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Low Testosterone Gel Treatment

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Testim Gel
Pack Size: 30 tubes of 5g
Order in for Next Day Delivery
RRP*: £60.00
Saving: £5.00
Our Price: £55.00
Qty: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

Apply Testim Gel only to healthy,normal skin.

Never apply Testim 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 Testim Gel at the same time each day (preferably every morning). Apply the contents of one (1) or two (2) tube(s) of gel 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 Testim 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. Open the Testim Gel aluminium tube by piercing the end of the tube with the top part of the cap. Squeeze the entire contents of the tube into the palm of your hand. Squeeze the gel out from the bottom of the tube towards the top. Apply Testim 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 in to your skin for several seconds. Do this until no gel is left on the skin area. This process should be repeated with a second tube of Testim Gel by patients who have been prescribed a daily dose of testosterone 100mg. It is suggested that patients who require two tubes of gel each day use both shoulders (one tube per shoulder) and/or upper arms as application sites. 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 Testim 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 Testim 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 Testim Gel is absorbed into your body.

Testim gel is a clear gel which contains testosterone. Testosterone is a male hormone. Testim gel is applied to your skin (shoulders or/and upper arms) and testosterone is absorbed directly into your body through skin. It then enters your blood stream and helps to raise your testosterone to normal levels. The type of testosterone delivered into your body by Testim Gel is the same as the testosterone produced in your body. 

Testim gel is used to replace testosterone in men who do not produce sufficient natural testosterone, a condition known as hypogonadism. Testosterone is made naturally in your body in your testicles and help to product sperm and develop and maintain the male sexual characteristics such as a deep voice and body hair. It is also necessary for normal sexual function and sex drive. Testosterone also helps to maintain muscle size and strength.

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.

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Testim Gel Starter Pack
Pack Size: 30 tubes of 5g & 2 Home Testosterone Test Kits
Order in for Next Day Delivery
RRP*: £102.80
Saving: £4.40
Our Price: £98.40
Qty: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals


Please ensure you have read the directions tab on this page before you proceed. 




Apply Testim Gel only to healthy,normal skin. Never apply Testim 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 Testim Gel at the same time each day (preferably every morning). Apply the contents of one (1) or two (2) tube(s) of gel 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 Testim 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. Open the Testim Gel aluminium tube by piercing the end of the tube with the top part of the cap. Squeeze the entire contents of the tube into the palm of your hand. Squeeze the gel out from the bottom of the tube towards the top. Apply Testim 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 in to your skin for several seconds. Do this until no gel is left on the skin area. This process should be repeated with a second tube of Testim Gel by patients who have been prescribed a daily dose of testosterone 100mg. It is suggested that patients who require two tubes of gel each day use both shoulders (one tube per shoulder) and/or upper arms as application sites. 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 Testim 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 Testim 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 Testim Gel is absorbed into your body.

What is The Process for Low Testosterone Treatment Online?

If you have not had any treatments from us before then this is the process you need to follow:

  • Select the “Starter Kit” of the product you would like (Testim, Testogel or Tostran). This differs from the normal pack because it also contains 2 testosterone test kits.
  • Click 'Start Consultation' and fill in the short medical questionnaire and proceed through the checkout process.
  • After review of your consultation our UK registered GP will require you to undergo some blood tests. This is to see if you are likely to benefit from testosterone replacement therapy, to measure your testosterone levels and to determine if treatment is safe for you. 
  • On approval a testosterone kit  will be sent to you.This needs to be completed and sent off before treatment can be started. The test is easy to perform at home and is sent to the Laboratory in London using the free post envelope enclosed in the pack. The results are sent directly to us here within 4 hours of them receiving the tests.
  • Our UK GP will review you results and the answers from your questionnaire and either authorise or decline you request.If you request is declined then the total amount minus the cost of the home kit will be refunded to you. The home kit is £35.
  •  After Dr approval, the medication and the 2nd home test kit is send out to you.
  • The second testosterone test needs to be completed after 3 weeks. The results are assessed to ensure, for your health and safety, that the medication is having an effect. 

Once the 2 tests have been performed in the first month. We will be sure that the medication is effective and a further test will needed in 6 months time and after that at yearly intervals.

