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Trapper John 02-03-2014 11:14

Testosterone Therapy Safety
 
OK, you FOGs listen up and pay attention! If you are tired, can't sleep, have less energy, loss of sexual interest...you've seen the commercials for Low-T testosterone replacement therapy. Now here's the rest of the story...

FDA Reviews Safety of Testosterone Therapy for Men

WASHINGTON (AP) — The Food and Drug Administration said Friday it is reviewing the safety of popular testosterone drugs for men in light of recent studies suggesting they can increase the risk of heart attack, stroke and death.

A study published earlier this week suggested testosterone therapy could double the risk of those problems in men older than 65. Another study published in November found that the hormone increased the risk by 30 percent.

The FDA said it is evaluating information from those studies and others but hasn't yet reached any conclusion.

The investigation comes amid an advertising blitz for testosterone gels, patches and injections marketed for low sex drive, fatigue and other age-related ailments in men.

U.S. prescriptions for testosterone have increased more than five-fold in recent years, with sales over $1.6 billion.

Testosterone injections have long been used for men with hypogonadism, a disorder defined by low testosterone caused by injury or infection to the reproductive organs.

But the latest marketing push by drugmakers is for easy-to-use gels and patches that are aimed at a much broader population of otherwise healthy older men with low levels of testosterone, the male hormone that begins to decline in the body after age 40.

Drugmakers and many doctors claim testosterone therapy can reverse some unpleasant of the signs of aging — ranging from insomnia to erectile dysfunction. Those claims are mostly based on short-term studies.

The National Institute on Aging is currently conducting a long-term, 800-man trial to definitively answer whether testosterone therapy improves walking ability, sexual function, energy, memory and blood cell count in men 65 years and older.

Meanwhile the market for testosterone replacements has grown increasingly crowded.

The top-selling product in the field is Abbvie's Androgel, which is applied to the shoulders and arms. Watson Pharmaceuticals markets the Androderm patch, which slowly releases testosterone into the bloodstream. Fortesta is another testosterone gel from Endo Pharmaceuticals, and Eli Lilly's Axiron is an underarm gel that rolls on like deodorant.

http://www.pharmpro.com/news/2014/02...65529&type=cta

There is always, and I mean ALWAYS, a down-side to hormone replacement therapies. The take-away from this article is that we simply do not have the data to support the long-term safety of using testosterone therapy. Indications from some small studies are not encouraging. An abundance of caution is required at this time until we know.

Oh, and BTW, the same admonition applies to Human Growth Hormone therapy.

It's not a good idea to mess with Mother Nature. :D

Bob45nm 02-03-2014 11:56

Damn there goes my chance to start dating 19 year old dancers again :D

NurseTim 02-03-2014 13:35

Yeah, since dad has prostate CA AND 5 stents, I'll pass on the testaroni therapy. Thanks

cbtengr 02-03-2014 13:54

TJ, thanks for the above post, those ads are endless and would lead one to believe that testosterone therapy was the fountain of youth.

mojaveman 02-03-2014 14:17

Let's be honest, 99% of men are taking it to regain the libido that they had when they were young. Instead of heavy usage how about moderation? One month on and one month off?

Dusty 02-03-2014 14:25

Quote:

Originally Posted by Trapper John (Post 540075)
Testosterone injections have long been used for men with hypogonadism, a disorder defined by low testosterone caused by injury or infection to the reproductive organs.

One of you medicos PM me when they come out with something to treat hypergonadism.

JJ_BPK 02-03-2014 14:35

Quote:

Originally Posted by mojaveman (Post 540097)
Let's be honest, 99% of men are taking it to regain the libido that they had when they were young.
Instead of heavy usage how about moderation? One month up and one month down?

I was told that if it lasted longer than 6 hrs to call the ER?? :D

PedOncoDoc 02-03-2014 14:46

Quote:

Originally Posted by Dusty (Post 540100)
One of you medicos PM me when they come out with something to treat hypergonadism.

Bob Barker was a long-time advocate for the treatment for animals. :D

Dusty 02-03-2014 17:17

Quote:

Originally Posted by PedOncoDoc (Post 540109)
Bob Barker was a long-time advocate for the treatment for animals. :D

lol That gave me a shiver, Doc. :D

Trapper John 02-03-2014 17:23

Quote:

Originally Posted by Dusty (Post 540138)
lol That gave me a shiver, Doc. :D

I was just going to say, but he beat me to it. :D Good one PedOnc Doc :lifter

PRB 02-03-2014 18:08

Quote:

Originally Posted by Dusty (Post 540100)
One of you medicos PM me when they come out with something to treat hypergonadism.

Another term for this is 'precocious puberty' a place where Dusty (myself included) has been hovering for ages.

mark46th 02-03-2014 18:13

"I was told that if it lasted longer than 6 hrs to call the ER??" JJ_BPK

Forget the doctor. I'm calling Susie, Erica, Donna...

JJ_BPK 02-03-2014 18:15

Quote:

Originally Posted by PRB (Post 540146)
Another term for this is 'precocious puberty' a place where Dusty (myself included) has been hovering for ages.

OK,, I think the word is wallering would beter discribe his habits?? :D

PRB 02-03-2014 18:17

Quote:

Originally Posted by JJ_BPK (Post 540149)
OK,, I think the word is wallering would beter discribe his habits?? :D

good point

MtnGoat 02-03-2014 18:21

Better living though better chemistry!!


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