Preparations

The different options for testosterone prescribing include:

1. Testogel sachets (2.5g containing 40.5mg testosterone).
2. Tostran (2% testosterone gel in a canister containing 60g).
3. Testim tubes (1% testosterone gel in a 5ml tube).
4. Androfeme cream (1% testosterone cream in a 50ml tube). Only available in the private sector.

For dosing regimes, see prescribing information section.

• There are no licensed testosterone products for female use in the UK.
• Licensed male testosterone preparations such as Testogel, Tostran and Testim can be used, off-license, at lower doses in females (the recommended daily testosterone dose in females is 5mg).
• This is backed by national guidance and meets the criteria proposed by the GMC and MHRA on prescribing an unlicensed medicine.
• Androfeme is licensed in Australia for female use. However, it is not available on the NHS. It is only available in the private sector.
• Depending on local prescribing regulations testosterone prescribing may be limited to clinicians with expertise in menopause.
• Patients should be made aware of this information.

• Tibolone is a continuous combined HRT that is weakly androgenic, progestogenic and oestrogenic. It can be an alternative.