The starter pack price includes the following:- 

  •  2 testosterone home test kits- can be conducted without any embarrassment from the convenience of your own home, but one will be needed before treatment is initiated. Each blood test is provided at a cost of £35, but you will be able to decide whether or not to proceed at each step of the way.
  •  1 packet of the medication
  •  Doctors Consultation
  • Free standard delivery.


Testim gel is a clear gel which contains testosterone. Testosterone is a male hormone. Testim gel is applied to your skin (shoulders or/and upper arms) and testosterone is absorbed directly into your body through skin. It then enters your blood stream and helps to raise your testosterone to normal levels. The type of testosterone delivered into your body by Testim Gel is the same as the testosterone produced in your body. 

Testim gel is used to replace testosterone in men who do not produce sufficient natural testosterone, a condition known as hypogonadism. Testosterone is made naturally in your body in your testicles and help to product sperm and develop and maintain the male sexual characteristics such as a deep voice and body hair. It is also necessary for normal sexual function and sex drive. Testosterone also helps to maintain muscle size and strength.

Enlarge
Testogel
Pack Size: 30 tubes
Order in for Next Day Delivery
RRP*: £60.00
Saving: £5.00
Our Price: £55.00
Qty: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

This medicine is for use by adult men only.

Always use TESTOGEL exactly as your doctor has told you. you should check with your doctor if you are not sure.

The recommended dose is 5g of gel (i.e. 50mg of testosterone) applied once daily at approximately the same time, preferably in the morning.

The daily dose may be adjusted by your doctor, on an individual patient basis, not exceeding 10 g of gel per day.

The gel must be gently spread onto clean, dry, healthy skin as a thin layer on the shoulders, arms or stomach.

After opening the sachet, the entire contents should be taken out of the sachet and applied immediately onto the skin. Allow the gel to dry for at least 3-5 minutes before dressing. Wash your hands with soap and water after applying.

Do not apply to the genital areas (penis and testes) as the high alcohol content may cause local irritation. 

This medicine contains testosterone, a male hormone produced naturally in the body.

It is a hormone treatment in men used for problems related to testosterone deficiency as described in Section 2 (Take special care ...)

Like all medicines, TESTOGEL can cause side effects, although not everybody gets them:

Very common side effects may be experienced by 10 people in every 100
Because of the alcohol this medicine contains, frequent applications to the skin may cause irritation and skin dryness. Moreover, acne may occur.

Common side effects (between 1 and 10 people in every 100)

TESTOGEL may cause headaches, hair loss, development of painful, tender or enlarged breasts, changes to your prostate gland, diarrhoea, dizziness, an increase in blood pressure, changes to your mood, changes in laboratory test results (increase in the number of red blood cells in the blood, lipids), skin hypersensitivity, stinging and loss of memory.

Other side effects have been observed during treatment with oral or injectable testosterone: weight gain, changes of the salt in the blood, muscular pain, nervousness, depression, hostility, breathing problem during sleep, yellowing of the skin (jaundice), changes in the results of tests that check how the liver is working, seborrhoea, sex drive changes, reduction in the number of sperm, frequent or prolonged erections, blockages that may make it difficult to pass urine, water retention, hypersensitivity reactions.

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. 

Take special care with TESTOGEL

Before starting any treatment with TESTOGEL, your testosterone deficiency must be clearly demonstrated by clinical signs (regression of masculine characteristics, reduced lean body mass, weakness or fatigue, reduced sexual desire/drive, inability to have/maintain an erection, etc.) and confirmed by laboratory tests carried out in the same laboratory.

TESTOGEL is not recommended for:
– The treatment of male sterility or impotence,
– Children as no clinical information is available for boys under

18 years,
– By women because of possibly developing male

characteristics.
Androgens may increase the risk of an enlarged prostate gland (benign prostatic hypertrophy) or prostate cancer. Regular examinations of the prostate gland before the beginning and during therapy should be performed to follow your doctor‘s recommendations.

If you are suffering from severe heart, liver or kidney disease, treatment with TESTOGEL may cause severe complications in the form of water retention in your body sometimes accompanied by congestive heart failure (fluid overload in the heart).

Testosterone may cause a rise in blood pressure. TESTOGEL should therefore be used with caution if you are suffering from high blood pressure.

