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Tostran Gel (Returning Patients)

Tostran Gel (Returning Patients) (60g)

Order before 4pm for delivery from Wed. 14 Nov.

Product Information

  • Age: 18

    Maximum per order: 4

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

Testosterone replacement therapies are 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.

In a condition known as hypogonadism, men do 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.

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.

Alternative Treatments

Try to maintain a healthy balanced diet as well as maintaining a good exercise routine. Some times low testosterone can be caused by being over weight. If you need help finding some tips on what to eat and what exercises are best for you, there are some great tips on the NHS Choices website. 

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

Tostran Gel is applied to clean dry skin on the abdomen or on the inner thighs (half the dose on each inner thigh); it's recommended that both of these parts of the body are used on different days. It should not be applied to the genitals. The gel should be applied once a day, at about the same time of day; preferably in the morning. If you have a bath or shower in the morning, the gel should be applied after you have washed and dried the skin, not before you have washed: it's recommended that you do not wash the area for at least 6 hours after the gel has been applied, otherwise the amount of testosterone absorbed by the body will be reduced.

Before using Tostran Gel for the first time, the pump needs to be primed, by depressing the piston 8 times. Any gel that is dispensed should be discarded. This only needs doing once for each canister; the canister should then be kept upright while it's in use.

The normal daily starting dose is 3g of gel (60mg of testosterone; 6 depressions of the Tostran pump). Sometimes a higher or lower dose is recommended by the doctor, depending on the response and your general health. The amount used each day should not exceed 4g of gel (80mg of testosterone; 8 depressions of the pump).

The required amount of gel should be put on to one finger, and then rubbed in gently to the abdomen or the inner thighs as above. The hands should then be washed, and dressing can continue after the gel has dried on the skin which usually only takes a few minutes.

The patient information leaflet gives more detail about how the gel should be applied to the skin.

Preventing the gel transferring on to other people

There is a chance that the gel - and therefore testosterone - can be transferred from one person to another by skin contact with the parts of the body that the gel was rubbed in to. This can cause side effects in people who have made contact in this way, even if it is a small amount of contact but over a long period of time. It is important to prevent this happening, especially where contact with pregnant women or children is likely. The product leaflet gives details about how to do this, but briefly, you should wash your hands after applying the gel, cover the application site with clothing after the gel has dried, and shower before any such contact is anticipated (such as sexual contact).

Like all medicines, Tostran (testosterone) Gel can cause side effects, although not everybody gets them. Side effects that are considered to be common include a worsening of existing high blood pressure, changes in hair distribution, swelling of the extremities, enlargement of the breast tissue (gynaecomastia), changes to some blood test results, and itching or rashes on the skin where the gel is applied. Side effects that have been linked to testosterone treatments in general include a increased risk of prostate cancer, electrolyte changes, lowered libido, anxiety, nausea, skin reactions such as increased hair growth or hair loss, muscle cramps, cholesterol level changes, and weight gain.

If you experience any changes in skin colour, unexplained nausea or vomiting, ankle swelling, changes in skin colour, any breathing disturbances including those associated with sleep, or too frequent or persistent erections of the penis, then stop using Tostran Gel and talk to your doctor.

For a full list of potential side effects and other important information, please read the patient leaflet provided in the pack before starting any course of treatment. It is very important to read the leaflet in full before starting to use Tostran (testosterone) Gel. The leaflet can be viewed online here:

There are some situations where Tostran (testosterone) Gel should be used with caution or would not be recommended, for example in women, males under the age of 18 or over 65, men with diagnosed or suspected cancer of any kind especially of the breast or prostate gland, benign prostatic hyperplasia ("BPH") or an enlarged prostate gland, symptoms of lower urinary tract infections, blood disorders including erythrocytosis, high blood pressure, heart failure or heart disease including angina, liver or kidney problems, epilepsy, migraines, sleep apnoea, and people who are allergic to any of the active or inactive ingredients.

The successful treatment of low testosterone levels can improve type 2 diabetes in some men, so if you have this condition you should monitor it closely and tell your doctor or diabetic nurse in case adjustments to your diabetes medicines are necessary.

Tell the doctor if you are taking any other medicines, either from your doctor or purchased from a pharmacy. Tostran (testosterone) Gel may not be suitable or may need to be used with caution if you are taking some medicines including warfarin and other anticoagulants, or steroids.

It's very important to give a full picture of your general health in the consultation, to make sure the doctor has all the information required to assess the safety and suitability of treatment for you.

Delivery & Shipping Information



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 working day - £6.95
  • Special Delivery (Guaranteed before 1pm) - £8.95
  • Saturday Guaranteed before 1pm - £10.45

Important Delivery Information

All our orders are sent out using Royal Mail (unless stated). We always aim to dispatch all Royal Mail orders received before 4pm the same working day. Any orders received after 4pm or over the weekend will be dispatched the next working day. We aim to dispatch all DPD orders placed before 3pm on the same 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 and in your account.

We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods.

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

Delivery is free for all NHS prescriptions.


Royal Mail

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.



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 5.30pm 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 5.30pm 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 5.30pm to the following postcode areas:
KW16 - non-Town
PH30, 41 - 44


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



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 (Returning Patients) Reviews

Unsure about a treatment?
Take a free online assessment with our medical team for impartial help and advice on your condition.

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.

We are a trusted pharmacy

We are regulated by a number of organisations in the UK including the MHRA, GPhC & CQC to ensure we offer the highest level of service to every one of our customers.

Why choose The Independent Pharmacy?

How does it work?

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

  • 1 Complete a simple health questionnaire
  • 2 A healthcare professional reviews your answers
  • 3 You receive the right treatment or advice
  • 4 Easily re-order in a few clicks

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