Slate Training - Module 4

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Author:
bwallis
ID:
212807
Filename:
Slate Training - Module 4
Updated:
2013-04-19 11:05:00
Tags:
Testopel
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Description:
Mod 4
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  1. Striant (4)
    • Actient
    • Buccal System
    • replace every 12 hours
    • 30 mg/daily
  2. Androderm
    • Patch
    • qd
    • Watson
    • 2mg applied to back, abdomen, upper arms, thighs (rotated)
  3. Depo-Testosterone
    • Pharmacia
    • 50-400mg every 2-4 weeks
    • Injection (buttocks)
  4. Delatestryl
    • Indevus
    • 50-400mg every 2 weeks
    • injection
  5. Testim 1%
    • Auxillum
    • Gel
    • 5-10 mg/day
    • applied to shoulders and upper arms
  6. Axiron 2%
    • Lilly
    • underarm applicator
    • 30-120 mg/day
  7. Negatives of oral TRT (2)
    • Quickly broken down by liver and does not achieve high enough blood levels to be useful unless in large doses
    • large doses can cause adverse changes in lipids and cause liver damage
  8. Andriol
    • Organon
    • 80-160 mg/day
    • tablet
  9. Ideal TRT
    produces and maintains physiolgic serum levels of testosterone without side effects or safety concerns
  10. Azoospermia (2)
    • Administration of exogenous Testosterone as a means of male contraception under study
    • usually results within approx 10 weeks of beginning therapy
  11. Lipid Abnormalities (3)
    • TRT is known to reduce total cholesterol
    • LDL and HDL
    • Lipid values should be followed closely in men receiving TRT
  12. Polycthemia (3)
    • high red blood cell count
    • has been associated with TRT
    • correlated with elevated bioavailable Testosterone and estradiol levels
  13. PSA (4)
    • prostate specific antigen
    • levels of 4-10 are concerning
    • identifies prostate cancer risk
    • for patients 50 and older
  14. Prostate Cancer and TRT (2)
    • little to no association between TRT and development of prostate cancer
    • recent studies indicate that Testosterone levels have no apparent systematic relationship to prostate cancer
  15. Hematocrit (2)
    • volume % of red blood cells in blood
    • normal for men is 45%
  16. Fortesta 2%
    • Gel
    • Applied to inner and/or upper thighs
    • Endo Pharma
    • 10-70 mg/day
  17. Androgel 1% and 1.62% (5)
    • Gel
    • Abbott
    • 1% 5-10g/day
    • 1.62 % 20.25 - 81 mg a day
    • apply to shoulders and upper arms (abdomen 1% only)
  18. Why should TRT be given to boys/Men?
    • stimulate puberty in boys
    • increase testosterone production in men
  19. T or F - TRT cause a decrease in sperm production?
    True
  20. Types of TRT (6)
    • Pellets
    • Gel
    • buccal system
    • oral
    • patch
    • injection
  21. Testopel (5)
    • 75 mg
    • rice sized pellet
    • implanted in outer quadrant of hip via trocar
    • placed in subermal fat 3-4 inches below belt line
    • lasts 3-6 months (only FDA approved)
  22. Problem with compounded products (2)
    • No quality control
    • inconsistent production
  23. Standard TRT monitoring (3)
    • Once every 3-6 months for a year
    • Every 12 months after that
    • assess clinical response, blood tests
  24. Contraindications of TRT (3)



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    • Men with breast cancer
    • Men with prostate cancer
    • Pregnant Women



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