Sustatrex®350 10ml vial
Testosterone MIX 350mg/ml
1 VIAL containing 10 mL
For multidose use
………………………………………………………………………………….
Therapeutic Class:
Anabolic Agent
Composition:
Each 1 ml of SUSTATREX350 contains:
- Testosterone propionate 60 mg/ml
- Testosterone phenylpropionate 90 mg/ml
- Testosterone isocaproate 90 mg/ml
- Testosterone decanoate 110 mg/ml
- Ethlyl Oleate q.s.
Indication & Dosage:
Intramuscular
Male hypogonadism
Adult:
50-400 mg every 2-3 wk for the testosterone mix
50-400 mg every 2-4 wk for the cypionate;
50-400 mg every 2-4 wk for the enanthate
(or an initial dose of 250 mg every 2-3 wk followed
by a maintenance dose every 3-6 wk);
up to 50 mg 2-3 times wkly for the propionate.
Inoperable metastatic breast cancer
Adult:
As test.mix: 200-400 mg every 2-4 wk.
As enanthate: 200-400 mg every 2-4 wk.
Contraindications:
Hypercalcaemia or hypercalciuria, males with breast or prostate carcinoma.
Pregnancy and lactation.
Special Precautions
Cardiovascular disorders, skeletal metastases, renal or hepatic impairment,
epilepsy, migraine, diabetes or other conditions which may be aggravated by
fluid retention, eg heart failure. Elderly, prepubertal boys. Monitor signs of
virilization (females) and development of priapism or excessive sexual stimulation
(males). Periodic haemoglobin, lipid determinations and rectal prostate examination.
Adverse Drug Reactions
Fluid and electrolyte retention; increased vascularity of the skin; hypercalcaemia,
impaired glucose tolerance; increased bone growth and skeletal weight; increase
LDL cholesterol; increase haematocrit and fibrinolytic activity; headache, depression
and GI bleeding.
Males: spermatogenesis suppression, priapism, gynaecomastia,
prostatic hyperplasia and accelerate growth of malignant prostate neoplasms.
Females: suppression of lactation, ovarian activity and menstruation; virilization,
clitoris hypertrophy, increased libido, oily skin, acne, hirsutism, male pattern
baldness.
Children: Closure of the epiphyses and stop linear growth in early
puberty, symptoms of virilisation. Precocious sexual development, increased
frequency of erection in boys, and clitoral enlargement in girls. IM: urticaria,
inflammation at Inj site, postinjection induration, furunculosis
Potentially Fatal: Peliosis hepatis, liver toxicity, malignant neoplasm.
Drug Interactions
Enhance activities of ciclosporine, antidiabetics, thyroxine, anticoagulants.
Long term use of testosterone may cause resistance to effects of neuromuscular
blockers. Enhance fluid retention from corticosteroids.
Lab Interference
May decrease protein bound iodine (PBI) and thyroxine-binding globulin
concentrations. May cause a decrease in excretion of creatinine and creatine
and increase in excretion of 17-ketosteroids.
Pregnancy Category
Category X: Studies in animals or human beings have demonstrated foetal
abnormalities or there is evidence of foetal risk based on human experience
or both, and the risk of the use of the drug in pregnant women clearly
outweighs any possible benefit. The drug is contraindicated in women who
are or may become pregnant.
Mechanism of Action
Testosterone is the principal endogenous androgen responsible for promoting
the growth and development of male sexual organs and maintaining secondary
sex characteristics in androgen-deficient males.
Absorption: Absorbed from GI tract, skin, and oral mucosa
Distribution: 80% bound to sex-hormone binding globulin.
Undergo enterohepatic recirculation.
Half-life of testosterone: 10 to 100 min.
Metabolism: Hepatic to active and inactive metabolites.
Excretion: Excreted via urine as metabolites; and faeces
as unchanged drug (6%)
CIMS Class : Androgens & Related Synthetic Drugs
ATC Classification: G03BA03 – testosterone ; Belongs to
the class of 3-oxoandrosten (4) derivative androgens used
in androgenic hormone preparations.
Storage:
Store at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in
a tightly-closed container. Store away from heat, moisture, and light.
Do not store in the bathroom. Keep out of the reach of children
and away from pets.
Concentrex Laboratiories N. V., Moerstraat 58, 9031, Gent, Belgium
Reg. No. Licence: 253/55-C9/2010/BE
Manufactured under WHO cGMP guidelines
www.concentrexlabs.com
Date of Preparation : 19 july 2010