testosterone sustained-release - buccal, Striant (cont.)
HOW TO USE: Read the Patient Information Leaflet provided by your pharmacist before you start using testosterone and each time you get a refill. If you have any questions, consult your doctor or pharmacist.This medication is absorbed into your body through your gums. Do not swallow or chew the tablet. Immediately after opening the packet, place the rounded side of the tablet in a comfortable area of the gum as high as it will go above the tooth (incisor) next to your front tooth. Hold the tablet in place for 30 seconds by pressing through your upper lip. This will help the tablet stick to your cheek/gum for 12 hours. Over time, the tablet will mold to your mouth. To remove, gently move the tablet back and forth until it loosens, then slide it down your tooth to avoid scratching your gums. Throw away the used tablet into the trash out of reach of children and pets. If you have any questions about how to use this product, consult your pharmacist.The tablet is usually changed twice a day, about every 12 hours. You should switch to the opposite side of your mouth each time you change the tablet. Inspect your gums regularly, and tell your doctor if anything looks abnormal.Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same times each day, usually after brushing your teeth in the morning and evening. Always check that the tablet is still stuck to your gum or cheek after eating, drinking, brushing teeth, or using mouthwash.If the tablet falls off, throw away the old tablet and place a new one. If it is more than 4 hours before your next scheduled dose, place a new tablet, and then change at your usual time. If it is less than 4 hours until you usually change tablets, place a new tablet and skip the next change time. Then resume your usual dosing schedule.If this tablet is accidentally swallowed, it is unlikely to cause problems because stomach acid will destroy most of the testosterone in this tablet. In case of swallowing, contact the doctor if there are any side effects.Inform your doctor if your condition persists or worsens.Since this drug can be absorbed through the skin, women who are pregnant or who may become pregnant should not handle this medication.
SIDE EFFECTS: Side effects in the mouth and gums may occur, including redness, irritation, pain, tenderness, swelling, and bitter/strange/change in taste. These effects usually go away within several days but may last up to 2 weeks. Headache, nausea, acne, change in sexual interest, hair loss, toothache, or trouble sleeping may also occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: mental/mood changes (e.g., depression, anxiety), bleeding gums, mouth sores, trouble breathing (especially while sleeping), breast enlargement/pain.Tell your doctor immediately if any of these rare but very serious side effects occur: persistent nausea/vomiting, dark urine, yellowing of eyes/skin, stomach/abdominal pain, swelling of ankles/feet, sudden weight gain, trouble urinating, painful ejaculation, bloody semen, frequent pain/stiffness in lower back/hips/thighs, testicle pain/tenderness, change in size/shape of the testicles.In patients with diabetes, especially those taking insulin, testosterone may decrease your blood sugar. Be prepared to treat low blood sugar while you are using this medication. Symptoms of low blood sugar include shakiness, nervousness, fast heartbeat, and sweating. If you are experiencing these symptoms, consult your doctor. Your doctor may need to adjust your diabetes medications.In the very unlikely event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and seek immediate medical attention, or permanent problems could occur.A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Medically Reviewed by a Doctor on 4/16/2014
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You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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