Worsening of breathing problems during sleep have been reported during treatment with testosterone in some people, particularly those who are very overweight or are already suffering from breathing difficulties.

If you have cancer that affects your bones, you may develop increased levels of calcium in your blood or urine. TESTOGEL may further affect these calcium levels. Your doctor may wish to check these calcium levels using blood tests during your treatment with TESTOGEL.

If you receive testosterone replacement treatment over long periods of time you may develop an abnormal increase in the number of red blood cells in your blood (polycythaemia). You will need regular blood tests to check that this is not happening.

TESTOGEL must be used with caution if you are suffering from epilepsy and/or from migraine as these conditions may be made worse.

In case of severe skin reactions, treatment should be reviewed and stopped if necessary.

The following may indicate you are taking too much of the product: irritability, nervousness, weight gain, frequent or prolonged erections. Report any of these to your doctor who will adjust the daily dose of TESTOGEL.

Before starting treatment your doctor will perform a full examination. He/she will need to take blood samples on 2 visits to measure your levels of testosterone before you are given this medicine. You will have regular check-ups (at least once a year and twice a year if you are elderly or an at risk patient) during treatment.

Possible transfer of testosterone

During close and relatively long periods of skin contact testosterone may be transferred to another person unless you cover the treated area. This could cause your partner to show the signs of increased testosterone such as more hair on the face and body and a deepened voice. It may cause changes in the menstrual cycle of women. Wearing clothes covering the application area or showering before contact protects against such transfer.

The following precautions are recommended:
* wash your hands with soap and water after applying the gel, * cover the application area with clothing once the gel has

dried,
* take a shower before intimate contact.

If you believe testosterone has been transferred to another person (woman or child)

* wash the area of skin which may have been affected immediately with soap and water,

* report any signs such as acne or changes in the growth or pattern of hair on your body or face to your doctor.

To make sure no-one else is accidentally put at risk you should leave a long period of time between applying TESTOGEL and making contact. You should also either wear a T-shirt during times of close contact to cover the area where TESTOGEL has been applied or bathe or shower before making contact.

You should preferably wait at least 6 hours between applying the gel and taking a bath or shower. If you occasionally need to bathe or shower between 1 and 6 hours after applying the gel it should not significantly change the effects of your treatment.

Taking or using other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, even those not prescribed, but particularly oral anticoagulants (used to thin the blood), insulin or corticosteroids. These particular medicines may lead to your dose of TESTOGEL being adjusted. 

Enlarge
Testogel Starter Pack
Pack Size: 30 tubes of 5g & 2 Home Testosterone Test Kits
Order in for Next Day Delivery
RRP*: £102.80
Saving: £4.40
Our Price: £98.40
Qty: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

Please ensure you have read the directions tab on this page before you proceed. 




Apply Testogel Gel only to healthy,normal skin. Never apply Testogel 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 Testogel Gel at the same time each day (preferably every morning). Apply the contents of one (1) or two (2) tube(s) of gel 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 Testogel 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. Open the Testim Gel aluminium tube by piercing the end of the tube with the top part of the cap. Squeeze the entire contents of the tube into the palm of your hand. Squeeze the gel out from the bottom of the tube towards the top.

Apply Testogel 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 in to your skin for several seconds. Do this until no gel is left on the skin area. This process should be repeated with a second tube of Testim Gel by patients who have been prescribed a daily dose of testosterone 100mg.

It is suggested that patients who require two tubes of gel each day use both shoulders (one tube per shoulder) and/or upper arms as application sites. 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 Testogel 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 Testogel 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 Testim Gel is absorbed into your body.

Whats The Process for Low Testosterone Treatment Online?

If you have not had any treatments from us before then this is the process you need to follow.

  • Select the “Starter Treatment” of the product you would like. This differs from the normal pack because it contains 2 testosterone testing kits.
  • Fill in the short questionnaire and proceed through the checkout process.
  • After review of your consultation our UK registered GP will require you to undergo some blood tests. This is to see if you are likely to benefit from testosterone replacement therapy, to measure your testosterone levels and to determine if treatment is safe for you. 
  • On approval a testosterone kit  will be sent to you.This needs to be completed and sent off before treatment can be started. The test is easy to perform at home and is sent to the Laboratory in London using the free post envelope enclosed in the pack. The results are sent directly to us here within 4 hours of them receiving the tests.
  • Our UK GP will review you results and the answers from your questionnaire and either authorise or decline you request.If you request is declined then the total amount minus the cost of the home kit will be refunded to you. The home kit is £35.
  •  After Dr approval, the medication and the 2nd home test kit is send out to you.
  • The second testosterone test needs to be completed after 3 weeks. The results are assessed to ensure, for your health and safety, that the medication is having an effect. 

