May 26, 2017
Recommended Topic Related To:


"The US Food and Drug Administration (FDA) has approved class-wide labeling changes for all prescription testosterone products, the agency announced today.

New safety information from published literature and case reports on the risks "...



How Supplied


Testim® is indicated for testosterone replacement therapy in adult males for conditions associated with a deficiency or absence of endogenous testosterone:

Limitations Of Use

  • Safety and efficacy of Testim in men with “age-related hypogonadism” (also referred to as “late-onset hypogonadism”) have not been established.
  • Safety and efficacy of Testim in males less than 18 years old have not been established [see Use in Specific Populations].
  • Topical testosterone products may have different doses, strengths, or application instructions that may result in different systemic exposure [see DOSAGE AND ADMINISTRATION and CLINICAL PHARMACOLOGY].


Prior to initiating, Testim confirm the diagnosis of hypogonadism by ensuring that serum testosterone concentrations have been measured in the morning on at least two separate days and that these serum testosterone concentrations are below the normal range.

Dosing And Dose Adjustment

The recommended starting dose of Testim® is 50 mg of testosterone (one tube) applied once daily (preferably in the morning) to clean, dry intact skin of the shoulders and/or upper arms.

Dose Adjustment

To ensure proper dosing, serum testosterone concentrations should be measured. Morning, pre-dose serum testosterone concentrations should be measured approximately 14 days after initiation of therapy to ensure proper serum testosterone concentrations are achieved. If the serum testosterone concentration is below the normal range (300 ng/dL to 1,000 ng/dL), the daily Testim dose may be increased from 50 mg testosterone (one tube) to 100 mg testosterone (two tubes) once daily.

The maximum recommended dose of Testim is 100 mg once daily.

The application site and dose of Testim are not interchangeable with other topical testosterone products.

Administration Instructions

Upon opening the tube the entire contents should be squeezed into the palm of the hand and immediately applied to the shoulders and/or upper arms (area of application should be limited to the area that will be covered by the patient's short sleeve T-shirt (see figure below). Do not apply Testim to the genitals or to the abdomen.

Area of application - Illustration

Application sites should be allowed to dry for a few minutes prior to dressing. Hands should be washed thoroughly with soap and water after Testim has been applied. Avoid fire, flame or smoking during the application of Testim until the Testim has dried [see WARNINGS AND PRECAUTIONS].

In order to prevent transfer to another person, wear clothing to cover the application sites. If direct skin-to-skin contact with another person is anticipated, the application sites must be washed thoroughly with soap and water [see WARNINGS AND PRECAUTIONS and CLINICAL PHARMACOLOGY].

The patient should avoid swimming or showering or washing the administration site for a minimum of 2 hours after application [see CLINICAL PHARMACOLOGY].

Strict adherence to the following precautions is advised in order to minimize the potential for secondary exposure to testosterone from Testim-treated skin:

  • Children and women should avoid contact with unwashed or unclothed application site(s) of men using Testim.
  • Testim should only be applied to the upper arms and shoulders. The area of application should be limited to the area that will be covered by a short sleeve T-shirt.
  • Patients should wash their hands with soap and water immediately after applying Testim.
  • Patients should cover the application site(s) with clothing (e.g., a T-shirt) after the gel has dried.
  • Prior to situations in which direct skin-to-skin contact is anticipated, patients should wash the application site(s) thoroughly with soap and water to remove any testosterone residue.
  • In the event that unwashed or unclothed skin to which Testim has been applied comes in direct contact with the skin of another person, the general area of contact on the other person should be washed with soap and water as soon as possible.


Dosage Forms And Strengths

Testim® (testosterone gel) for topical use is available in a unit-dose tube. Each tube contains 50 mg testosterone in 5 g of gel.

Storage And Handling

Testim is supplied in unit-dose tubes in cartons of 30. Each tube contains 50 mg testosterone in 5 g of gel, and is supplied as follows:

NDC Number Package Size
66887-001-05 30 tubes: 50 mg testosterone in 5 g of gel per tube

Store at 20 to 25°C (68°F to 77°F). Excursions permitted to 15°-30°C (59°-86°F) [See USP Controlled Room Temperature].

Discard used Testim tubes in household trash in a manner that prevents accidental exposure of women, children, or pets [see BOXED WARNING and WARNINGS AND PRECAUTIONS]. Contents are flammable [see WARNINGS AND PRECAUTIONS].

Manufactured for: Auxilium Pharmaceuticals, Inc. Chesterbrook, PA 19087 USA. By: DPT Laboratories, Ltd. San Antonio, TX 78215. Revised: May 2015

This monograph has been modified to include the generic and brand name in many instances.

Last reviewed on RxList: 11/9/2016

How Supplied

Report Problems to the Food and Drug Administration


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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