and
'PROPECIA' marked on the other.
A pack contains 28 or 63 tablets.
Ingredients
Active ingredient:
finasteride 1 mg per tablet
Inactive ingredients:
lactose
microcrystalline cellulose
pregelatinised maize starch
sodium starch glycollate
docusate sodium
magnesium stearate
hypromellose
hydroxypropylcellulose
titanium dioxide
talc purified
iron oxide yellow CI77492
iron oxide red CI77491
PROPECIA does not contain gluten, sucrose,
tartrazine or any other azo dyes.
PROPECIA
DEPO TESTOSTERONE
Testosterone cypionate injection, USP, 100mg per ml.
Presentation
DEPO TESTOSTERONE is a slightly yellow viscous solution available in vials containing
100 mg/ml testosterone cypionate injection, USP.
Uses
Actions
Endogenous androgens are responsible for normal growth and development of the male sex
organs and the maintenance of secondary sex characteristics. These effects include growth and
maturation of the prostate, seminal vesicles, penis, and scrotum; development of male hair
distribution, such as beard, pubic, chest, and axillary hair; laryngeal enlargement, vocal cord
thickening, and alterations in body musculature and fat distribution. Drugs in this class also
cause retention of nitrogen, sodium, potassium, and phosphorus, and decreased urinary excretion
of calcium. Androgens have been reported to increase protein anabolism and decrease protein
catabolism. Nitrogen balance is improved only when there is sufficient intake of calories and
protein.
Androgens are responsible for the growth spurt of adolescence and the eventual termination on
linear growth, brought about by fusion of the epiphyseal growth centres. In children, exogenous
androgens accelerate linear growth rates, but may cause disproportionate advancement in bone
maturation. Use over long periods may result in fusion of the epiphyseal growth centres and
termination of the growth process. Androgens have been reported to stimulate production of red
blood cells by enhancing production of erythropoietic stimulation factor.
During exogenous administration of androgens, endogenous testosterone release is inhibited
through feedback inhibition of pituitary luteinizing hormone (LH). At large doses of exogenous
androgens, spermatogenesis may also be suppressed through feedback inhibition of pituitary
follicle stimulating hormone (FSH).
There is a lack of substantial evidence that androgens are effective in fractures, surgery,
convalescence, and functional uterine bleeding.
Pharmacokinetics
Testosterone esters are less polar than free testosterone. Testosterone esters in oil injected
intramuscularly are absorbed slowly from the lipid phase; thus, testosterone cypionate can be
given at intervals of two to four weeks.
Testosterone in plasma is 98 percent bound to a specific testosterone-estradiol binding globulin,
and about 2 percent is free. Generally, the amount of this sex-hormone binding globulin in the
plasma will determine the distribution of the testosterone between free and bound forms, and the
free testosterone concentration will determine its half-life.
About 90 percent of a dose of testosterone is excreted in the urine as glucuronic and sulphuric
acid conjugates of testosterone and its metabolites; about 6 percent of a dose is excreted in the
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MOH Approved: 11 October 2006
Commercial/Non-Commercial
Supercedes: pfdtesti10902
Page 1 of 5
faeces, mostly in the unconjugated form. Inactivation of testosterone occurs primarily in the
liver. Testosterone is metabolised to various 17-keto steroids through two different pathways.
The half-life of testosterone cypionate when injected intra-muscularly is approximately eight
days.
In the many tissues the activity of testosterone appears to depend on reduction to
dihydrotestosterone, which binds to cytosol receptor proteins. The steroid-receptor complex is
transported to the nucleus where it initiates transcription events and cellular changes related to
androgen action.
Indications
DEPO-TESTOSTERONE Sterile Solution is indicated for replacement therapy in the male in
conditions associated with symptoms of deficiency or absence of endogenous testosterone.
1.
Primary hypogonadism (congenital or acquired)-testicular failure due to cryptorchidism,
bilateral torsion, orchitis, vanishing testis syndrome; or orchidectomy.
2.
Hypogonadotropic hypogonadism (congenital or acquired)-idiopathic gonadotropin or
LHRH deficiency, or pituitary-hypothalamic injury from tumours, trauma, or radiation.
Contraindications
Known hypersensitivity to the drug.
Males with carcinoma of the breast.
Males with known or suspected carcinoma of the prostate gland.
Women who are or who may become pregnant.
Patients with serious cardiac, hepatic or renal disease.
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Carcinogenesis
Animal Data: Testosterone has been tested by subcutaneous injection and implantation in mice
and rats. The implant induced cervical-uterine tumours in mice, which metastasised in some
cases. There is suggestive evidence that injection of testosterone into some strains of female
mice increases their susceptibility to hepatoma. Testosterone is also known to increase the
numbers of tumours and decrease the degree of differentiation of chemically-induced carcinomas
of the liver in rats.