Once the 2 tests have been performed in the first month. We will be sure that the medication is effective and a further test will needed in 6 months time and after that at yearly intervals.

The starter pack price includes the following:- 

  •  2 testosterone home test kits- can be conducted without any embarrassment from the convenience of your own home, but one will be needed before treatment is initiated. Each blood test is provided at a cost of £35, but you will be able to decide whether or not to proceed at each step of the way.
  •  1 packet of the medication
  •  Doctors Consultation
  • Free standard delivery.


Testogel is a clear gel which contains testosterone. Testosterone is a male hormone. Testim gel is applied to your skin (shoulders or/and upper arms) and testosterone is absorbed directly into your body through skin. It then enters your blood stream and helps to raise your testosterone to normal levels. The type of testosterone delivered into your body by Testim Gel is the same as the testosterone produced in your body. 

Testim gel is used to replace testosterone in men who do not produce sufficient natural testosterone, a condition known as hypogonadism. Testosterone is made naturally in your body in your testicles and help to product sperm and develop and maintain the male sexual characteristics such as a deep voice and body hair. It is also necessary for normal sexual function and sex drive. Testosterone also helps to maintain muscle size and strength.

Enlarge
Tostran 2%
Pack Size: 60g
Order in for Next Day Delivery
RRP*: £55.00
Saving: £2.00
Our Price: £53.00
Qty: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

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).

Tostran Gel contains testosterone, which is the principal "androgen" (male) hormone in the body, responsible for the development and maintenance of male characteristics in the body. It is produced by both men and women, in the testicles and ovaries respectively, but in much greater amounts are made in the male body.

Testosterone replacement therapies such as Tostran Gel are intended for use by men who have been diagnosed with low testosterone levels and who have clinical symptoms of the deficiency. These therapies should not be used by men who have testosterone levels within the normal range because it may cause more side effects without any therapeutic benefits.

Testosterone replacement therapies can be used at the same time as medicines for erectile dysfunction if necessary (such as Viagra, Cialis, or Levitra).

Tostran Gel is presented in a canister containing 60g of gel. Each press of the canister piston delivers half a gram of gel, containing 10mg of testosterone.

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.

Enlarge
Tostran Starter Pack
Pack Size: 60g of Tostran Gel & 2 Home Testosterone Test Kits
Order in for Next Day Delivery
Our Price: £98.40
Qty: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

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.

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).

 

Whats The Process for Low Testosterone Treatment Online?

If you have not had any treatments from us before then this is the process you need to follow.

  • Select the “Starter Treatment” of the product you would like. This differs from the normal pack because it contains 2 testosterone testing kits.
  • Fill in the short questionnaire and proceed through the checkout process.
  • After review of your consultation our UK registered GP will require you to undergo some blood tests. This is to see if you are likely to benefit from testosterone replacement therapy, to measure your testosterone levels and to determine if treatment is safe for you. 
  • On approval a testosterone kit  will be sent to you.This needs to be completed and sent off before treatment can be started. The test is easy to perform at home and is sent to the Laboratory in London using the free post envelope enclosed in the pack. The results are sent directly to us here within 4 hours of them receiving the tests.
  • Our UK GP will review you results and the answers from your questionnaire and either authorise or decline you request.If you request is declined then the total amount minus the cost of the home kit will be refunded to you. The home kit is £35.
  •  After Dr approval, the medication and the 2nd home test kit is send out to you.
  • The second testosterone test needs to be completed after 3 weeks. The results are assessed to ensure, for your health and safety, that the medication is having an effect. 

Once the 2 tests have been performed in the first month. We will be sure that the medication is effective and a further test will needed in 6 months time and after that at yearly intervals.

