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TLANDO (testosterone undecanoate)
- deficiency of a substance that promotes masculinization
- deficiency of gonadotropin releasing factor
- deficient activity of the testis
- absence of testicles
- deficient activity of testes/ovaries due to chemotherapy
- primary testicular failure due to inflammation of testis
- primary testicular failure due to torsion of both testes
- rare X chromosome abnormality - Klinefelter syndrome
- surgical removal of both testicles
- undescended testicle
112.5 mg capsule
- 2 capsules (225 mg) by oral route 2 times per day in the morningand evening
Default screening record
- 2 capsules (225 mg) by oral route 2 times per day in the morningand evening
- None
Contraindicated
- None
Severe
Moderate
- None
- Lactation
- Malignant tumor of male breast
- Pregnancy
- Prostatic carcinoma
Contraindicated
- Acute myocardial infarction
- Benign prostatic hyperplasia
- Cerebrovascular accident
- Chronic heart failure
- Hypercalcemia
- Hypercholesterolemia
- Kidney disease with reduction in GFR
- Pulmonary thromboembolism
- Venous thrombosis
Severe
Moderate
- Chronic obstructive pulmonary disease
- Coronary artery disease
- Diabetes mellitus
- Disease of liver
- Edema
- Erythrocytosis
- Hypertension
- Obesity
- Sleep apnea
TLANDO (testosterone undecanoate)
- deficiency of a substance that promotes masculinization
- deficiency of gonadotropin releasing factor
- deficient activity of the testis
- absence of testicles
- deficient activity of testes/ovaries due to chemotherapy
- primary testicular failure due to inflammation of testis
- primary testicular failure due to torsion of both testes
- rare X chromosome abnormality - Klinefelter syndrome
- surgical removal of both testicles
- undescended testicle
- Amenorrhea
- Bladder irritability
- Gynecomastia
- Irregular menstrual periods
- Mastalgia
- Priapism
- Urinary tract infection
- Virilism
- None
More Frequent
Severe
Less Severe
- Benign prostatic hyperplasia
- Dizziness
- Edema
- Epididymitis
- Fatigue
- Flushing
- Headache disorder
- Hypercalcemia
- Hypertension
- Nausea
- Prostatic carcinoma
- Vomiting
- Acne vulgaris
- Diarrhea
- Erectile dysfunction
- Increased pubic hair
- Insomnia
- Libido changes
- Testicular atrophy
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Abnormal hepatic function tests
- Acute myocardial infarction
- Cerebrovascular accident
- Cholestatic hepatitis
- Deep venous thrombosis
- Drug-induced hepatitis
- Erythrocytosis
- Heart failure
- Hepatic necrosis
- Jaundice
- Leukopenia
- Malignant neoplasm of liver
- Peliosis hepatis
- Pulmonary thromboembolism
- Venous thrombosis
Less Severe
- Aggressive behavior
- Anorexia
- Depression
- Hostility
- Irritability
- Oligospermia
Contraindicated
None
Severe Precaution
Testosterone (Misc. Route)
Use may not be appropriate <18 years. May cause premature epiphyseal closure.
- 1 Day – 18 Years
- Use may not be appropriate <18 years. May cause premature epiphyseal closure.
Management or Monitoring Precaution
None
Testosterone
- Severity Level:
1
- Additional Notes: Androgens contraindicated in pregnancy; risk of virilization of female fetus.
Contraindicated
Testosterone
Poss sev adv effects, premature epiphyseal closure, virilization of females
| General | Excretion Potential | Effect on Infant | Notes |
| Drug should not be given to breast feeding mothers | Unknown | Not known; no or inclusive data | Poss sev adv effects, premature epiphyseal closure, virilization of females |
Precaution Exists
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
No Known Risk
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Contraindicated
None
Precaution Exists
Testosterone
General-Avoid use in the elderly unless indicated for confirmed hypogonadism. Urogenital-Increased risk of acute kidney injury. May exacerbate prostate cancer. Cardiovascular-Reports of venous thromboembolism, deep vein thrombosis and pulmonary embolism. Possible increased risk of atrial fibrillation.
