Testosterone Cypionate/Propionate | Compounded Injectable
Important Safety Information: Testosterone Cypionate/Propionate | Compounded Injectable
Testosterone Cypionate/Propionate is a compounded injectable therapy designed for men with clinically diagnosed testosterone deficiency. This formulation combines a short-acting ester (propionate) with a longer-acting ester (cypionate) to support more consistent testosterone levels between injections.
When testosterone levels are low, you may notice changes in energy, libido, mood, muscle mass, strength, recovery, and overall motivation. This therapy may be prescribed as part of a medically supervised hormone optimization plan to support sexual health, bone density, red blood cell production, and body composition.
Treatment is individualized. Your Superior provider will evaluate your symptoms, laboratory results, cardiovascular risk factors, and long-term goals before prescribing therapy. Ongoing lab monitoring is required to help guide dosing and ensure safety.
This is a compounded injectable medication dispensed by a licensed compounding pharmacy. Compounded medications have not been reviewed by the FDA for safety or efficacy. Testosterone is a Schedule III controlled substance. Review important medication safety information.
What is this?
This Important Safety Information summarizes key warnings and precautions for Testosterone Cypionate/Propionate injection, a compounded formulation containing both a short-acting (propionate) and long-acting (cypionate) testosterone ester. Testosterone is a Schedule III controlled substance used in men with clinically diagnosed testosterone deficiency to support hormone balance, sexual function, bone density, red blood cell production, mood, and body composition. This compounded injectable formulation has not been reviewed or approved by the U.S. Food and Drug Administration (FDA) for safety or efficacy and should only be used exactly as directed by a licensed healthcare provider. This summary does not include all available information. Always read your medication label and follow your provider’s instructions.
Available Dosing and Supply Options:
Testosterone Cypionate/Propionate (175 mg / 25 mg per mL) may be dispensed in the following program structures, as determined by your provider based on labs, goals, and clinical response:
Basic Protocol
6-week supply (6 mL)
4-month supply (18 mL)
Intermediate Protocol
8-week supply (12 mL)
4-month supply (24 mL)
Advanced Protocol
6-week supply (12 mL)
4-month supply (36 mL)
Actual dosing frequency, total weekly dose, and duration of therapy are individualized. Your provider may adjust your prescription at any time based on follow up labs, symptom response, hematocrit levels, cardiovascular risk factors, or other clinical findings.
Most Serious Warnings
Product can cause:
Serious allergic reactions, including anaphylaxis
Increased risk of blood clots, stroke, or heart attack
Elevated red blood cell count (polycythemia), which may increase clot risk
Worsening of sleep apnea
Liver problems
Mood changes, aggression, or severe emotional changes
Potential stimulation of prostate growth or hormone-sensitive cancers
Compounded testosterone products may carry sterility or formulation risks due to limited FDA oversight.
Who Should NOT Take Testosterone Cypionate/Propionate
Do not take this medication if you:
Have known or suspected prostate or male breast cancer
Have untreated severe sleep apnea
Have uncontrolled heart failure
Have high red blood cell counts not managed by your provider
Are allergic to testosterone or any ingredient in the formulation
Are pregnant or breastfeeding
Before Taking Testosterone, Tell Your Healthcare Provider if You:
Have heart disease, high blood pressure, or a history of stroke
Have a history of blood clots or clotting disorders
Have liver or kidney disease
Have prostate enlargement or urinary symptoms
Have diabetes
Have mood disorders, anxiety, or depression
Take blood thinners such as warfarin
Take insulin or other medications that may interact with hormones
Are trying to maintain fertility
Possible Side Effects
Common (mild to moderate):
Acne or oily skin
Injection site pain or redness
Increased or decreased sexual interest
Hair thinning or hair loss
Headache
Mild fluid retention
Serious (seek medical care immediately):
Chest pain, shortness of breath, or signs of heart attack or stroke
Pain, warmth, swelling, or redness in an arm or leg
Severe mood changes, depression, or unusual aggression
Yellowing of the skin or eyes, dark urine, or severe abdominal pain
Persistent erection lasting more than 4 hours
Signs of a severe allergic reaction, including swelling of the face, lips, tongue, or throat
While Taking Testosterone
Tell your healthcare provider immediately if you:
Develop swelling in your legs or sudden weight gain
Experience changes in urination or difficulty urinating
Notice significant mood or behavior changes
Develop breast tenderness or enlargement
Experience worsening sleep apnea symptoms
Routine lab monitoring is required to evaluate testosterone levels, red blood cell count, prostate markers, and overall safety.
Fertility Considerations
Testosterone therapy may reduce sperm production and impact fertility. If fertility is a goal, discuss alternative or adjunctive treatment options with your provider before starting therapy.
Overdose
Symptoms of testosterone overdose may include:
Severe mood changes or irritability
Significant fluid retention
Elevated blood pressure
Persistent or painful erections
If overdose is suspected, seek emergency medical attention or contact Poison Control immediately.
Missed Dosage
If you miss a scheduled dose:
Do not double the next dose
Resume your dosing schedule as directed by your provider
Contact your provider if you are unsure how to proceed
Storage
Store at controlled room temperature as directed on your pharmacy label
Protect from excessive heat and light
Do not freeze
Keep out of reach of children and pets
Medication Disposal
Dispose of unused or expired medication according to local medication disposal guidelines. Do not share this medication. Testosterone is a controlled substance and should be handled securely.
Provider Oversight and Order Review
This compounded medication requires review and oversight by licensed Superior Health and Wellness providers. Dosing schedules, lab monitoring, and therapy adjustments must be discussed directly with your provider to ensure safety and clinical appropriateness. Orders may be adjusted based on laboratory results, treatment goals, and response to therapy.
Telemedicine Disclosure
This prescription may have been issued via telemedicine. If you experience any concerning or severe symptoms, contact your prescribing clinician immediately or seek emergency medical care.
Disclaimer
This summary does not include all information about Testosterone Cypionate/Propionate injection and should not replace medical guidance. Always consult your healthcare provider or pharmacist for complete safety information, potential interactions, and individualized treatment 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 or call 1-800-FDA-1088.
