From the Research
To obtain a prescription for testosterone gel in Canada, you need to consult with a healthcare provider such as a family doctor, endocrinologist, or urologist, as testosterone replacement therapy is typically prescribed for men diagnosed with hypogonadism confirmed through blood tests, with common products including Androgel and Testim, and dosage starting at 50-100 mg per day, as indicated by the most recent study 1.
Key Points to Consider
- Testosterone replacement therapy is prescribed for men with low testosterone levels confirmed through blood tests, with the goal of improving symptoms and signs of testosterone deficiency, as discussed in 2.
- Common testosterone gel products available in Canada include Androgel (1% or 1.62%) and Testim (1%), usually applied daily to clean, dry skin on shoulders, upper arms, or abdomen, as mentioned in the example answer.
- Dosage typically starts at 50-100 mg per day and may be adjusted based on testosterone levels and symptom response, with the medication absorbed through the skin providing steady hormone levels throughout the day, as indicated by 3.
- Regular follow-up appointments are necessary to monitor testosterone levels, hematocrit, PSA (prostate-specific antigen), and other health parameters, with side effects including skin irritation, mood changes, increased red blood cell count, and potential prostate effects, as discussed in 4.
- Insurance coverage varies, so it's essential to check with the provider about costs, and testosterone is a controlled substance in Canada, requiring proper medical assessment and ongoing supervision, as mentioned in the example answer.
Important Considerations
- The most recent study 1 highlights the importance of proper prescribing and monitoring practices for testosterone therapy, with guidelines recommending restriction to men with a biochemical diagnosis of hypogonadism and therapeutic responses titrated within the normal range.
- The study also notes that many men prescribed testosterone therapy did not continue beyond a short trial, and only one-third had a follow-up serum testosterone level drawn, emphasizing the need for regular monitoring and education on testosterone replacement therapy, as discussed in 2.
- Another study 5 compares the efficacy and cost of clomiphene citrate and testosterone gel replacement therapy, finding that clomiphene citrate represents a treatment option for men with hypogonadism, demonstrating biochemical and clinical efficacy with few side effects and lower cost compared to testosterone gel replacement therapy.