Is castor oil used as the carrier oil for testosterone enanthate injections?

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Castor Oil as Carrier in Testosterone Enanthate Injections

No, castor oil is not used in standard testosterone enanthate formulations—sesame oil is the FDA-approved carrier vehicle. 1

Standard Carrier Oil for Testosterone Enanthate

  • Testosterone enanthate injection (USP) is formulated in sesame oil, not castor oil, according to the FDA drug label 1
  • Each mL provides 200 mg testosterone enanthate dissolved in sesame oil with 5 mg chlorobutanol as preservative 1
  • This sesame oil formulation is administered intramuscularly at typical doses of 100-200 mg every 2 weeks or 50-100 mg weekly 2

Castor Oil Use in Other Testosterone Formulations

  • Castor oil is the carrier vehicle for testosterone undecanoate, not testosterone enanthate 3, 4, 5
  • Testosterone undecanoate in castor oil is administered as 750 mg (in 4 mL castor oil) initially, then at 4 weeks, then every 10 weeks 2
  • The castor oil formulation of testosterone undecanoate requires gluteal intramuscular injection only and carries a specific FDA warning regarding pulmonary oil microembolism 2
  • Oral testosterone undecanoate capsules also use castor oil (along with propylene glycol laurate) as the vehicle for lymphatic absorption 6, 7

Clinical Implications of Different Carrier Oils

  • Sesame oil (testosterone enanthate/cypionate) allows flexible injection sites including thigh self-injection or gluteal administration 2
  • Castor oil (testosterone undecanoate) restricts injection to gluteal site only due to the larger volume (4 mL) and risk of pulmonary complications 2
  • Post-injection pain with castor oil formulations peaks immediately after injection, reaches moderate severity, and resolves by day 4 in 80% of patients 4
  • The castor oil vehicle in testosterone undecanoate was associated with episodes of sudden-onset non-productive cough with faintness in 1.5% of injections, likely due to pulmonary oil microembolism 3

Common Pitfall to Avoid

  • Do not confuse testosterone enanthate with testosterone undecanoate—these are distinct esterified forms with different carrier oils, injection volumes, dosing intervals, and safety profiles 1, 3, 5

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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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