Testosterone Nasal

It is very important that your doctor check your progress while you are using testosterone. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to use it. Blood and urine tests may be needed to check for unwanted effects.

Do not use Natesto® together with other medicines given into your nose (eg, oxymetazoline), unless your doctor says it is okay.

testosterone should not be used by women. Testosterone may cause birth defects if a pregnant woman comes in contact with the medicine. Make sure your doctor knows if your sexual partner is pregnant. If a pregnancy occurs while you are using testosterone, tell your doctor right away.

testosterone may cause nasal problems. Check with your doctor right away if you have a runny nose, congestion, sneezing, nosebleeds, nasal discomfort, nasal scabbing, or nasal dryness while using testosterone.

testosterone may cause blood clotting problems. Check with your doctor right away if you have a chest pain, trouble breathing, coughing up blood, numbness or weakness in your arm or leg, or on one side of your body, or pain in your lower leg (calf) while using testosterone.

testosterone may increase your risk of having a heart attack or stroke. Tell your doctor right away if you have chest pain that may spread to your arms, jaw, back, or neck, faintness, headache, nausea, vomiting, trouble breathing, trouble seeing or speaking, or unusual sweating.

testosterone may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.

Tell your doctor if your female partner or child starts to have male-like body changes while you are using testosterone. Such changes may include hair growth on the face, a deeper voice, or a significant increase in acne. The changes may also include an enlarged penis or clitoris, early development of pubic hair, increased erections or sexual desire, aggressive behavior, and bone problems.

In some cases, testosterone may decrease the amount of sperm men make and affect their ability to have children. If you plan to have children, talk with your doctor before using testosterone.

Check with your doctor right away if you have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin. These could be symptoms of a serious liver problem.

testosterone may cause fluid retention (edema) in some patients. Tell your doctor right away if you have bloating or swelling of the face, arms, hands, lower legs, or feet, tingling of the hands or feet, or unusual weight gain or loss.

testosterone may affect the results of the prostate specific antigen (PSA) test, which may be used to detect prostate cancer. Make sure you tell all of your doctors that you are using testosterone.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

• Discomfort in the nose
• fever
• headache
• muscle aches
• sore throat
• stuffy or runny nose
• unusual tiredness or weakness

• Bloody nose
• body aches or pain
• chills
• cough
• difficulty with breathing
• ear congestion
• loss of voice
• pain or tenderness around the eyes and cheekbones
• sneezing
• tightness of the chest

• Anxiety
• chest pain
• dizziness or lightheadedness
• fainting
• fast heartbeat
• pain, redness, or swelling in the arm or leg
• sudden shortness of breath or troubled breathing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

• Change in sense of smell

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Testosterone is a naturally occurring male hormone necessary for many processes in the body.

Testosterone nasal (for use in the nose) is used to treat conditions in men that result from a lack of natural testosterone.

Testosterone will not enhance athletic performance and should not be used for that purpose.

Testosterone nasal may also be used for purposes not listed in this medication guide.

You should not use this medicine if you have prostate cancer or male breast cancer.

Testosterone nasal should not be used by a woman. Testosterone can cause birth defects in an unborn baby.

Misuse of testosterone can cause dangerous or irreversible effects. Never use more than your prescribed dose. Do not share this medicine with another person.

Follow all directions on your prescription label. Never use testosterone nasal in larger amounts, or for longer than prescribed.

Misuse of testosterone can cause dangerous or irreversible effects, such as enlarged breasts, small testicles, infertility, high blood pressure, heart attack, stroke, liver disease, bone growth problems, addiction, and mental effects such as aggression and violence.

Do not share this medicine with another person.

Do not take by mouth or use on the skin. Testosterone nasal is for use only in the nose.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

Blow your nose gently before using testosterone nasal gel.

Wash with soap and water if the gel gets on your hands or skin while using it.

While using testosterone nasal, you may need frequent blood tests.

Use testosterone nasal regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Do not share this medicine with another person.

Store at room temperature away from moisture and heat.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Avoid using other medications in your nose, unless your doctor tells you to.

Before using testosterone, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: nasal problems (such as persistent runny/stuffy nose, swelling of the lining of your nose), seasonal allergies, history of a broken nose within the past 6 months, a fracture of your nose that caused the inside of your nose to be crooked (deviated anterior nasal septum), sinus problem, nasal or sinus surgery, cancer (especially prostate or breast cancer), prostate problems (such as enlarged prostate or BPH), blood clots (such as in the legs, lungs), heart problems (such as heart failure, heart attack), stroke, breathing trouble during sleep (sleep apnea), kidney disease, liver disease, high cholesterol, diabetes.

If you have diabetes, this product may affect your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Tell your doctor right away if you have symptoms of low blood sugar. Your doctor may need to adjust your diabetes medication, exercise program, or diet.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Some men, particularly older adults, are at a higher risk for developing enlarged prostate or prostate cancer while using this medication. Your risk of prostate problems should be checked by your doctor before you start testosterone.

Children may be more sensitive to the side effects of this drug. In children, it may affect bone growth. Monitor your child's height periodically.

This medication should not be used by women. Women accidentally exposed to this medication may have side effects due to testosterone gel. If you notice symptoms in a woman such as changes in body hair or a large increase in acne, talk to her doctor and your doctor right away. Women who are pregnant or breast-feeding must avoid contact with this medication. This medication may harm an unborn or breast-feeding baby. Consult your doctor for more details.