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Human Data: There are rare reports of hepatocellular carcinoma in patients receiving long-term
therapy with androgens in high doses. Withdrawal of the drugs did not lead to regression of the
tumours in all cases.
Geriatric patients treated with androgens may be at an increased risk of developing prostatic
hypertrophy and prostatic carcinoma although conclusive evidence to support this concept is
lacking.
Pregnancy: DEPO-TESTOSTERONE is contraindicated in women who are or who may
become pregnant.
Nursing Mothers: DEPO-TESTOSTERONE is not recommended for use in nursing mothers.
Paediatric Use: Safety and effectiveness in paediatric patients below the age of 12 years have
not been established.
Adverse Effects
The following adverse reactions in the male have occurred with some androgens:
Endocrine and urogenital: Gynaecomastia and excessive frequency and duration of penile
erections. Oligospermia may occur at high dosages.
Skin and appendages: Hirsutism, male pattern of baldness, seborrhoea, and acne.
Fluid and electrolyte disturbances: Retention of sodium, chloride, water, potassium, calcium
and inorganic phosphates.
Gastrointestinal: Nausea, cholestatic jaundice, alterations in liver function tests, rarely
hepatocellular neoplasms and peliosis hepatis (See Warnings).
Haematologic: Suppression of clotting factors II, V, VII and X, bleeding in patients on
concomitant anticoagulant therapy, and polycythaemia.
Nervous system: Increased or decreased libido, headache, anxiety, depression, and generalised
paraesthesia.
Allergic: Hypersensitivity, including skin manifestations and anaphylactoid reactions.
Miscellaneous: Inflammation and pain at the site of intra-muscular injection.
Interactions
Androgens may increase sensitivity of oral anticoagulants. Dosage of the anticoagulant may
require reduction in order to maintain satisfactory therapeutic hypoprothrombinaemia.
Concurrent administration of oxyphenbutazone and androgens may result in elevated serum
levels of oxyphenbutazone.
In diabetic patients, the metabolic effects of androgens may decrease blood glucose and,
therefore, insulin requirements.
Overdosage
There have been no reports of acute overdosage with the androgens.
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Commercial/Non-Commercial
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Pharmaceutical Precautions
Store at controlled room temperature (20-25C) and protect from light.
Medicine Classification
Prescription medicine.
Package Quantities
DEPO-TESTOSTERONE is available in 10 ml multi-dose vials.
Further Information
DEPO-TESTOSTERONE contains testosterone cypionate, benzyl benzoate, cottonseed oil, and
benzyl alcohol.
Date of Preparation
17 August 2006
(Ref.: USPI August 2002)
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Depo -Testosterone
testosterone cypionate injection, USP
DESCRIPTION
DEPO-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)- cyclopentylpropionate ester of the androgenic
hormone testosterone.
Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly
so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils.
The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl1-oxopropoxy)-, (17)-. Its molecular formula is C27H40O3, and the molecular weight 412.61.
The structural formula is represented below:
OCOCH 2 CH 2
CH3
CH3
H
H
DEPO-Testosterone Injection is available in two strengths, 100 mg/mL and 200 mg/mL
testosterone cypionate.
Depo-Testosterone
0811020214
testosterone cypionate
injection, USP
Depo-Testosterone
testosterone cypionate
injection, USP
0811020214
CLINICAL PHARMACOLOGY
Endogenous androgens are responsible for normal growth and development of the
male sex organs and for maintenance of secondary sex characteristics. These effects include
growth and maturation of the prostate, seminal vesicles, penis, and scrotum; development
of male hair distribution, such as beard, pubic, chest, and axillary hair; laryngeal enlargement, vocal cord thickening, and alterations in body musculature and fat distribution.
Drugs in this class also cause retention of nitrogen, sodium, potassium, and phosphorous, and decreased urinary excretion of calcium. Androgens have been reported to increase
protein anabolism and decrease protein catabolism. Nitrogen balance is improved only
when there is sufficient intake of calories and protein.
Androgens are responsible for the growth spurt of adolescence and for eventual termination of linear growth, brought about by fusion of the epiphyseal growth centers.
In children, exogenous androgens accelerate linear growth rates, but may cause disproportionate advancement in bone maturation. Use over long periods may result in fusion
of the epiphyseal growth centers and termination of the growth process. Androgens
have been reported to stimulate production of red blood cells by enhancing production of erythropoietic stimulation factor.
During exogenous administration of androgens, endogenous testosterone release is
inhibited through feedback inhibition of pituitary luteinizing hormone (LH). At large doses
of exogenous androgens, spermatogenesis may also be suppressed through feedback
inhibition of pituitary follicle stimulating hormone (FSH).
