Testopel ( testosterone pellets), the male sex hormone, is a steroid used for testosterone replacement therapy in adult males for conditions associated with low or absent testosterone in the body such as primary hypogonadism ( congenital or acquired ), hypogonadotrophic hypogonadism (congenital or acquired), and to stimulate puberty in carefully selected males with clearly delayed puberty. Common side effects of Testopel include more erections than normal or erections that last a long time, nausea, vomiting , changes in skin color, ankle swelling, changes in body hair, male pattern baldness , acne, suppression of certain clotting factors, bleeding in patients on blood thinners, increase or decrease in libido (sex drive), headache, anxiety, depression, inflammation and pain at the implantation site, and rarely, a serious allergic reaction ( anaphylaxis ).
In males with delayed puberty: Various dosage regimens have been used; some call for lower dosages initially with gradual increases as puberty progresses, with or without a decrease to maintenance levels. Other regimens call for higher dosage to induce pubertal changes and lower dosage for maintenance after puberty. The chronological and skeletal ages must be taken into consideration, both in determining the initial dose and in adjusting the dose. Dosage is within the range of 50 to 200 mg every 2 to 4 weeks for a limited duration, for example, 4 to 6 months. X-rays should be taken at appropriate intervals to determine the amount of bone maturation and skeletal development (see INDICATIONS AND USAGE and WARNINGS ).