About Androderm
Androderm is a testosterone patch that’s used to treat hypogonadism in men. Hypogonadism is a condition where the body doesn’t produce enough testosterone. The Androderm patch is applied to the skin and delivers testosterone directly into the bloodstream.
Though Androderm can be an effective treatment, it’s not for everyone. Some people experience skin irritation from the patch. Others may not like the way it looks or feels. Androderm also has a risk of transferring to others through skin contact, and it’s not always covered by insurance.
If you’re looking for an Androderm patch alternative, you have options. Testosterone is available in:
- topical gels
- nasal gels
- oral capsules
- injectable solutions
- implantable pellets
Each of these options has benefits and drawbacks. Keep reading to learn more about each one.
Understanding Testosterone Deficiency and Treatment Options
Let’s break down testosterone deficiency and explore treatment options.
Defining Testosterone Deficiency (Hypogonadism)
Low testosterone, or hypogonadism, is usually diagnosed when two separate blood tests show total serum testosterone levels below 300 ng/dL. Symptoms can include feeling tired, decreased sex drive, erectile dysfunction, losing muscle mass, and other factors; some even wonder if girlfriend dynamics can affect testosterone levels.
Importance of Testosterone Replacement Therapy (TRT)
Testosterone replacement therapy (TRT) can make a big difference in how men with diagnosed hypogonadism feel and improve their overall quality of life. When undergoing TRT, the goal is usually to get total testosterone levels between 450-600 ng/dL.
Overview of Different Testosterone Formulations
TRT comes in several forms: topical gels, transdermal patches (like Androderm), nasal gels, oral capsules, injectable solutions, and even implantable pellets. Each has its own way of being administered, how the body processes it, and potential side effects, which we’ll explore later.
Topical Testosterone Gels as Androderm Alternatives
If you’re looking for an alternative to the Androderm patch, topical testosterone gels are another option to discuss with your doctor.
Overview of Topical Testosterone Gels
Like the Androderm patch, these gels deliver testosterone through your skin and into your bloodstream. You apply them directly to your skin.
Common brand names include AndroGel, Testim, Fortesta, and Vogelxo.
What are the pros and cons? Gels are convenient and can give you more stable testosterone levels than injections. On the other hand, you have to apply them every day, and there’s a risk of transferring the medication to someone else through skin contact. Plus, some people get skin irritation where they apply the gel.
Specific Topical Gel Products
AndroGel (1% and 1.62%): You can get AndroGel in different strengths and application methods, like packets or pumps. The usual starting dose is 50 mg once a day for the 1% stuff and 40.5 mg once a day for the 1.62%.
Other Topical Gels: Fortesta, Testim, Vogelxo, and Axiron are other options.
- Fortesta: Starting dose is 40 mg once daily.
- Testim/Vogelxo: Starting dose is 50 mg once daily.
- Axiron: Starting dose is 60 mg (2 pumps) once daily.
Important Considerations for Topical Gel Use
When you use these gels, make sure to put them on clean, dry skin on your upper arms, shoulders, or belly, and follow the directions. Wash your hands right after you put it on, and cover the area with clothing to keep the medicine from rubbing off on others.
You’ll also need to get your testosterone levels checked regularly so your doctor can adjust your dose if needed.
Other Testosterone Patches Besides Androderm
Although Androderm is one brand name, other testosterone patches might be available depending on where you live and which companies manufacture them.
Testosterone patches are applied to clean, dry skin and usually replaced every day. It’s important to change the spot where you put the patch each time to avoid irritating your skin.
Here are some of the pros and cons of using testosterone patches:
- Pros: Patches provide a steady dose of testosterone and some people find them easier to use than gels.
- Cons: Skin irritation is a common side effect, and the patch may be visible under clothing.
Nasal Testosterone Gel
One alternative to the Androderm patch is Natesto, a testosterone gel that you squirt up your nose.
How to use Natesto
The typical starting dose is 11 mg (two pumps) three times a day, applied to the inside of your nostrils.
Pros and Cons
The upside is that you avoid the skin irritation that can come with topical gels and patches. The downside is that you have to use it frequently (three times a day!) and it can cause nasal irritation or congestion. It’s probably not a great choice if you already have a stuffy nose.
ORAL TESTOSTERONE CAPSULES
If you’re not a fan of gels, creams, or injections, you might want to talk to your doctor about oral testosterone capsules.
Overview of Oral Testosterone Options
A few oral testosterone medications are available, including Jatenzo, Kyzatrex, and Tlando.
- Jatenzo: This medication is available in 158-mg, 198-mg, and 237-mg capsules. The usual starting dose is 237 mg taken by mouth twice a day with food.
- Kyzatrex: Kyzatrex comes in 100-mg, 140-mg, and 200-mg capsules. The starting dose is 200 mg taken orally twice daily with food.
- Tlando: This oral testosterone medication is available in 112.5-mg capsules. The starting dose is 225 mg taken by mouth twice a day with food.
As you may have noticed, these capsules must be taken with food to make sure your body properly absorbs the medication.
Advantages and Disadvantages
Like other testosterone treatments, oral testosterone capsules have pros and cons.