There is a lack of substantial evidence that androgens are effective in fractures,
surgery, convalescence, and functional uterine bleeding.
Pharmacokinetics
Testosterone esters are less polar than free testosterone. Testosterone esters in oil
injected intramuscularly are absorbed slowly from the lipid phase; thus, testosterone cypionate can be given at intervals of two to four weeks.
Testosterone in plasma is 98 percent bound to a specific testosterone-estradiol
binding globulin, and about 2 percent is free. Generally, the amount of this sex-hormone
binding globulin in the plasma will determine the distribution of testosterone between
free and bound forms, and the free testosterone concentration will determine its
half-life.
About 90 percent of a dose of testosterone is excreted in the urine as glucuronic and
sulfuric acid conjugates of testosterone and its metabolites; about 6 percent of a
dose is excreted in the feces, mostly in the unconjugated form. Inactivation of testosterone occurs primarily in the liver. Testosterone is metabolized to various 17-keto steroids
through two different pathways.
The half-life of testosterone cypionate when injected intramuscularly is approximately eight days.
In many tissues the activity of testosterone appears to depend on reduction to dihydrotestosterone, which binds to cytosol receptor proteins. The steroid-receptor complex is transported to the nucleus where it initiates transcription events and cellular changes
related to androgen action.
INDICATIONS AND USAGE
DEPO-Testosterone Injection is indicated for replacement therapy in the male in
conditions associated with symptoms of deficiency or absence of endogenous testosterone.
1. Primary hypogonadism (congenital or acquired)-testicular failure due to cryptorchidism,
bilateral torsion, orchitis, vanishing testis syndrome; or orchidectomy.
2. Hypogonadotropic hypogonadism (congenital or acquired)-idiopathic gonadotropin
or LHRH deficiency, or pituitary-hypothalamic injury from tumors, trauma, or radiation.
CONTRAINDICATIONS
1. Known hypersensitivity to the drug
2. Males with carcinoma of the breast
3. Males with known or suspected carcinoma of the prostate gland
4. Women who are or who may become pregnant
5. Patients with serious cardiac, hepatic or renal disease
WARNINGS
Hypercalcemia may occur in immobilized patients. If this occurs, the drug should be
discontinued.
Prolonged use of high doses of androgens (principally the 17- alkyl-androgens) has
been associated with development of hepatic adenomas, hepatocellular carcinoma, and
peliosis hepatis all potentially life-threatening complications.
Geriatric patients treated with androgens may be at an increased risk of developing
prostatic hypertrophy and prostatic carcinoma although conclusive evidence to support
this concept is lacking.
Edema, with or without congestive heart failure, may be a serious complication in patients
with pre-existing cardiac, renal or hepatic disease.
Gynecomastia may develop and occasionally persists in patients being treated for hypogonadism.
This product contains benzyl alcohol. Benzyl alcohol has been reported to be associated with a fatal "Gasping Syndrome" in premature infants.
Androgen therapy should be used cautiously in healthy males with delayed puberty.
The effect on bone maturation should be monitored by assessing bone age of the wrist
and hand every 6 months. In children, androgen treatment may accelerate bone maturation without producing compensatory gain in linear growth. This adverse effect may
result in compromised adult stature. The younger the child the greater the risk of compromising final mature height.
This drug has not been shown to be safe and effective for the enhancement of
athletic performance. Because of the potential risk of serious adverse health effects, this
drug should not be used for such purpose.
Depo-Testosterone
brand of testosterone cypionate injection, USP
PRECAUTIONS
General: Patients with benign prostatic hypertrophy may develop acute urethral obstruction. Priapism or excessive sexual stimulation may develop. Oligospermia may occur after
prolonged administration or excessive dosage. If any of these effects appear, the
androgen should be stopped and if restarted, a lower dosage should be utilized.
Testosterone cypionate should not be used interchangeably with testosterone propionate because of differences in duration of action.
Testosterone cypionate is not for intravenous use.
Information for patients: Patients should be instructed to report any of the following:
nausea, vomiting, changes in skin color, ankle swelling, too frequent or persistent
erections of the penis.
Laboratory tests: Hemoglobin and hematocrit levels (to detect polycythemia) should
be checked periodically in patients receiving long-term androgen administration.
Serum cholesterol may increase during androgen therapy.
Drug interactions: Androgens may increase sensitivity to oral anticoagulants. Dosage
of the anticoagulant may require reduction in order to maintain satisfactory therapeutic
hypoprothrombinemia.
Concurrent administration of oxyphenbutazone and androgens may result in elevated
serum levels of oxyphenbutazone.
