Does testosterone contain cyanide?

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Last updated: December 30, 2025View editorial policy

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Does Testosterone Contain Cyanide?

No, testosterone does not contain cyanide. Testosterone is a steroid hormone with the chemical formula C₁₉H₂₈O₂, composed entirely of carbon, hydrogen, and oxygen atoms—there is no cyanide (CN) in its molecular structure.

Chemical Composition of Testosterone

  • Testosterone is an endogenous androgen hormone naturally produced in the human body, with a well-established molecular structure that contains no cyanide or cyanide-containing compounds 1.

  • Pharmaceutical testosterone preparations—including injectable esters, transdermal gels, patches, and oral formulations—are manufactured to replicate the natural hormone and do not contain cyanide as an ingredient or byproduct 1.

FDA-Approved Testosterone Formulations

  • The American Urological Association guidelines describe multiple testosterone delivery methods (intramuscular injections, transdermal preparations, and oral formulations) without any mention of cyanide content, as it is not present in any approved formulation 1.

  • Commercially manufactured testosterone products undergo FDA oversight to ensure purity and safety, with no cyanide listed among the components or excipients 1.

  • Even compounded testosterone preparations, which have variable quality control, do not contain cyanide—their concerns relate to potency variation, not toxic additives 1.

Common Pitfalls

  • This question may arise from confusion about chemical terminology or misinformation about hormone therapy safety.

  • The documented risks of testosterone therapy include cardiovascular effects, erythrocytosis, fertility suppression, and potential liver toxicity with certain oral formulations (specifically 17-alpha-alkylated androgens like methyltestosterone), but cyanide toxicity is not among them 1, 2.

  • Patients concerned about testosterone safety should focus on evidence-based risks: the American Urological Association recommends avoiding testosterone for 3-6 months after cardiovascular events, monitoring hematocrit levels, and understanding fertility implications—none of which relate to cyanide exposure 1, 3.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Concomitant Use of Testosterone, Vyvanse, and Accutane: Safety Considerations

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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