PRODUCT MONOGRAPH
PRODUCT MONOGRAPH
PRODUCT MONOGRAPH
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Table 2 – Adverse Drug Reactions from Other Testosterone Preparations<br />
MedDRA System Organ Class (SOC) Adverse Drug Reaction<br />
Blood and the lymphatic system disorders: Erythropoiesis abnormal<br />
General disorders and administration site<br />
conditions:<br />
Hepatobiliary disorders Peliosis hepatis<br />
Metabolism and nutrition disorders: Urine calcium decrease<br />
Nervous system disorders: Insomnia<br />
Psychiatric disorders: Anger<br />
Application site burning, application site induration,<br />
application site rash, application site dermatitis, application<br />
site blister, application site erythema<br />
Renal and urinary disorders: Dysuria, hematuria, incontinence, bladder irritability<br />
Reproductive system and breast disorders: Testicular atrophy, mastodynia<br />
Respiratory, thoracic and mediastinal<br />
disorders:<br />
Dyspnea, sleep apnea<br />
Skin and subcutaneous tissue disorders: Seborrhea, male pattern baldness, hirsutism<br />
DRUG INTERACTIONS<br />
Drug-Drug Interactions<br />
Insulin: In diabetic patients, the metabolic effects of Androgens may decrease blood glucose and,<br />
therefore, insulin requirements.<br />
Propranolol: In a published pharmacokinetic study of an injectable testosterone product,<br />
administration of testosterone cypionate led to an increased clearance of propranolol in the<br />
majority of men tested. It is unknown if this would apply to Andriol ® (testosterone undecanoate<br />
capsules).<br />
Corticosteroids: The concurrent administration of testosterone with ACTH or corticosteroids<br />
may enhance edema formation; thus these drugs should be administered cautiously particularly<br />
in patients with cardiac, renal or hepatic disease.<br />
Anticoagulants: Androgens may increase sensitivity to oral anticoagulants. Dosage of the<br />
anticoagulant may require reduction in order to maintain satisfactory therapeutic<br />
hypoprothrombinemia.<br />
Cyclosporine: Testosterone replacement therapy may potentiate cyclosporine and increase risk of<br />
nephrotoxicity. 13<br />
ANDRIOL ® (testosterone undecanoate capsules) Page 9 of 26