What is Tostran?
Tostran® is a 2% testosterone gel in canister donor for transdermal hormone replacement therapy in adult men with testosterone deficiency (hypogonadism). Each pump stroke gives off 10 mg testosterone.
The gel is applied once a day to the abdomen. The dosing dispenser allows simple and flexible dosing. Tostran® offers a good alternative to Testogel®, especially for patients who prefer an application on the abdomen.
Active Ingredients & Mechanism of Action
Active ingredient: Testosteron
Active mechanism:
- Transdermal resorption over the abdominal skin
- Restore normal testosterone levels
- Testosterone acts on androgen receptors in numerous tissues
Wirkprofil:
- Regular testosterone charge over 24 hours
- Stable blood levels after a few days of regular use
- Physiological history profile
Clinical effects: Enhance libido, energy, mood, muscle mass and bone density over weeks to months.
Who is it suitable for?
Tostran® is suitable for:
- Adult males with clinical and laboratory confirmed testosterone deficiency
- Men who prefer an application in the abdominal area
Not suitable:
- Women and children
- prostate or breast cancer
- Heavy heart, liver or kidney failure
- Polycythemia
- Active child desire
Available Dosages
Dosing:
- 1 pump stroke = 10 mg testosterone
- Start dose: 60 mg (6 strokes) daily, distributed on abdomen
- Adaptation: 10–70 mg daily, depending on blood levels
Control:
- Determine testosterone blood levels after 1–2 weeks
- Hematocrit, PSA, regularly monitor liver values
- dose adjustment according to clinic and laboratory
How to Take
Application:
- Apply once a day to the clean, dry abdominal skin
- Spread gel thin and let dry
- Do not apply to genitals or chest
- Wash hands thoroughly after application
Important notes:
- Avoid skin contact with women and children at the job site
- Place covered with clothing or wash before contact
- Apply at least 2 hours before shower/bath
- Apply regularly at the same time
Contraindications
**Tostran® must not be used at:* *
- prostate cancer or suspicion
- Breast cancer
- hypersensitivity to testosterone
- Heavy heart failure
- Heavy liver failure
- Polycythemia
Preview at:
- Sleep apnea
- Prostate enlargement (BPH)
- Epilepsy, migraine
- Thrombophilia
- High blood pressure
Possible Side Effects
Family (1–10 %):
- Skin irritation at the job site
- Increased erythrocyte number / hematocrit
- PSA approach
- Acne
** Occasionally (0.1-1 %):* *
- irritability, mood swings
- Gynecomastia
- Headaches
- Weight gain
Selten:
- Polycythemia with thrombosis risk
- liver value increases
- deterioration of sleep apnea
Frequently Asked Questions
Similar Medications
Is Tostran right for you?
A licensed doctor will review your information and issue a prescription if suitable. Discreet and secure.
Important Notice
This information does not replace medical advice. If you have questions about your health or the suitability of this medication, please consult a doctor or pharmacist.
Important Safety Information
This service operates under German pharmaceutical law (HWG). For risks and side effects, read the package leaflet and consult your doctor or pharmacist. All medications are dispensed from a licensed pharmacy in Germany.