The starter pack price includes the following:- 

  •  2 testosterone home test kits- can be conducted without any embarrassment from the convenience of your own home, but one will be needed before treatment is initiated. Each blood test is provided at a cost of £35, but you will be able to decide whether or not to proceed at each step of the way.
  •  1 packet of the medication
  •  Doctors Consultation
  • Free standard delivery.


Tostran Gelis a clear gel which contains testosterone. Testosterone is a male hormone. Tostran gel is applied to your skin (shoulders or/and upper arms) and testosterone is absorbed directly into your body through skin. It then enters your blood stream and helps to raise your testosterone to normal levels. The type of testosterone delivered into your body by Testim Gel is the same as the testosterone produced in your body. 

Tostran gel is used to replace testosterone in men who do not produce sufficient natural testosterone, a condition known as hypogonadism. Testosterone is made naturally in your body in your testicles and help to product sperm and develop and maintain the male sexual characteristics such as a deep voice and body hair. It is also necessary for normal sexual function and sex drive. Testosterone also helps to maintain muscle size and strength.

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. 

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.

About Low Testosterone

Low Testosterone Background

Low levels of testosterone in men is also known as hypogonadism. Testosterone is a hormone produced mainly in the testicles. Testosterone is responsible for the development of the male characteristics during puberty as well as maintaining adult bodily functions including, sexual functions, strength and energy levels and the amount of muscle and fat in the body. If the body is unable to produce enough testosterone, a man can experience a variety of unwanted symptoms. These include; depression, lack of libido and a reduction in sexual performance.

The levels of testosterone naturally begin to fall once a man is around the age of forty. On average the decrease is between 1-2% a year. If a man’s testosterone levels were not particularly high to begin with then this gradual age-related decline may make the effects seem more pronounced.   

Low levels of testosterone can also be attributed to physical damage to the testicles. This damage can be the result of a viral infection, such as mumps or as a result of certain cancer treatments. Low testosterone levels can also be the result of changes in parts of the brain that are responsible for testosterone production. These changes can be the result of brain tumours, direct trauma or abuse of certain drugs, including anabolic steroids.

Another known cause of low testosterone levels is obesity. In the body fat cells naturally convert testosterone into oestrogen. If the levels of fat cells are excessive then more testosterone is being converted, resulting in lower levels. 

Low Testosterone Symptoms

The resulting symptoms of low levels of testosterone include:

  • A low sex drive: Testosterone plays a pivotal role in a man’s sex drive (libido). Low levels will likely result in a drastic drop in his desire to have sex.
  • Erectile dysfunction: Testosterone is responsible for stimulating the male sex drive. A low level of testosterone is not solely responsible for erectile problems but it can be a contributing factor.
  • Low levels of testosterone can lead to a reduction in the size of the testicles.
  • Low levels of semen: Testosterone plays an important role in semen production. Low levels will result in a decrease in the amount of semen being produced.
  • Hair Loss: Testosterone plays a role in a man’s hair production. Hair loss is a natural part of ageing for the majority of men. However, someone presenting with low levels of testosterone may experience facial and bodily hair loss as well.
  • Feelings of fatigue and a lack of energy: It is common for men with low levels of testosterone to experience a lack of energy or chronic feelings of fatigue.
  • Mood changes: A lack of the hormone testosterone can trigger similar mood changes in men to that which women experience going through the menopause. These symptoms include; irritability, depression and a lack of concentration or focus.
  • A reduction in muscle mass: Testosterone plays an important role in the strengthening and building of muscles in men. Low levels of testosterone can make it difficult for men to maintain and build muscle.
  • Increase in body fat: Men presenting with low levels of testosterone often experience increased levels of body fat. It is believed the genes responsible for controlling the body fat percentage are also responsible for the circulation of testosterone.
  • Reduction in bone mass: Testosterone plays an important role in the strengthening and production of bones. Men presenting with low levels of testosterone are more prone to breaks and fractures. Especially in the hips, feet, ribs and wrists. 

Low Testosterone Diagnosis

Your GP may perform a blood test so that your testosterone levels can be measured. If the result suggest a testosterone deficiency, you may be referred to a hormone specialist known as an endocrinologist. Once the specialist has confirmed the diagnosis then you may be prescribed a form of testosterone replacement treatment to help counter the low levels in your system. 