The biggest advantage is that they’re convenient to take. Some men might prefer a pill over a gel or a shot.
However, there are some drawbacks. Some oral testosterone formulations can potentially cause liver damage and may increase your risk of heart problems.
Important Considerations
If you and your doctor decide that oral testosterone capsules are right for you, you’ll need to have your liver function monitored regularly to make sure the medication isn’t causing any damage.
Your doctor should also assess your risk factors for cardiovascular disease before you start taking oral testosterone.
Injectable testosterone
Another option for testosterone replacement therapy is injectable testosterone. Let’s take a closer look at the different types.
Types of injectable testosterone
There are a few different kinds of injectable testosterone, including:
- Testosterone esters: These include testosterone cypionate (Depo-Testosterone) and testosterone enanthate (Delatestryl). These are long-acting esters that are injected into a muscle every 2 to 4 weeks. Doses can vary, but they generally range from 50 mg to 400 mg every 2 to 4 weeks.
- Testosterone undecanoate: This includes Aveed and Xyosted. Aveed is a long-acting injectable form of testosterone undecanoate that’s given less often – about every 10 weeks. Xyosted is a subcutaneous injection, meaning it’s injected under the skin, and it’s given weekly. The usual starting dose is 75 mg injected under the skin once a week.
Administration and dosage
How these medications are given varies. Intramuscular injections are injected into a large muscle, like the gluteus maximus (in the butt) or the deltoid (in the upper arm). These injections can be given at a doctor’s office or at home if the patient is trained to give themselves the injections.
Subcutaneous injections are injected under the skin, usually in the abdomen or thigh. They might be easier for people to self-administer.
Advantages and disadvantages
One advantage of injectable testosterone is that you don’t have to take it as often as you would a topical gel or nasal gel. Injectables may also provide more consistent testosterone levels than some other methods.
However, some people might not like the idea of getting injections. There’s also a chance of pain or irritation at the injection site, though unrelated, some may experience testicle pain from supplements like Ashwagandha. And finally, testosterone levels can fluctuate between injections.
REMS program considerations
Aveed has a Risk Evaluation and Mitigation Strategies (REMS) program because of the risk of pulmonary oil microembolism (POME) reactions, which are serious. Because of this risk, Aveed must be given by a healthcare professional in a certified setting.
IMPLANTABLE TESTOSTERONE PELLETS
Testopel is a brand of testosterone that comes in the form of small pellets implanted under the skin.
How it’s Administered
These pellets are usually implanted every 3 to 6 months. The number of pellets you’ll need depends on your testosterone levels and how your body responds to the treatment. The American Urological Association (AUA) suggests a starting dose of 10 pellets for most people.
Pros and Cons
The good thing about Testopel is that it provides a long-lasting testosterone boost without you having to remember to take or apply something every day. The downside is that getting them implanted requires a minor surgical procedure. There’s also a small risk of the pellet being pushed out of your body or getting an infection.
Important Things to Keep in Mind
It’s important to have your testosterone levels checked regularly to make sure the pellets are working correctly and to adjust the dosage if needed. Also, be aware of potential problems like infection, bleeding, or the pellet coming out.
Frequently Asked Questions
What is the cost of Androderm tablets?
Androderm is a patch, not a tablet. The cost of Androderm patches can vary widely depending on your insurance coverage, pharmacy, and dosage. It’s best to check with your local pharmacy or insurance provider for the most accurate pricing information.
Does insurance cover testosterone patches?
Many insurance plans do cover testosterone patches, including Androderm, when prescribed for a medically necessary condition like hypogonadism; however, understanding what different insurance providers like United Healthcare cover for hormone therapy is essential. However, coverage can vary, so it’s essential to check your specific plan’s formulary and requirements for prior authorization.
Which is better, testosterone gel or patch?
The choice between testosterone gel and patches depends on individual preferences and needs. Patches offer a steady release of testosterone and may be more convenient for some. Gels are applied topically and can be adjusted in dosage more easily. Discuss the pros and cons of each with your doctor.
How much will 100 mg of testosterone raise levels?
The effect of 100 mg of testosterone on your levels varies significantly depending on the formulation (injection, gel, patch), your individual physiology, and other factors. Blood tests are crucial to monitor your testosterone levels and adjust the dosage as needed.
What is the safest form of testosterone replacement therapy?
The “safest” form of testosterone replacement therapy depends on individual risk factors and health conditions. All forms have potential side effects. Working closely with a healthcare provider to monitor your health and testosterone levels is key to minimizing risks.
In closing
There are many ways to get testosterone replacement therapy if Androderm isn’t working for you or you don’t like using it. You can choose from topical gels, other kinds of skin patches, nasal gels, oral capsules, injectable solutions, and implantable pellets. Each one has its own set of pros and cons.
When you’re trying to figure out which alternative is best for you, think about your:
- personal preferences
- lifestyle
- medical history
You should also learn about the potential side effects and the overall cost of the treatment.
The most important thing you can do is talk with a healthcare professional. They can help you decide which testosterone replacement therapy is the best fit for your individual needs and situation. They can also prescribe the medication for you and monitor your progress.