In diabetic patients, the metabolic effects of androgens may decrease blood glucose
and, therefore, insulin requirements.
Drug/Laboratory test Interferences: Androgens may decrease levels of thyroxinebinding globulin, resulting in decreased total T 4 serum levels and increased resin
uptake of T3 and T4. Free thyroid hormone levels remain unchanged, however, and there
is no clinical evidence of thyroid dysfunction.
Carcinogenesis: Animal data. Testosterone has been tested by subcutaneous injection and implantation in mice and rats. The implant induced cervical-uterine tumors in
mice, which metastasized in some cases. There is suggestive evidence that injection of
(continued below)
testosterone into some strains of female mice increases their susceptibility to hepatoma.
Testosterone is also known to increase the number of tumors and decrease the degree
of differentiation of chemically- induced carcinomas of the liver in rats.
Human data. There are rare reports of hepatocellular carcinoma in patients receiving long-term therapy with androgens in high doses. Withdrawal of the drugs did not
lead to regression of the tumors in all cases.
Geriatric patients treated with androgens may be at an increased risk of developing
prostatic hypertrophy and prostatic carcinoma although conclusive evidence to support
this concept is lacking.
Pregnancy: Teratogenic Effects. Pregnancy Category X. (See CONTRAINDICATIONS.)
Nursing mothers: DEPO-Testosterone is not recommended for use in nursing
mothers.
Pediatric use: Safety and effectiveness in pediatric patients below the age of 12 years
have not been established.
ADVERSE REACTIONS
The following adverse reactions in the male have occurred with some androgens:
Endocrine and urogenital: Gynecomastia and excessive frequency and duration of penile
erections. Oligospermia may occur at high dosages.
Skin and appendages: Hirsutism, male pattern of baldness, seborrhea, and acne.
Fluid and electrolyte disturbances: Retention of sodium, chloride, water, potassium,
calcium, and inorganic phosphates.
Gastrointestinal: Nausea, cholestatic jaundice, alterations in liver function tests, rarely
hepatocellular neoplasms and peliosis hepatis (see WARNINGS).
Hematologic: Suppression of clotting factors II, V, VII, and X, bleeding in patients on
concomitant anticoagulant therapy, and polycythemia.
Nervous system: Increased or decreased libido, headache, anxiety, depression, and generalized paresthesia.
Allergic: Hypersensitivity, including skin manifestations and anaphylactoid reactions.
Miscellaneous: Inflammation and pain at the site of intramuscular injection.
DRUG ABUSE AND DEPENDENCE
Controlled Substance Class: Testosterone is a controlled substance under the
Anabolic Steroids Control Act, and DEPO-Testosterone Injection has been assigned to
Schedule III.
OVERDOSAGE
There have been no reports of acute overdosage with the androgens.
DOSAGE AND ADMINISTRATION
DEPO-Testosterone Injection is for intramuscular use only.
It should not be given intravenously. Intramuscular injections should be given deep
in the gluteal muscle.
The suggested dosage for DEPO-Testosterone Injection varies depending on the
age, sex, and diagnosis of the individual patient. Dosage is adjusted according to the patients
response and the appearance of adverse reactions.
Various dosage regimens have been used to induce pubertal changes in hypogonadal
males; some experts have advocated lower dosages initially, gradually increasing the dose
as puberty progresses, with or without a decrease to maintenance levels. Other experts
emphasize that higher dosages are needed to induce pubertal changes and lower
dosages can be used for maintenance after puberty. The chronological and skeletal ages
must be taken into consideration, both in determining the initial dose and in adjusting
the dose.
For replacement in the hypogonadal male, 50-400 mg should be administered every
two to four weeks.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit. Warming
and shaking the vial should redissolve any crystals that may have formed during storage at temperatures lower than recommended.
HOW SUPPLIED
DEPO-Testosterone Injection is available as follows:
100 mg/mL
10 mL vials
NDC 0009-0347-02
200 mg/mL
1 mL vials
NDC 0009-0417-01
10 mL vials
NDC 0009-0417-02
Vials should be stored at controlled room temperature 20 to 25C (68 to 77F)
[see USP]. Protect from light.
% only
Pharmacia & Upjohn Company, A subsidiary of Pharmacia Corporation
Kalamazoo, Michigan 49001, USA
Revised August 2002
TAMOXIFEN SANDOZ
tamoxifen citrate tablets
Consumer Medicine Information
WHAT IS IN THIS LEAFLET
This leaflet answers some common questions
about Tamoxifen Sandoz.
It does not contain all the available information.
It does not take the place of talking to your doctor
or pharmacist.
How to take it
Swallow the tablets whole with a full glass of
water.
