RxPrep 2022 - Testosterone

What medications can lower testosterone?

Methadone

Chemotherapy

Cimetidine

Spironolactone

True or False: The FDA has released a warning about the cardiovascular risks associated with testosterone use, and they recommend treatment only in men with low testosterone levels caused by certain medical conditions and confirmed by laboratory test

True

True or False: Testosterone increases hematocrit, which can cause polycythemia and an increase in clotting risk

True

What are common side effects of testosterone include male pattern:

Baldness

Acne

Gynecomastia

True or False: If testosterone is transfer to a female or male child, it can cause "early virilization" and, depending on the dose received, the child could have enlarged genital organs, aggressive behavior and premature pubic hair growth.

True

What are side effects of testosterone products?

INCREASE appetite

Acne

Edema

Hepatotoxicity

Reduced Sperm Count

INCREASE Scr

Sensitive Nipples

Sleep Apnea

Side effects of Transdermal patch

(Androderm) includes:

Skin irritation

Side effects of Buccal tabs (Striant) includes:

Buccal irritation

Side effects of Testosterone nasal gel

(Natesto) includes:

Nasal irritation

Topical Gels and Solutions Testosterone gel [AndroGel (1%, 1.62%), AndroGel Pump (1.62%)] key counseling points:

AndroGel 1% is applied daily to the upper arms, shoulders, and/or abdomen; the 1.62% strength should only be applied to the upper arms or shoulders (not the abdomen)

Testosterone nasal gel

(Natesto) key counseling points:

Prime the pump ten times first, insert the actuator into the nostril, depress slowly until the pump stops

Remove from the nose while wiping the tip to transfer gel to the lateral side of the nostril

Press on the nose and lightly massage

Try not to blow your nose or sniff for one hour

1 spray per nostril TID

Transdermal patch (Androderm) key counseling points:

Apply to the back, abdomen, thighs or upper arms each night

Avoid showering, washing the application site or swimming for at least three hours after application

Do not use the same site for at least seven days

Do not use two 2 mg patches for a 4 mg dose

After removal, treat any irritation with OTC hydrocortisone

Remove the patch before an MRI

Which of the following statements are true concerning testosterone key counseling points?

Topical gels/solutions: do not let others come in contact with the application site

For maximal absorption, wait at least 2 -6 hours after applying gels/solutions before showering or swimming

Gels are flammable while wet, do not smoke or go near an open flame until dry

Apply deodorant prior to applying solutions to the underarms