Type of testosterone (brand)Dosage and frequencyCommon starting dosageCost*Comments
Buccal testosterone (Striant)30 mg twice daily30 mg twice dailyNA ($620) for 60 tabletsMay alter taste or irritate oral mucosa
Injectable/intramuscular
Testosterone cypionate (Depo-Testosterone)50 to 400 mg every one to four weeks100 mg weekly or 200 mg every two weeks200 mg per mL: $115 ($130) for one 10-mL vial
Testosterone enanthate (Delatestryl)50 to 400 mg every one to four weeks100 mg weekly or 200 mg every two weeks200 mg per mL: $80 ($100) for one 5-mL vialSerum 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 weeksTwo doses four weeks apart, then every 10 weeksNA ($995) per 750-mg doseSpecial 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 dailyThree times dailyNA ($235) for one inhalerAdverse effects include headache, nasopharyngeal and upper respiratory symptoms
Pellets (Testopel)150 to 450 mg every three to six months150 mg every three monthsNA ($950) for 10 75-mg pellets
Transdermal gel
Androgel 1% or 1.62%50 to 100 mg daily50 mg daily1% gel: $310 ($560) for 30 50-mg dosesPossible to transfer from one person to another; risk of virilization of exposed women and children
Fortesta10 to 70 mg daily40 mg daily$350 ($450) for one pump
Testim 1%50 to 100 mg daily50 mg daily$400 ($600) for 30 50-mg doses
Transdermal patch (Androderm)2 to 4 mg daily2 mg dailyNA ($550) for 30 4-mg patchesSkin rash common; patients should be advised to rotate application sites
Transdermal solution (Axiron)30 to 120 mg daily60 mg daily30 mg: NA ($615) for one bottleApplied to axillary area similar to deodorant; risk of transfer to others as with gel forms