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Tostran Gel Starter Pack (New Patients)

Tostran Gel

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Order before 3pm for delivery from Tue. 19 Jan.

Description for Tostran Gel

Tostran Gel is a type of hormone replacement therapy designed for men who are affected by low testosterone levels. It can also help to treat impotence or loss of libido, once a test has been completed. Tostran Gel can be prescribed by your GP or our online doctor after an online consultation  – after which you can buy it online through the Independent Pharmacy. Purchasing treatment online offers speed, convenience and discretion when seeking a resolution to your condition, with next day delivery available. 

Product Information

  • Age: 18+ for test, 40+ for treatmen

    Maximum per order: N/A

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

Testosterone replacement therapies are used for men who have low testosterone levels and also clinical symptoms of the deficiency. It is not for use by men who have normal levels of testosterone, as to do so could cause side-effects rather than produce any benefits.

Causes of low testosterone in a man can be a result of many things, including testicular injury, testicular cancer, an infection, a hormonal disorder, diabetes, liver or kidney problems, obesity and HIV. Low testosterone can occur in females as well as males, possibly resulting from early menopause, adrenal insufficiency, oral estrogen therapy or hypopituitarism. However, Tostran Gel is only designed for use in males.


The Process for Ordering Tostran Low Testosterone Treatment Online

If you are unable to provide three months of testosterone test results, or this is your first time with Tostran Gel, you need to follow this process:

  1. Choose “Tostran Gel Starter Kit”. The difference between the starter kit and the normal pack is that the starter kit contains two testosterone test kits, as these are needed to check your blood testosterone levels before, and after 3 weeks of using the treatment. The process to obtain this medication online is to complete a questionnaire then advance to the checkout process.
  2. Once one our UK medical team has reviewed your consultation, we will dispatch an initial test kit. We need to establish what your testosterone levels are before you start treatment to ensure your levels are outside the normal range for adult men.
  3. The test kits contains all you need to perform it at home and a freepost envelope to post the blood sample to the lab. Results are reported back with 4 hours of the lab receiving the sample - this is normally in 2 - 3 working days.
  4. Once your results have been assessed by our medical team, you will receive the result of the tests. If this therapy is not for you, your refund will be the purchase price less £35 for the price of the home testosterone kit.
  5. If approved, the second kit, which includes the Tostran gel and the second home testosterone test kit, will be sent to you. This test should be completed three weeks after you receive the testosterone treatment and results are taken to ensure that, for health and safety reasons, the medication is taking effect.

These first two tests will be performed in the first month, with the next test being taken after six months and then at yearly intervals after that.


What is included in the Tostran Starter Pack?

Two home testosterone test kits. Conducted with ease in the comfort of your own home, one test is to be completed before treatment commences and the other, if the test is approved, is to be completed after three weeks of treatment. Each blood test costs £35 and it is your decision both as to whether to take the second test and whether to continue with the treatment.

Containing testosterone, a male hormone, you apply the clear Tostran gel to your skin on your shoulders and/or upper arms), from where testosterone is absorbed into your bloodstream, to help raise your testosterone to normal levels.

Testosterone replacement therapies can accompany medicines used for erectile dysfunction if necessary (e.g. Viagra, Levitra or Cialis).

In a condition known as hypogonadism, a man does not produce sufficient levels of natural testosterone to produce sperm, or to maintain the male characteristics of body hair and a deep voice. Tostran gel helps increase levels of testosterone and helps maintain both a normal sex drive and sexual function, as well as maintain muscle strength and size. As a result, he will naturally produce more sperm.

Tostran gel comes in a 60g canister and the piston emits doses of a half a gram of gel, which contains 10mg of testosterone. Before using it for the first time, press the piston about 8 times, to get it ready for use and discard any gel which escapes during this priming of the piston.

The gel should be applied on clean and dry skin, alternating daily between sharing the dose between the inner thighs, or applying it to the abdomen and never to the genitals. Apply the gel gently and do not wash that area of skin for at least 6 hours, as doing so would reduce the amount of gel available for absorption into the skin.