TAMOXIFEN SANDOZ
Things to be careful of
Be careful driving or operating machinery
until you know how Tamoxifen Sandoz affects
you.
This medicine may cause dizziness and lightheadedness in some people. If you have any of
these symptoms, do not drive, operate machinery
or do anything else that could be dangerous.
SIDE EFFECTS
Tell your doctor or pharmacist as soon as
possible if you do not feel well while you are
taking Tamoxifen Sandoz.
All medicines can have side effects. Sometimes
they are serious, most of the time they are not.
You may need medical attention if you get some
of the side effects.
TAMOXIFEN SANDOZ
Disposal
If your doctor tells you to stop taking this
medicine or the expiry date has passed, ask your
pharmacist what to do with any medicine that is
left over.
PRODUCT DESCRIPTION
What it looks like
Tamoxifen Sandoz 20mg - white, round tablets
with a notch on one side.
Available in blisters of 60 tablets.
Ingredients
Active ingredient:
Tamoxifen Sandoz 20mg - 20mg tamoxifen
(as citrate)
Inactive ingredients:
lactose
sodium starch glycollate
povidone
microcrystalline cellulose
magnesium stearate
titanium dioxide
hypromellose
macrogol 4000.
Supplier
Sandoz Pty Ltd
ABN 60 075 449 553
Level 4, 100 Harris St
Pyrmont NSW 2009
Tel: 1800 634 500
Novartis New Zealand Ltd
Private Bag 65904 Mairangi Bag
Auckland 0754
New Zealand
Tel: 0800 354 335
This leaflet was revised in February 2010.
Australian Register Number
20mg tablets: AUST R 80076
Clomid
(clo(h)-mid)
clomiphene citrate (clom-i-feen sit-rate)
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions
about Clomid.
It does not contain all the available information.
It does not take the place of talking
to your doctor.
All medicines have risks and benefits. Your
doctor has weighed the risks of you taking
Clomid against the benefits he/she expects it will
have for you.
If you have any concerns about taking this
medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
When to take it
Clomid
Things to be careful of
Be careful driving or operating machinery
until you know how Clomid affects you.
Clomid may cause visual disturbances in some
people. Make sure you know how you react to
Clomid before you drive a car, operate
machinery, or do anything else that could be
dangerous if you are dizzy or have blurred vision.
Side effects
Disposal
Product description
What it looks like
Clomid tablets are white with a score line and
marked Clomid and 50 on the scored side.
The 50mg strength is available in boxes of 10
tablets
Ingredients
Each Clomid tablet contains clomiphene citrate
(50mg), sucrose, lactose, maize starch and
magnesium stearate.
Clomid does not contain tartrazine or any other
azo dyes.
Manufacturer
sanofi-aventis australia pty ltd
12-24 Talavera Road
Macquarie Park NSW 2113
AUST R 10103
Date of preparation: June 2008
CLOMID
Clomid
Sustanon '250'
Testosterone propionate, phenylpropionate, isocaproate and decanoate
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions
about Sustanon. It does not contain all the
available information.
It does not take the place to talking to your doctor
or pharmacist.
All medicines have risks and benefits. Your
doctor has weighed the risks of you taking
Sustanon against the benefits they expect it will
have for you.
If you have any concerns about taking this
medicine, ask your doctor or pharmacist.
Keep this leaflet.
You may wish to read it again.
Sustanon '250'
Side Effects
All medicines can have side effects. Sometimes
they are serious, most of the time they are not.
Do not be alarmed by the following list of side
effects. You may not experience any of them.
Tell your doctor or pharmacist as soon as
possible if you do not feel well while you are
taking Sustanon.
The side effects which are reported with
testosterone therapy in general are:
pain at the injection site
itching
acne
nausea
changes in liver function tests
changes in cholesterol levels (changes in
lipid metabolism)
depression, nervousness, mood disturbances
muscle pain
fluid retention e.g. swelling of ankles and
feet
high blood pressure
increase in the number of red blood cells
increased or decreased sexual desire
prolonged abnormal, painful erection of the
penis
disturbed formation of sperm
breast enlargement in men
prostatic growth to a size representative for
the concerned age group
increased levels of a blood marker which is
associated with prostate cancer (PSA
increased)
increased growth of a small prostate cancer
which has not been detected yet.
Some side effects have no symptoms. These side
effects e.g. changes in cholesterol levels, changes
in liver function tests, increase in the number of
red blood cells or increased blood pressure can
only be found when your doctor does tests to
check your progress.
Tell your doctor if you notice any other side
effects.
Other side effects not listed in this leaflet also
occur in some people.
Due to the nature of Sustanon, side effects
cannot be quickly reversed by discontinuing
medication.
