Methyl Testosterone

Indications
 Oral
Male hypogonadism
Adult: Androgen deficiency: 10-50 mg daily . Postpubertal cryptorchidism: 30 mg daily.
Oral
Menopausal vasomotor symptoms
Adult: For short term treatment: 1.25-2.5 mg daily in combination with estrogen for 21 days or 28-day cycle.
Oral
Metastatic breast carcinoma in postmenopausal women
Adult: 50-200 mg daily.
Buccal
Male hypogonadism
Adult: Androgen deficiency: 5-25 mg daily. Postpubertal cryptorchidism: 15 mg daily.
Buccal
Metastatic breast carcinoma in postmenopausal women
Adult: 25-100 daily.
Oral
Prophylaxis of postpartum breast pain and engorgement
Adult: 80 mg daily for 3-5 days after childbirth.
Buccal
Prophylaxis of postpartum breast pain and engorgement
Adult: 40 mg daily for 3-5 days after childbirth.
Contraindications
 In males, known or suspected carcinoma of the breast or prostate. Pregnancy. Severe hepatic impairment.
Warnings / Precautions
 Hepatic impairment; monitor liver function periodically. Breast cancer in women; may cause hypercalcaemia. DM. Conditions influenced by oedema (e.g. CV disease, migraine, seizure disorder, renal impairment). Elderly. May accelerate bone maturation without compensatory gain in linear growth in children. Monitor for signs of virilisation in women (discontinue if mild virilisation develops) and development of priapism or excessive sexual stimulation in men. Lactation.
Adverse Reactions
 Oedema; headache, anxiety, depression; acne, male-pattern baldness, seborrhoea; hypercalcaemia, hypercholesterolaemia; GI irritation, nausea, vomiting; leucopenia, polycythemia; hypersensitivity reactions. Male: Virilism, priapism, prostatic hyperplasia, prostatic carcinoma, impotence, testicular atrophy, gynaecomastia. Female: Virilism, menstrual irregularities (amenorrhoea), breast soreness, hirsutism (increase in pubic hair growth), atrophy.
Potentially Fatal: Cholestatic hepatitis with jaundice, peliosis hepatis, hepatic neoplasms.
Overdose Reactions
 Abnormal LFTs.
Drug Interactions
 May increase effects of oral anticoagulants and hypoglycaemic agents.
Potentially Fatal: May increase risk of ciclosporin toxicity.
See Below for More methyltestosterone Drug Interactions
Lab Interactions
 May decrease thyroxine-binding globulin concentrations.
Mechanism of Actions
 Methyltestosterone is a synthetic androgenic anabolic steroid hormone. It promotes growth and development of male sex organs by stimulating receptors in organs and tissues, and maintains secondary sex characteristics in androgen-deficient men.
Absorption: Absorbed from the GI tract and from the oral mucosa.
Metabolism: Hepatic.
Excretion: Via urine.
ATC Classification
 G03BA02 - methyltestosterone ; Belongs to the class of 3-oxoandrosten (4) derivative androgens used in androgenic hormone preparations.
G03EK01 - methyltestosterone ; Belongs to the class of androgens and female sex hormones in combination.
Available As
  • Methyl Testosterone 3.6 mg

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