The normal recommended daily dose it 6 depressions of the canister pump, which will deliver 3g of gel (60mg of testosterone). While a doctor may sometimes recommend a higher daily dose which will relate to your general health, it should never exceed 8 depressions, which would amount to 4g of gel (80mg of testosterone).

Once applied, smooth the gel very gently into your skin and wait until it is fully absorbed, before washing your hands and then dressing. This application takes only a few minutes.
Testim gel and Testogel are two other products which contain the same active ingredient.

*Prescription medicines are supplied subject to a medical consultation at the discretion of a doctor.

Apply Tostran Gel only to healthy, normal skin. Never apply Tostran Gel to your genitals (penis and testes) or to skin that is broken or damaged and avoid contact with open sores, wounds or irritations.

Apply Tostran Gel at the same time each day (preferably every morning). Apply the contents (or as directed by your GP) on the shoulders and/or upper arms every morning, as instructed by your doctor.

If you take a bath or shower in the morning, use Tostran Gel after your bath or shower. Make sure that your shoulders and/or upper arms are clean and completely dry before putting on the gel.

Apply Tostran Gel only to your shoulders and/or upper arms as a thin layer. In this way your body will absorb the right amount of testosterone. Use a circular motion to rub the gel into your skin for several seconds. Do this until completely absorbed.

Thoroughly wash your hands with soap and water immediately after application. This will also reduce the chance that the medicine will spread from your hands to other people. Let Tostran Gel dry for a few minutes before you dress. This prevents your clothing from wiping the gel off your skin and ensures that your body will absorb the correct amount of testosterone.

If you wash the application site within 6 hours after applying Tostran Gel you may lower the amount of testosterone that is absorbed by your body. Therefore, wait at least 6 hours after applying the gel before showering or swimming to ensure that the greatest amount of Tostran Gel is absorbed into your body.

The active substance is testosterone. One gram of gel contains 20 mg of testosterone.

The other ingredients are propylene glycol; ethanol, anhydrous; isopropyl alcohol; oleic acid; carbomer 1382; trolamine; butylhydroxytoluene (E321), water, purified and hydrochloric acid (for pH adjustment).

Do not use Testim if you suffer or suspect you suffer from prostate cancer, breast cancer or are allergic to any of the ingredients.

Keep out of the reach and sight of children. 

Take care and inform your doctor if: you have difficulties passing water, liver, kidney or heart disease, have high calcium levels, high blood pressure, suffer from migraines, suffer from heart or lung disease.

Delivery & Shipping Information

Please note that due to the current situation with COVID-19, Royal Mail are experiencing some delays. This may mean that your order takes longer to arrive than you would normally expect. We are working hard to ensure that, where possible, all orders placed before 15:00 are still dispatched the same working day.


UK Orders

We offer FREE standard tracked delivery on orders over £40.

The following delivery options are available:

  • Standard Tracked Delivery - 2 - 3 day delivery - £2.95
  • Express Tracked Delivery - 1 - 2 day delivery - £4.45
  • DPD Next Day - 1 - 2 working days - £6.95
  • Special Delivery (Guaranteed before 21:00) - £8.95
  • Saturday Guaranteed before 21:00 - £10.45

Important Delivery Information

All our orders are sent out using Royal Mail (unless stated). We always aim to dispatch all Royal Mail & DPD orders received before 15:00 the same working day. Any orders received after 15:00 or over the weekend will be dispatched the next working day. Orders will not be dispatched on weekends or bank holidays.

All orders are subject to approval by our team of doctors and pharmacists. Your delivery date in the checkout is subject to your consultation being approved by our healthcare team.

All orders can be fully tracked from your dispatch email, in your online account and from any notifications from your courier.

We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods. Where possible, we will attempt to size all parcels to fit through your letterbox in tamper-proof packaging. By placing an order on our website, you confirm that it is safe and appropriate for a package containing medicines to be posted through your letterbox, if the carrier is able to do so. You should notify our customer support team if it is not safe for the package to be posted through the letterbox, for example due to animals or small children.

Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt. 

Delivery is free for all NHS prescriptions.