Storage
Keep Sustanon in the original box in a safe
place out of reach of children.
Keep it in a cool dark place where the
temperature stays between 8 - 25C. Do not
refrigerate as this makes the product difficult
to inject.
Do not use Sustanon after the expiry date
stated on the label after the term 'exp'.
Disposal
Return any unused medicine to your pharmacist.
Product Description
What it looks like
Each pack contains a clear glass ampoule of an
oily, pale yellow, clear liquid.
Do not use this medicine if the glass ampoules
are broken or damaged or if the product doesn't
look right.
Ingredients
Sustanon contains several testosterone esters as
the active ingredients.
Each 1 mL of Sustanon '250' contains:
testosterone propionate 30 mg
testosterone phenylpropionate 60 mg
testosterone isocaproate 60 mg
testosterone decanoate 100 mg.
It also contains:
arachis oil (base)
benzyl alcohol (preservative)
Supplier
This medicine is supplied in Australia by:
Schering-Plough Pty Limited
Level 4, 66 Waterloo Road,
North Ryde NSW 2113
Australia
This leaflet was prepared in
June 2010.
Australian Registration Numbers:
Sustanon '250' injection ampoule (Aust R
14521)
Sustanon '250'
PRIMOTESTON DEPOT
250 mg testosterone enantate for intramuscular injection
What is in this leaflet
Please read this leaflet carefully before you start using PRIMOTESTON DEPOT. It will
advise you about how to take PRIMOTESTON DEPOT properly and when to tell your
doctor about health-related conditions. If you have any questions or need more advice,
ask your doctor, professional health care provider or pharmacist.
What is PRIMOTESTON DEPOT used for and how does it work
PRIMOTESTON DEPOT contains a derivative of the natural male sex hormone
testosterone (testosterone enanathate).
How does PRIMOTESTON DEPOT work?
PRIMOTESTON DEPOT can be considered an androgenic hormonal preparation that is
it induces a masculinising effect such as that produced by the testis, ovaries and adrenal
cortex.
After PRIMOTESTON DEPOT is injected into your muscle it is gradually released into the
bloodstream thus allowing a time interval between injections. The effect of
PRIMOTESTON DEPOT lasts approximately 2- 4 weeks but differs between individuals.
What is PRIMOTESTON DEPOT used for?
PRIMOTESTON DEPOT is used in men for conditions of hypogonadism (abnormal
hormone secretion of the gonads); potency disorders; male climacteric (a stage of life
similar to that of menopause in females which can lead to symptoms such as: fatigue,
diminished sexual desire, erectile impotency) and aplastic anaemia (a condition resulting
in an abnormal number of red blood cells).
In woman, PRIMOTESTON DEPOT is used as a supplementary therapy for progressive
breast cancer during the postmenopausal period.
Before you use PRIMOTESTON DEPOT
Do not use PRIMOTESTON DEPOT if you have any of the conditions listed below. If any
of these apply to you, tell your doctor before starting to use PRIMOTESTON DEPOT.
You must not use PRIMOTESTON DEPOT if:
Injection of 250mg PRIMOTESTON DEPOT into the muscle every 2 weeks has led to
remissions in some cases. Other benefits of this type of therapy include pain relief,
improved condition and mental stimulation.
In particular, PRIMOTESTON DEPOT has frequently shown a positive effect on bone
metastases. To maintain this effect it may be necessary to shorten the time intervals
between treatments.
Overdosage
PRIMOTESTON DEPOT is classified as non-toxic after single intake. Even in instances
which require higher doses of PRIMOTESTON DEPOT no toxicity is to be expected.
When using PRIMOTESTON DEPOT
Tell your doctor immediately if:
You are taking phenobarbital as this medication may decrease the effectiveness of
PRIMOTESTON DEPOT.
You develop a blood clot, especially when taking medicines which contain coumarin
derivatives at the same time as treatment with PRIMOTESTON DEPOT.
Regular check-ups
When you are using PRIMOTESTON DEPOT, your doctor will tell you to return for
regular check-ups.
Side effects
Tell your doctor if you notice any unwanted effect, especially if severe or persistent, or if
there is a change in your health that you think might be caused by PRIMOTESTON
DEPOT.
The following undesirable side effects have been reported.
Water retention and swelling (particularly from high dosed or long term use of
PRIMOTESTON DEPOT)
jaundice, increased number of red blood cells or abnormal liver function tests
gynaecomastia (breast enlargement in men)
acne
masculinization in women e.g. acne, hirsutism (excessive hair growth), voice
changes
inhibition of spermatogenesis (sperm production)
an increase in haemoglobin and/or haematocrit levels
frequent or persistent erections in men
various skin and injection site reactions
hypersensitivity reactions
Storage
Do not use after the expiry date stated on the package.