Low Testosterone Treatment

If low testosterone or hypogonadism has been diagnosed then it is possible treat the condition with hormone replacement therapy. This treatment is designed to bring the body’s testosterone levels back to normal. The result will alleviate the symptoms of hypogonadism and the associated sexual problems.

Low testosterone treatments comes in a variety of forms. It is important to discuss your options with your doctor before deciding upon which treatment is the most appropriate. Testosterone replacement preparations are available in, gels (Testim), capsules, patches, implants and buccal tablets.

A popular and effective form of treatment is Testim Gel. This external preparation is applied to the skin at the same time each morning to the shoulders and upper arms. Testim Gel is best applied after your morning shower when skin is both clean and dry. 

Low Testosterone Prevention

Testosterone levels naturally decline as men grow older. Unfortunately, it isn’t something that can be prevented using self-help techniques. If you experiencing any of the associated symptoms of low testosterone levels, it is recommended to seek medical advice to discuss appropriate treatment. 

*RRP is based on the highest price found for a comparable online service found on 04/09/14.

Testosterone Treatment Frequently Asked Questions ( FAQ's)

Testosterone FAQ’s

 

1. How do I apply the testosterone treatment?

2. What should I do if I miss a dose of testosterone gel?

3. Where do I apply it and how often should this be done?

4. Why do I have to perform another testosterone blood test at 3 weeks?

5. How long before I see an improvement in my symptoms?

6. Why do I need keep notes of my symptoms for the first 2 weeks? 

7. Are there any drugs or foods that interact with testosterone gels?

8. How to stop the transfer of testosterone to other people?

9. What are the side effects of this testosterone treatments?

10. What do I do if my symptoms don’t get better even after the treatment?

11. What are the links between testosterone treatment and prostate cancer?

12. How long do I have to leave the testosterone gel to be absorbed after application?

13. What other treatments can I take with testosterone therapy?

14. What lifestyle changes can I make to improve my testosterone levels?

 

 

 

 

 

1. How do I apply the testosterone treatment?

To correctly apply the gel please follow the procedure below.

Wash and dry the skin area where you are going to apply the gel thoroughly.

Wash your hands and apply a thin layer of gel to the shoulder or abdomen. There is no need to rub the gel in to the skin and after a few minutes it will have dried enough for you to get dressed. This usually takes around 3-5 minutes.

Apply the gel preparation as directed by the doctor (this is usually once daily but can be the maximum dose of 2 sachets a day). Full directions are also provided on the pharmacy label with the medication.

If a dose of 2 sachets is prescribed by the Doctor then apply one sachet to each shoulder.

Allow the area to dry before dressing (this usually takes a few minutes). To ensure maximum absorption, do not wash the site of application for at least 6 hours. If you need to bathe or shower occasionally 1-6 hours after application, this should not affect your treatment.

Wash your hands to ensure they are gel free. This is important so you do not transfer the gel to others.

 

2. What should I do if I miss a dose?

Apply the next dose when you remember and then continue as normal. Do not apply twice the recommended amount to make up for the missed dose.

 

3. Where do I apply it and how often should this be done?

The gel is to be applied to the shoulder or abdomen area once a day. It is preferable to do this in the morning but otherwise should be applied at the same time each day.

Do not apply it to the genitals or the chest area. The gel contains a high alcohol content and is irritating to sensitive areas like the genitals.

 

4. Why do I have to perform another blood test after 3 weeks?

Blood tests are needed before you start treatment, after 3 weeks, 6 months and then yearly thereafter.

The initial blood test is performed to establish a baseline testosterone level and to determine if you have a low testosterone. The range is varied and individual levels can be different depending on age and other factors. All consultations are assessed individually.

Another blood test is performed after 3 weeks to determine if the medicine is having the right effect and the levels have gone up. This combined with an improvement in your symptoms ensures its right to continue with the treatment.

 

5. How long before I see an improvement in my symptoms?

There are some changes that you could notice straight away (e.g. more energy and sexual function).

This happens because you are absorbing the gel and your body is also producing testosterone. After a couple of weeks you may notice that it isn’t working as effectively as before because you body has adapted to the higher levels of testosterone in your system and cut back on production.

This is normal and you need to give you treatment time to stabilize.

Long term effects, like increase in metabolism and weight loss may be seen after a couple of months of regular use.