| Organ / System | HEP | REN | CARD | ENDO | NEURO / PSYCH | PULM |
| Increased Risk / Adverse Effects | N | N | Y | N | N | N |
BEERS: Y HEDIS: N STOPP: Y
No Known Risk
None
- This medication can raise your blood pressure. High blood pressure can increase your risk of serious (even fatal) heart and blood vessel problems (such as heart attack, stroke). Your risk may be greater if you have heart disease or if you have other conditions that increase your risk, such as high blood pressure.<br /><br />Check your blood pressure regularly and tell your doctor if the results are high. Your doctor may prescribe medication(s) to control your blood pressure, or may decrease or stop this medication. Talk with your doctor about the risks and benefits of taking testosterone.
| Androgen deficiency | |
| E29.1 | Testicular hypofunction |
| Bilateral anorchia | |
| Q55.0 | Absence and aplasia of testis |
| Chemotherapy-induced hypogonadism | |
| E29.1 | Testicular hypofunction |
| Cryptorchidism | |
| Q53 | Undescended and ectopic testicle |
| Q53.0 | Ectopic testis |
| Q53.00 | Ectopic testis, unspecified |
| Q53.01 | Ectopic testis, unilateral |
| Q53.02 | Ectopic testes, bilateral |
| Q53.1 | Undescended testicle, unilateral |
| Q53.10 | Unspecified undescended testicle, unilateral |
| Q53.11 | Abdominal testis, unilateral |
| Q53.111 | Unilateral intraabdominal testis |
| Q53.112 | Unilateral inguinal testis |
| Q53.12 | Ectopic perineal testis, unilateral |
| Q53.13 | Unilateral high scrotal testis |
| Q53.2 | Undescended testicle, bilateral |
| Q53.20 | Undescended testicle, unspecified, bilateral |
| Q53.21 | Abdominal testis, bilateral |
| Q53.211 | Bilateral intraabdominal testes |
| Q53.212 | Bilateral inguinal testes |
| Q53.22 | Ectopic perineal testis, bilateral |
| Q53.23 | Bilateral high scrotal testes |
| Q53.9 | Undescended testicle, unspecified |
| R39.83 | Unilateral non-palpable testicle |
| R39.84 | Bilateral non-palpable testicles |
| Gonadotropin releasing factor deficiency | |
| E23.3 | Hypothalamic dysfunction, not elsewhere classified |
| Klinefelter's syndrome | |
| Q98.0 | Klinefelter syndrome karyotype 47, XXY |
| Q98.1 | Klinefelter syndrome, male with more than two X chromosomes |
| Q98.4 | Klinefelter syndrome, unspecified |
| Male hypogonadism | |
| E29.1 | Testicular hypofunction |
| Primary hypogonadism due to bilateral torsion of testes | |
| E29.1 | Testicular hypofunction |
| Primary hypogonadism due to orchitis | |
| E29.1 | Testicular hypofunction |
| 0-9 | A-Z |
|---|---|
| E23.3 | Hypothalamic dysfunction, not elsewhere classified |
| E29.1 | Testicular hypofunction |
| E29.1 | Testicular hypofunction |
| E29.1 | Testicular hypofunction |
| E29.1 | Testicular hypofunction |
| E29.1 | Testicular hypofunction |
| Q53 | Undescended and ectopic testicle |
| Q53.0 | Ectopic testis |
| Q53.00 | Ectopic testis, unspecified |
| Q53.01 | Ectopic testis, unilateral |
| Q53.02 | Ectopic testes, bilateral |
| Q53.1 | Undescended testicle, unilateral |
| Q53.10 | Unspecified undescended testicle, unilateral |
| Q53.11 | Abdominal testis, unilateral |
| Q53.111 | Unilateral intraabdominal testis |
| Q53.112 | Unilateral inguinal testis |
| Q53.12 | Ectopic perineal testis, unilateral |
| Q53.13 | Unilateral high scrotal testis |
| Q53.2 | Undescended testicle, bilateral |
| Q53.20 | Undescended testicle, unspecified, bilateral |
| Q53.21 | Abdominal testis, bilateral |
| Q53.211 | Bilateral intraabdominal testes |
| Q53.212 | Bilateral inguinal testes |
| Q53.22 | Ectopic perineal testis, bilateral |
| Q53.23 | Bilateral high scrotal testes |
| Q53.9 | Undescended testicle, unspecified |
| Q55.0 | Absence and aplasia of testis |
| Q98.0 | Klinefelter syndrome karyotype 47, XXY |
| Q98.1 | Klinefelter syndrome, male with more than two X chromosomes |
| Q98.4 | Klinefelter syndrome, unspecified |
| R39.83 | Unilateral non-palpable testicle |
| R39.84 | Bilateral non-palpable testicles |
Formulary Reference Tool