Store all drugs properly and keep them out of reach of children.
Further information
PRIMOTESTON DEPOT 250mg contains:
Active substances (per ml)
testosterone enantate 250 mg
Other substances
benzyl benzoate, castor oil
If you have any further questions please consult your doctor or pharmacist.
Sponsor
Schering (NZ) Ltd.,
P.O. Box 101-691, North Shore Mail Centre,
AUCKLAND.
Freephone: 0800-80-4545
This leaflet was last revised on 9th February 2004
Deca-Durabolin
Nandrolone decanoate
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions
about Deca-Durabolin.
It does not contain all the available information.
It does not take the place of talking to your doctor
or pharmacist.
All medicines have risks and benefits. Your
doctor has weighed the risks of you taking DecaDurabolin against the benefits they expect it will
have for you.
A doctor's prescription is required to obtain this
medicine.
If you have any concerns about taking this
medicine, ask your doctor or pharmacist.
Keep this information with the pack.
You may wish to read it again.
Deca-Durabolin
Side Effects
All medicines can have side effects. Sometimes
they are serious, most of the time they are not.
Do not be alarmed by the following list of side
effects. You may not experience any of them.
Tell your doctor or pharmacist if you notice
any of the following and they worry you:
In general:
pain at the injection site
fluid retention e.g. swelling of the ankles or
feet
increased blood pressure
oily skin, greasy hair
acne, rash
itching
nausea
increased blood fats
abnormal liver function
increased or decreased sexual desire
liver anatomy changes
incomplete statural growth.
In males:
enlargement of the penis
enlargement of the breast
difficulty to urinate (growth of the prostate)
disturbed formation of sperm
painful erections
testicular atrophy
impotence.
In females:
hoarseness or changes of the voice, which
may be long-lasting or permanent
increased body or facial hair
irregular periods (or complete absence of
periods)
enlargement of the clitoris
masculinisation.
Storage
Keep Deca-Durabolin in the original box in a
safe place out of reach of children.
Keep it in a cool dark place where the
temperature stays below 30C.
Do not refrigerate as this makes the product
difficult to inject.
Do not use Deca-Durabolin after the expiry
date stated on the label after the term 'exp.'.
Disposal
Return any unused medicine to your pharmacist.
Product Description
What it looks like
Deca-Durabolin comes in a transparent 1 mL prefilled syringe with a fixed needle or ampoules.
Ingredients
Deca-Durabolin contains 50 mg/mL of
nandrolone decanoate as the active ingredient.
It also contains:
Arachis oil (base)
Benzyl alcohol (preservative)
Supplier
This medicine is supplied in Australia by:
Schering-Plough Pty Limited
Level 4, 66 Waterloo Road,
North Ryde NSW 2113
Australia
Australian Registration Numbers:
Deca-Durabolin Orgaject 50mg/mL solution for
injection (AUST R 10655)
Leaflet prepared: February 2009
The information supplied relates only to DecaDurabolin and should not be used in relation
to any other product which may also contain
the same active ingredients.
For further information please ask your
doctor or pharmacist
Deca-Durabolin
PROVIRON
(mesterolone)
Consumer Medicine Information
Please read this leaflet carefully before you
start to use PROVIRON. This leaflet will
provide information about the benefits and
risks of using PROVIRON. It will also advise
you about how to take PROVIRON properly
and when to tell your doctor about healthrelated conditions. If you have any questions
or need more advice, ask your doctor or
pharmacist.
Keep this leaflet in a handy place; you may
wish to refer to it again before you have
finished taking the tablets.
It is important to remember that PROVIRON
is a PRESCRIPTION ONLY MEDICINE you should only use PROVIRON tablets as
directed by your doctor.
IDENTIFICATION
UNWANTED EFFECTS
Tell your doctor if you notice any unwanted
effect, especially if severe or persistent, or if there
is a change in your health that you think might be
caused by PROVIRON.
If, in individual cases, frequent or persistent
erections occur, the dose should be reduced or the
treatment discontinued in order to avoid injury to
the penis.
IN CASE OF OVERDOSE
As PROVIRON is given to you under the
supervision of your doctor, it is very unlikely that
you will receive too much. However if you
experience any side effects after being given
PROVIRON, tell your doctor immediately.
STORING PROVIRON
Proviron should be stored below 30 deg C. It
should not be used after the expiry date printed
on the outer box.
SPONSOR
PROVIRON is distributed in Australia by
Schering Pty Limited, 27-31 Doody Street,
Alexandria NSW 2015.
DATE OF INFORMATION
This document was prepared in February 2003.
