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Long-acting testosterone ester

Testosterone enantate

Adult dose

Dose: 250mg IM every 2-3 weeks
Route: IM
Frequency: q2-3w

Clinical pearls

  • Male hypogonadism
  • Less frequently used than Sustanon; trough monitoring

Contraindications

  • Prostate / breast cancer
  • Pregnancy
  • Hypercalcaemia
  • Severe hepatic/cardiac impairment

Side effects

  • Polycythaemia
  • Mood changes
  • Acne
  • Prostate hyperplasia
  • Sleep apnoea
  • Hepatotoxicity

Interactions

  • Anticoagulants
  • Insulin
  • Corticosteroids

Monitoring

  • Testosterone
  • PSA
  • Hct
  • LFTs

Reference: BNF; UK Endocrine Society; https://bnf.nice.org.uk/drugs/testosterone-enantate/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.