Buccal testosterone (Striant) | 30 mg twice daily | 30 mg twice daily | NA ($620) for 60 tablets | May alter taste or irritate oral mucosa |
Injectable/intramuscular | | | | |
| Testosterone cypionate (Depo-Testosterone) | 50 to 400 mg every one to four weeks | 100 mg weekly or 200 mg every two weeks | 200 mg per mL: $115 ($130) for one 10-mL vial | — |
| Testosterone enanthate (Delatestryl) | 50 to 400 mg every one to four weeks | 100 mg weekly or 200 mg every two weeks | 200 mg per mL: $80 ($100) for one 5-mL vial | Serum levels tend to have peaks and troughs |
| Testosterone undecanoate (Aveed) | 750-mg initial dose and another 750 mg four weeks later, then 750 mg every 10 weeks | Two doses four weeks apart, then every 10 weeks | NA ($995) per 750-mg dose | Special prescriber registration required because of risk of anaphylaxis and pulmonary oil microembolism |
Intranasal gel (Natesto) | 33 mg; one actuation (11 mg) in each nostril three times daily | Three times daily | NA ($235) for one inhaler | Adverse effects include headache, nasopharyngeal and upper respiratory symptoms |
Pellets (Testopel) | 150 to 450 mg every three to six months | 150 mg every three months | NA ($950) for 10 75-mg pellets | — |
Transdermal gel | | | | |
| Androgel 1% or 1.62% | 50 to 100 mg daily | 50 mg daily | 1% gel: $310 ($560) for 30 50-mg doses | Possible to transfer from one person to another; risk of virilization of exposed women and children |
| Fortesta | 10 to 70 mg daily | 40 mg daily | $350 ($450) for one pump | |
| Testim 1% | 50 to 100 mg daily | 50 mg daily | $400 ($600) for 30 50-mg doses | |
Transdermal patch (Androderm) | 2 to 4 mg daily | 2 mg daily | NA ($550) for 30 4-mg patches | Skin rash common; patients should be advised to rotate application sites |
Transdermal solution (Axiron) | 30 to 120 mg daily | 60 mg daily | 30 mg: NA ($615) for one bottle | Applied to axillary area similar to deodorant; risk of transfer to others as with gel forms |