PROVIRON
Data Sheet
30/April/2010 6:34 AM
Data Sheet
SUSTANON
Testosterone 250mg/ml for injection
Oily solution for intramuscular use
Presentation
A clear, pale yellow solution.
Each ml of the solution contains:
testosterone proprionate
30mg
60mg
testosterone decanoate
100mg
Uses
Actions
Pharmacotherapeutic group: Androgens. ATC code G03B A03.
Treatment of hypogonadal men with SUSTANON results in a clinically significant rise of plasma concentrations of
testosterone, dihydrotestosterone, oestradiol and androstenedione, as well as a decrease of SHBG (sex hormone
binding globulin). Luteinizing hormone (LH) and follicle-stimulating hormone (FSH) are restored to the normal range.
In hypogonadal men, treatment with SUSTANON results in an improvement of testosterone deficiency symptoms.
Moreover, treatment increases bone mineral density and lean body mass, and decreases body fat mass. Treatment
also improves sexual function, including libido and erectile function. Treatment decreases serum LDL-C, HDL-C and
triglycerides, increases haemoglobin and hematocrit, whereas no clinically relevant changes in liver enzymes and
PSA have been reported. Treatment may result in an increase in prostate size, but no adverse effects on prostate
symptoms have been observed. In hypogonadal diabetic patients, improvement of insulin sensitivity and/or reduction
in blood glucose have been reported with the use of androgens. In boys with constitutional delay of growth and
puberty, treatment with androgens accelerates growth and induces development of secondary sex characteristics.
In female-to-male transsexuals, treatment with androgens/SUSTANON induces masculinization.
Pharmacokinetics
SUSTANON 250 contains four esters of testosterone with different durations of action. The esters are hydrolyzed
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Data Sheet
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into the natural hormone testosterone as soon as they enter the general circulation.
Absorption
A single dose of SUSTANON 250 leads to an increase of total plasma testosterone with peak levels of
approximately 70 nmol/l (Cmax), which are reached approximately 24-48hrs (tmax) after administration. Plasma
testosterone levels return to the lower limit of the normal range in males in approximately 21 days.
Distribution
Testosterone displays a high (over 97%) non-specific binding to plasma proteins and sex hormone binding globulin
in in vitro tests.
Biotransformation
Testosterone is metabolized to dihydrotestosterone and oestradiol, which are further metabolized via the normal
pathways.
Elimination
Excretion mainly takes place via the urine as conjugates of etiocholanolone and androsterone.
Indications
Testosterone replacement therapy in males for conditions associated with primary and secondary hypogonadism,
either congenital or acquired.
In female to male transsexuals:
masculinization
Moreover, in men testosterone therapy may be indicated in osteoporosis caused by androgen deficiency.
Contraindications
Pregnancy
History or presence of prostate or breast cancer
Breastfeeding
Hypersensitivity to the active substance or to any of the excipients
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Data Sheet
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Adverse Effects
Due to the nature of SUSTANON side effects cannot be quickly reversed by discontinuing medication. Injectables in
general, may cause a local reaction at the injection site.
The following adverse reactions have been associated with androgen therapy in general.
System Organ Class
MedDRA term*
Prostatic cancer 1
Polycythaemia
Fluid retention
Psychiatric disorders
Myalgia
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Data Sheet
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Vascular disorders
Hypertension
Gastrointestinal disorders
Nausea
Pruritus, acne
Investigations
Interactions
Enzyme-inducing agents may decrease and enzyme-inhibiting drugs may increase testosterone levels. Therefore,
adjustment of the dose of Sustanon may be required. Androgens may improve glucose tolerance and decrease the
need for insulin or other anti-diabetic medicines in diabetic subjects (see Warnings and Precautions). High doses
of androgens may enhance the anticoagulant action of coumarin type agents allowing a reduction of the dose of
these agents (see Warnings and Precautions).
Overdosage
The acute toxicity of testosterone is low. If symptoms of chronic overdose occur (e.g. polycythemia, priapism)
treatment should be discontinued and after disappearance of the symptoms, be resumed at lower dosage.
Pharmaceutical Precautions
Ampoules: Shelf-life 60 months. SUSTANON may be used until the expiration date indicated on the package.
Since an opened ampoule cannot be resealed in such a way to further guarantee the sterility of the contents, the
solution should be used immediately.
Incompatibilities
Not applicable.
List of excipients
Arachis oil; benzyl alcohol.
Medicine Classification
Prescription Medicine.
Package Quantities
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Data Sheet
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Further Information
All four compounds are esters of the natural hormone testosterone. The solution also contains 10 per cent benzyl
alcohol.
Date Of Preparation
7 October 2008
Version 1
(RA 1440 OS S4 (ref 2.0) March 07
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