Royal Mail


  • Fully tracked delivery
  • SMS & email notifications
  • Four-hour delivery window
  • Change delivery date directly with Royal Mail
  • Update delivery location - add a Safeplace, preferred neighbour, or update your delivery location to a local Post Office or Royal Mail Customer Service Point.

Royal Mail are the most widely recognised mail delivery company in the UK. Being on the UK’s 29 million doorsteps six days a week means they offer unparalleled price and convenience. The Independent Pharmacy uses Royal Mail’s Tracked 48, Tracked 24, and Special Delivery Guaranteed parcel services to offer reliable, fully-tracked delivery at very competitive prices. Your Royal Mail parcel will arrive with your normal daily delivery of post.

Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering. 

If you are not home to accept your delivery, a card should be left by the Royal Mail representative. This card will provide details of where you can collect the order or how to arrange re-delivery.

Should you be unable to collect your missed delivery or arrange for your medication to be redelivered by Royal Mail, the pharmacy can resend your medication to the same, or a different address provided it has been returned to us and this happens within a 30 day window.

Once a package has been shipped with Royal Mail we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.




  • Fully tracked delivery
  • SMS & email notifications
  • One-hour delivery window
  • Change delivery date directly with DPD
  • Update delivery location - add a Safeplace, preferred neighbour, or update your delivery location to a local collection point.

DPD Local is the most innovative parcel carrier around. Thanks to their industry-leading Predict service, they provide parcel recipients with a one hour delivery window, notified by email, so you don't have to wait in all day. What's more, it enables receivers to watch the progress of their delivery on a real-time map, all the way down to a final 15 minute time-slot. 

As well as keeping customers informed at every stage of the journey, DPD believe in maximising choice and convenience. That's why DPD provide access to a suite of options both on the day of delivery and the night before, allowing customers to take delivery of their goods in a way that suits. If you wish to reschedule, you can:

  • Select an alternative delivery date
  • Opt for delivery to a nominated neighbour
  • Have the parcel left in a specified safe place
  • Collect the parcel from your local DPD Pickup Shop
  • Upgrade delivery to By 12

Please note: DPD do not deliver on Saturdays, Sundays or Bank Holidays - this should be taken into account when ordering. 

Once a package has been shipped with DPD we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.


Forwarding houses

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.


BFPO Postcodes

Unfortunately we are unable to deliver medicines to BFPO postcodes.


Remote Areas

Please be aware that Royal Mail Guaranteed services are not available to all customers in the UK, especially those that live in remote postcodes. Royal Mail advise customers of the following:

We deliver by 17:30 the next working day in the following postcode areas:
AB30 - 39, 41 - 45, 51 - 56
GY9 Alderney (Channel Islands)
HS1, 3 - 9
IV21 - 28, 40 - 49, 51 - 56
KA27, 28
KW1 - 3, 5 - 15
KW16 Stromness Town only
PA20 (0&9)
PA28 - 38, 41 - 49, 76, 77
PH15, 17 - 26, 31 - 40, 49, 50


We deliver within two working days by 17:30 to the following postcodes areas:
GY1 Herm (Channel Islands)
GY9 Sark (Channel Islands)
PA60 - 75, 78
ZE2, 3


We deliver within three working days by 17:30 to the following postcode areas:
KW16 - non-Town
PH30, 41 - 44


Please note: This applies to our 'Special Delivery' and 'Saturday Guaranteed' services.


International Orders

We are currently unable to ship orders outside of the UK.

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.

Need to know more about Low Testosterone?

Visit our advice area or contact our support team

Tostran Gel Reviews

Unsure about a treatment?
Ask our medical team for impartial information and advice about any treatment we provide or medical condition that we treat before you buy.

Frequently Asked Questions

  • Can hypogonadism be treated?

    Hypogonadism can also indicate other health issues which affect testosterone levels and so the treatment has three main aims:

    • Treat any underlying conditions
    • Restore testosterone levels, via Testosterone Replacement Therapy
    • Improve hypogonadism symptoms, such as low libido, erectile dysfunction and other symptoms.

    Low testosterone is also found in 60% of obese men.

  • Can the gel be transferred to other people during sexual activity, or any other bodily contact?

