Tostran

Tostran

Tostran Gel is a topical androgen gel containing the active ingredient testosterone, a male hormone responsible for the development of typically male physical characteristics, such as facial hair growth and sperm production. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

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Patient Leaflet(s)

What is Tostran 2% Gel?

Tostran Gel is a topical androgen gel containing the active ingredient testosterone, a male hormone responsible for the development of typically male physical characteristics, such as facial hair growth and sperm production.

What is Tostran Gel used to treat?

Tostran Gel is mainly used to treat the health issues caused by insufficient testosterone in men (male hypogonadism). Clinical symptoms include:  
 
a reduction in bone density as a consequence of low hormone levels;  

  • depressive moods;  
  • impotence;  
  • infertility;  
  • reduced libido;  
  • fatigue.  

How to use Tostran Gel

Always follow the directions given by your doctor or pharmacist. Tostan Gel is usually supplied in a pump container designed to release a specific amount of gel per pump, each time the pump mechanism is pressed right down.  
The gel should be applied directly to clean dry skin in the morning or evening at the same time. It should be applied to the abdomen across an area approximately 10 x 30 cm. Alternatively, the gel can be divided in half and applied to the inside skin of the upper thighs. Applying Tostran to both areas on alternate days is recommended.  
Do not place Tostran on any other parts of the body. Tostran should never be applied to the genitals.  
Massage the gel into the skin until it is dry and then wear loose comfortable clothing.  
Always wash your hands after use. Do not have a shower or a bath until at least a couple of hours after applying Tostran Gel (it is a good idea to have a wash beforehand).

Dosage

Each depression of the pump releases 10 mg of Tostran Gel. A typical starting dose is 60 mg per day. The number of depressions you need will depend on your prescribed dosage.  
If you forget to take a dose of Tostran, take the next dose at the normal time. Never double up on a dose.

Side effects

Tostran can sometimes cause side effects; however, many people will not experience them.  
Frequent side effects include irritated skin on the application site (itchiness, redness, a burning or prickling sensation). These side effects normally disappear by themselves but if they continue, talk to your doctor.  
 
Less common side effects include:  
 
oedema of the hands, feet and ankles;  

  • high blood pressure;  
  • changes to the prostate;  
  • increased hair growth;  
  • enlargened breasts;  
  • a greater number of red blood cells;  
  • baldness;  
  • seborrhoea;  
  • acne;  
  • jaundice;  
  • abnormal liver function;  
  • sickness;  
  • an altered libido;  
  • greater frequency of erections;  
  • depression;  
  • difficulty in passing water;  
  • anxiety;  
  • aggression;  
  • weight gain;  
  • fluid retention;  
  • sleep apnoea.  

 
The above is not a comprehensive list of possible side effects. If you experience these or any other troubling symptoms after suing Tostran, talk to your doctor.

When is it not safe to use Tostran Gel?

Tostran should only be used by men over the age of 18 years so is not safe for women or children.  
Tostran Gel should not be used if you are allergic to any of its excipients or if you are receiving treatment for cancer of the prostate or of the breast tissue.  
 
Regular check-ups and blood tests are required whilst using Tostran Gel. Tell your doctor about any pre-existing health conditions and the details of any medication you are taking, including over the counter medications.  
 
Athletes, be aware that Tostran contains testosterone and can, therefore, cause a positive result in a drug screening test.  
 
It is important to cover the treated area with clothing to prevent the possible transfer of Tostran to others, particularly pregnant or breastfeeding women and children which could cause harm by increasing their testosterone levels.