To ensure you get the best from your medication, it is best to apply it regularly as instructed.

 

6. Why do I need keep notes of my symptoms for the first two weeks?

It is important to keep notes of your symptoms to compare how you feel after 3 weeks of using the medicine to when you started. You can compare the symptoms and the test results before and after using the gel to see if there has been an improvement.

It is only a recommendation and won’t stop you getting further treatments.

 

7. Are there any drugs or foods that interact with testosterone gels?

It’s important to tell us if you are taking any other medication from the doctor, the pharmacy or herbal treatments. However insignificant you may think it is, it’s better to let us know.

Testosterone treatments are best not taken or used with caution with steroid tablets or blood thinners like warfarin. However this is not a complete list, please tell us your medication history before you start treatment or if it changes there after. This will allow our doctors to thoroughly check that your treatment is suitable for you.

Changes in testosterone levels can improve type 2 diabetes and review or adjustment of blood sugar controlling medication may be necessary.

 

8. How to stop the transfer of testosterone gel to other people?

To stop the transfer of Testosterone gel to other people ensure you wash your hands after every application and cover the area after it is dry with clothing.

Prolonged exposure to uncovered treated skin could cause unwanted hair on the face a deep voice and change the menstrual cycle of your partner.

To avoid transfer cover the area will clothing or wash from the surface of the skin.

Pregnant women should not come in to contact with the testosterone gel under any circumstances as it has harmful effects on the baby and is present in breast milk. If your partner becomes pregnant follow the advice above.

 

9. What are the side effects of this treatment?

Testosterone gels can cause side effects like all medicines, but this doesn’t mean that you will necissarily see any of the effects below.

The most common side effects include itching, a rash or dryness to the skin where the gel has been applied, and acne. This may affect up to 10 in 100 men.

Additionally it may also cause hair loss and development of painful and tender breast tissue. This may affect 1 in 100 men using the medication.

 

10. What do I do if my symptoms don’t get better even after the treatment?

If your symptoms do not improve after applying the gel regularly then contact us for further medical advice. We may need to review your treatment to ensure the dose is correct for you and ensure you are applying it correctly.

If you have any questions about your medication then please contact us for further advice.

 

11. What are the links between testosterone treatment and prostate cancer?

The old concepts that there are links between prostate cancer and testosterone treatment have been dismissed.

Initially a study in 1981 looked at men with prostate cancer who were given testosterone treatment. These men either had no testosterone in their system or were given treatments to reduce the testosterone production to zero. Reintroducing testosterone or removing the treatment blocking the production might increase the chance of the residual cancer to grow again.

In 2008, a study of 9000 men (3000 with prostate cancer and 6000 without) showed no correlation between prostate cancer and free testosterone, bound testosterone or any other androgens (male hormones).

 

12. How long do I have to leave the gel to be absorbed after application? 

The gel is best left for 6 hours after application to be fully absorbed. It is usually dry after 3 to 5 minutes and clothes can then be placed over the top.

 

13. What other treatments can I take with testosterone therapy?

It is a common symptom to have erectile dysfunction issues with low testosterone and replacement testosterone gels will help. Not achieving an erection or in ability to maintain one can be distressing.

After using the testosterone replacement gel these symptoms should improve. You may find that erections are stronger and last longer directly after application of the gel and for a few hours after. However there maybe a need for erectile dysfunction treatment like Viagra or Cialis if you would like to have sex at different times. We also provide treatment and information on Erectile Dysfunction.

 

 14. What lifestyle changes can I make to improve my testosterone levels?

 Improving sleep, losing weight and staying active can increase your testosterone levels and it are important for your overall health.

Overweight men often have low testosterone levels and losing weight can increase the hormone. Underweight individuals raising their weight to normal levels can increase their testosterone levels too.

 

 

The Independent Pharmacy is an online pharmacy and online doctor service is owned and operated by ABSM Healthcare Ltd (Company Reg. 08515600) and Red Label Medical Ltd (Company Reg. 08676338). All information that appears on this website is intended for information purposes only and should be used to supplement, not replace, your relationship with your local healthcare professionals. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. Please ensure you always read the information leaflets supplied with any medicinal products.For more information see our policies and terms and conditions at the bottom of every page. © 2014 ABSM Healthcare Ltd. All rights reserved.
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