    Skin contact can cause the gel to be transferred to someone else and they could experience side-effects, even if contact was in an isolated area of skin but over a long period of time. Take care in the cases of children or pregnant women, by washing your hands fairly rigorously and covering the skin where the gel has been applied. In the case of sexual activity, always shower first. All of this information will be given in the product leaflet which comes with the medication.

  • After I place an order for a starter pack, what happens next?

    After the doctor has checked that the medication is right for you, you will receive the test kit in the post. The pack contains everything you need to take a blood sample, which you will post to the laboratory in the pre-paid envelope provided.

  • How long do I wait for the results?

    They are processed on the day of receipt and results are sent to you electronically.

  • What is a PSA test?

    While one test is for testosterone levels, a test may be needed of your prostate (PSA), if this has not been examined in the past. The test kit received may be to check both testosterone and prostate and these can both be done from one blood sample.

    PSA (prostate specific antigen) is a protein which is produced by both normal and cancer cells in the prostate and the PSA test measures the quantity of this protein in your blood. The amount of this protein increases with age and this can cause the prostate to increase in size, so the test is simply to check the health of the prostate and is not necessarily looking for cancer. This test can be done at any surgery and the result can be discussed with the practice nurse.

  • Is a PSA test accurate?

    The PSA test is a guide and the result, together with information you provide via a consultation, helps decide whether testosterone treatment is the right way ahead for you.

  • What information will the PSA test provide me with?

    If there is a raised PSA level, this could indicate:

    • Prostatitis
    • An enlarged prostate
    • Prostate cancer.

    These are not the only health conditions which can be identified from a PSA test and so there are times when you may be referred to a hospital specialist for further information. This information is important in deciding whether testosterone therapy can be given as, if the person does have prostate cancer, it is important to keep testosterone levels as low as possible and not to increase the levels via this therapy.

  • I am worried that a raised PSA level means that I have prostate cancer

    A raised PSA level does not mean that you have prostate cancer, as prostate cancer can also be found in men who have low PSA counts. The likelihood of having prostate cancer rises if:

    • Your father or your brother has had it
    • Your are over 50 years of age
    • You are black.

    Deciding if you should see a specialist is not based solely on your PSA level but on the above points and also if you have been for a prostate biopsy in the past. A digital rectal examination (DRE) can also be done, to assess if your prostate feels normal.

  • What things affect a PSA level?

    Whilst it is normal to have a small amount of prostate specific antigen (PSA) in your blood, this level does increase with age, with prostate problems (prostatitis or an enlarged prostate) and also with:

    • Medicines - some medicines can affect your PSA level, so let your doctor or nurse know if you are taking any prescription or over the counter medicines. Some medicines for an enlarged prostate can reduce your true level of PSA and therefore give false readings. These medicines include 5-alpha-reductase inhibitors (e.g. dutasteride (Avodart) and finasteride (Proscar)).
    • Ejaculation - advice may be given to avoid any form of sexual activity which culminates in ejaculation for the 48 hours which precede a PSA test.
    • Prostate stimulation and anal sex - stimulation of the prostate and also anal sex can cause your PSA level to rise, so it is best to be clear of such stimulation for at least seven days before your PSA test.
    • A urine infection - if you have a urine infection, this will need to be treated and cleared first, as this can give a false reading to a PSA test. The period in between clearing the urine infection and having a PSA test should be about six weeks.
    • Digital rectal examination (DRE) - if you have had a digital rectal examination, your doctor will advise that you wait a week before having a PSA test, as the DRE can also raise PSA levels.
    • Vigorous exercise - avoid any rigorous exercise for about 48 hours before a PSA test, as this can also affect your PSA level.
    • Prostate biopsy - a prostate biopsy within six weeks of a PSA test could also raise your PSA level.
    • Other tests or surgery - any tests or surgery on your prostate or your bladder, or if you have had needed a catheter, could also affect a PSA level reading, so you will be asked to wait six weeks before a PSA test is done.
  • The PSA test - advantages and disadvantages

    Taking a PSA test comes with both advantages and disadvantages:

    Advantages -

    • Men who are more at risk of prostate cancer (e.g. their father or a brother has experienced this condition), will be able to have any changes in their PSA level detected
    • Prostate cancer can be identified, even before any symptoms present themselves. If picked up early enough, treatment may be able to prevent its spread.

