Important Safety Information: Testosterone | Compounded Buccal Troche

What is this?

This Important Safety Information summarizes key warnings and precautions for Testosterone 8 mg Troche, a compounded buccal formulation designed to support men diagnosed with low testosterone levels. Testosterone is an androgen hormone responsible for energy, libido, muscle mass, mood stability, and overall metabolic function.

This compounded troche is intended for buccal administration, meaning it dissolves slowly in the mouth and is absorbed through the oral mucosa. This formulation has not been reviewed or approved by the U.S. Food and Drug Administration (FDA) for safety or efficacy. It should only be used exactly as directed by a licensed healthcare provider. This summary does not include all available information. Always follow your provider’s instructions and read your medication label carefully.

Most Serious Warnings

Testosterone therapy can cause:

  • Severe allergic reactions, including swelling of the face, lips, tongue, or throat

  • Blood clots, including pain, swelling, warmth, or redness in the arms or legs

  • Increased risk of heart attack, stroke, or cardiovascular complications

  • Worsening of prostate enlargement or stimulation of prostate cancer

  • Liver problems, including dark urine, yellowing of the skin or eyes, or abdominal pain

  • Mood or behavioral changes, including depression or suicidal thoughts

  • Dependence and misuse risk due to anabolic steroid properties

Compounded testosterone products may carry sterility, potency, or formulation variability risks due to limited FDA oversight.

Who Should NOT Take Testosterone Troche

Do not take this medication if you:

  • Have a known allergy to testosterone or any ingredient in the formulation

  • Have male breast cancer or known or suspected prostate cancer

  • Are a woman who is pregnant, planning pregnancy, or breastfeeding

  • Are a child or adolescent

  • Have uncontrolled heart, liver, or kidney disease without provider clearance

Before Taking Testosterone, Tell Your Healthcare Provider if You:

  • Have a history of heart disease, stroke, or high blood pressure

  • Have sleep apnea or breathing problems

  • Have an enlarged prostate or difficulty urinating

  • Have a history of blood clots

  • Have diabetes or high cholesterol

  • Have liver disease

  • Have a history of depression, mood disorders, or substance misuse

  • Are trying to father a child, as testosterone may reduce sperm production

  • Take any prescription, over the counter, herbal, or supplement products

Possible Side Effects

Common (mild to moderate):

  • Headache

  • Acne or oily skin

  • Emotional changes or mood swings

  • Fatigue or weakness

  • Trouble sleeping

  • Irritation in the mouth at the site of troche placement

  • Mild fluid retention

Serious (seek medical care immediately):

  • Signs of an allergic reaction such as rash, swelling, or trouble breathing

  • Chest pain, shortness of breath, or coughing up blood

  • Sudden weakness on one side of the body, slurred speech, or vision changes

  • Pain, warmth, redness, or swelling in a leg or arm

  • Severe or persistent erections

  • Difficulty urinating or inability to control urination

  • Significant mood changes, depression, or thoughts of self harm

  • Yellowing of the skin or eyes, dark urine, or severe abdominal pain

  • Rapid weight gain or swelling of the arms or legs

While Taking Testosterone Troche

Tell your healthcare provider immediately if you:

  • Notice worsening urinary symptoms

  • Experience breast tenderness or enlargement

  • Develop shortness of breath or swelling

  • Have daytime sleepiness or worsening sleep apnea

  • Experience persistent mood or behavior changes

  • Do not notice improvement in symptoms after an appropriate trial period

Pregnancy and Fertility

Testosterone is not approved for use in women and must not be used during pregnancy. Exposure during pregnancy may cause harm to an unborn baby.

In men, testosterone therapy may decrease sperm production and impair fertility. Discuss fertility goals with your provider before starting therapy.

Overdose

Symptoms of testosterone overdose may include:

  • Severe mood changes

  • Persistent or painful erections

  • Severe swelling or fluid retention

  • Nausea or vomiting

  • Signs of blood clots or cardiovascular complications

If overdose is suspected, seek emergency medical attention or contact Poison Control immediately.

Missed Dosage

If you miss a dose:

  • Take the missed dose as soon as you remember unless it is close to your next scheduled dose

  • Do not double doses

  • Resume your regular schedule as directed by your provider

Storage

  • Store at room temperature unless otherwise directed on your label

  • Keep away from heat and moisture

  • Keep out of reach of children and pets

  • Dispose of unused or expired medication according to local hazardous waste regulations

Medication Disposal

Dispose of unused or expired medication in accordance with local medication disposal guidelines. Do not flush medication unless instructed. Contact your pharmacy or local waste authority for safe disposal options.

Provider Oversight and Order Review

This compounded testosterone medication requires review and oversight by a licensed Superior Health & Wellness provider. Dosing is individualized based on symptoms, laboratory results, and treatment goals. Regular lab monitoring and follow up appointments are required to ensure safety and effectiveness.

Telemedicine Disclosure

This prescription may have been issued via telemedicine. If you experience severe or concerning symptoms, contact your prescribing clinician immediately or seek emergency medical care.

Disclaimer

This summary does not include all information about Testosterone 8 mg Troche and should not replace medical guidance. Always consult your healthcare provider for complete safety information, potential interactions, and individualized recommendations. This compounded medication has not been evaluated or approved by the FDA for safety or efficacy.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit MedWatch at www.fda.gov/medwatch or call 1 800 FDA 1088.

Superior Health & Wellness

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit MedWatch or call 1-800-FDA-1088.

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