Testim (Testosterone) - Side Effects and Adverse Reactions

ADVERSE REACTIONS

In a controlled clinical study, 304 patients were treated with Testim^® 50 mg or 100 mg or placebo gel for up to 90 days. Two hundred-five (205) patients received Testim^® 50 mg or 100 mg daily and 99 patients received placebo. Patients with adverse events that were possibly or probably related to study drug and reported by ≥1% of the Testim^® patients and greater than placebo are listed in Table 3.

Table 3: Incidence of Adverse Events Judged Possibly, Probably or Definitely Related to Use of Testim® in the Controlled Clinical Trial

Event	Testim®50 mg	Testim®100 mg	Placebo
Application Site Reactions	2%	4%	3%
Benign Prostatic Hyperplasia	0%	1%	1%
Blood Pressure Diastolic Decreased	1%	0%	0%
Blood Pressure Increased	1%	1%	0%
Gynecomastia	1%	0%	0%
Headache	1%	1%	0%
Hematocrit/hemoglobin Increased	1%	2%	0%
Hot Flushes	1%	0%	0%
Insomnia	1%	0%	0%
Lacrimation Increased	1%	0%	0%
Mood Swings	1%	0%	0%
Smell Disorder	1%	0%	0%
Spontaneous Penile Erection	1%	0%	0%
Taste Disorder	1%	1%	0%

The following adverse events possibly or probably related to Testim^® occurred in fewer than 1% of patients but were greater in Testim^® groups compared to the placebo group: activated partial thromboplastin time prolonged, blood creatinine increased, prothrombin time prolonged, appetite increased, sensitive nipples, and acne.

In this clinical trial of Testim^®, six patients had adverse events that led to their discontinuation. These events included: vertigo, coronary artery disease, depression with suicidal ideation, urinary tract infection/pneumonia (none of which were considered related to Testim^® administration), mood swings and hypertension. No Testim^® patients discontinued due to skin reaction.

In one foreign Phase 3 trial, one subject discontinued due to a skin-related adverse event. In the pivotal U.S. and European Phase 3 trials combined, at the 50 mg dosage strength, the percentage of subjects reporting clinically notable increases in hematocrit or hemoglobin were similar to placebo. However, in the 100 mg dose group, 2.3% and 2.8% of patients had a clinically notable increase in hemoglobin (≥ 19 gm/dL) or hematocrit (≥ 58%), respectively.

In the combined ongoing U.S. and European open label extension studies, approximately 140 patients received Testim^® for at least 6 months. The preliminary results from these studies are consistent with those reported for the U.S. controlled clinical trial.

REPORTS OF SUSPECTED TESTIM SIDE EFFECTS / ADVERSE REACTIONS

Possible Testim side effects / adverse reactions in 58 year old male

Reported by a physician from United States on 2011-11-17

Patient: 58 year old male weighing 72.6 kg (159.7 pounds)

Reactions: Scotoma, Chorioretinopathy

Suspect drug(s):
Testim

Other drugs received by patient: Allopurinol; Tramadol HCL; Diclofenac Sodium; Trazodone HCL

Possible Testim side effects / adverse reactions in 71 year old male

Reported by a consumer/non-health professional from United States on 2011-12-22

Patient: 71 year old male weighing 74.0 kg (162.8 pounds)

Reactions: Generalised Erythema

Suspect drug(s):
Testim
    Indication: Androgen Replacement Therapy
    Start date: 2011-04-01

Pravastatin Sodium
    Administration route: Oral
    Indication: Blood Cholesterol Increased
    Start date: 2011-04-01

Other drugs received by patient: Hydrochlorothiazide; Simvastatin; Lisinopril

Possible Testim side effects / adverse reactions in 47 year old male

Reported by a health professional (non-physician/pharmacist) from United States on 2012-01-05

Patient: 47 year old male weighing 77.2 kg (169.8 pounds)

Reactions: Blood Testosterone Decreased

Suspect drug(s):
Synthroid
    Indication: Hypothyroidism
    Start date: 2011-06-10

Synthroid
    Indication: Blood Thyroid Stimulating Hormone

Testim
    Dosage: testim 1%, 50mg gel, once daily
    Indication: Blood Testosterone Decreased
    Start date: 2011-06-01