    Disadvantages -

    • A PSA test doesn’t always pick up prostate cancer
    • Following a PSA test up with a biopsy may cause some side-effects e.g. an infection in urine, semen and blood, as well as cause pain
    • A slow-developing prostate cancer may be identified but such cancers may not shorten your lifespan and so identification simply brings about stress and worry
    • Treatments for prostate cancer can also cause erection problems.
  • What is the procedure when the PSA test shows that I don’t have low testosterone?

    Then we would recommend you see your own doctor for further tests. Our doctors will advise on the next steps when your results come back.

  • Why can’t I just have the medication?

    Only by knowing your testosterone level can we decide if this treatment is right for you. You then have to wait three weeks for the medication to be fully absorbed into your system, so that a future test can tell if your levels have indeed increased.

  • How do other testosterone treatments differ?

    Different treatments are applied to different areas of the body:

    • Coming in pump dispenser form, tostran is applied to the shoulders and abdomen.
    • Coming in tube format, Testim and Testogel are applied to the upper arm and the shoulders.
  • How long do I have to wait for a result?

    While there should be an improvement with your PSA level within 3 weeks, the level reached depends on your starting level, which would have been identified with the PSA test.

  • What should I do, if I am uncertain about this treatment?

    We are available to answer any queries, at no obligation to yourself.

  • Can I use Tostran Gel for bodybuilding?

    Some bodybuilders claim that ‘ectomorphs have low testosterone’ and suggest using Tostran Gel to artificially enhance testosterone levels. We do not recommend using Tostran Gel for this purpose – our online doctor will only prescribe the treatment to someone who genuinely has low testosterone levels that require treatment.

  • Can low testosterone cause weight gain and hair loss?

    Obesity is one of the risk factors for men having lower than normal levels of testosterone. Low testosterone has also been linked to weight gain in some cases – so it can sometimes become a vicious circle. While balding is a natural part of aging for most men, those with low testosterone may experience a more rapid loss of body and facial hair.

  • Does low testosterone cause tiredness?

    Low testosterone levels can lead to many symptoms, including loss of sex drive, increased body fat, lack of motivation and sleep problems. All of this can, understandably, leave the sufferer feeling physically and mentally tired. If you suspect you have low testosterone, complete an online consultation to find out whether Tostran Gel could be an appropriate treatment for you.

  • What causes low testosterone in young males?

    Testosterone levels naturally decrease as men age. In men younger than 50, there may be other reasons behind it, which could include cancer radiation treatment, HIV, pituitary gland tumours, diabetes, or being very overweight. Tostran Gel can be prescribed to males over the age of 18.

  • Is low testosterone dangerous?

    Low testosterone can affect a man’s health in other areas, especially his sex life, since he may have trouble maintaining an erection. It’s a common condition in men as they start to get older. Sometimes, low testosterone can have some more serious long-term effects on the body, in particular, an increased risk of osteoporosis. Low testosterone has also been connected to high blood pressure, diabetes and metabolic syndrome, but it isn’t thought to cause these problems, and replacing testosterone will not necessarily cure them. There’s currently no evidence of a link to cancer.

  • Do low testosterone levels affect fertility?

    Testosterone is important for sperm production. Naturally, some of the symptoms of low testosterone – such as low libido and erectile dysfunction – can impact a man’s fertility. Normal sperm production will usually resume once the condition has been addressed with testosterone treatments.

Authored By:

A photo of Dr Donald Grant

Dr Donald Grant

MB ChB DRCOG MRCGP Dip.orth.med

Published on: 10-01-2017

Last modified on: 10-01-2019

Dr Don Grant is a GP with over 30 years experience and is the Clinical Advisor at The Independent Pharmacy

Reviewed By:

A photo of  Leanne Sinclair

Leanne Sinclair


Reviewed on: 10-01-2019

Next review date: 10-01-2021

Leanne is a clinical pharmacist with years of experience working in pharmacy.

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It's easy! Follow our simple process to get the treatment or advice you need in no time.

  • 1 Complete a simple health questionnaire
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