If you notice any signs of masculinisation (for instance lowering of the voice or increase in body or facial hair), consult your doctor immediately.
Treatment with male hormones like testosterone may increase the size of the prostate gland, especially in elderly men. Therefore your doctor will examine your prostate gland at regular intervals by digital rectal examination (DRE) and blood tests for prostate-specific antigen (PSA).
Additionally, at regular intervals, blood tests will be done to check the oxygen-carrying substance in your red blood cells (haemoglobin). In very rare cases the number of red blood cells will increase too much leading to complications.
The following blood checks should be carried out by your doctor before and during the treatment: testosterone blood level, full blood count.
Medical checks may also be necessary in some other conditions.
Talk to your doctor or pharmacist before you start using this medicine if you ever had, still have or are suspected to have:
- Breast cancer which has spread to the bones;
- Kidney or lung cancer;
- Heart disease;
- Kidney disease;
- Liver disease;
- High blood pressure;
- Diabetes mellitus;
- Epilepsy;
- Migraine, headaches;
- Prostatic complaints, such as problems with passing urine;
- Blood clotting problems – thrombophilia (an abnormality of blood coagulation that increases the risk of thrombosis – blood clots in blood vessels).
- Factors that increase your risk for blood clots in a vein: previous blood clots in a vein; smoking; obesity; cancer; immobility; if one of your immediate family has had a blood clot in the leg, lung or other organ at a young age (e.g. below the age of about 50); or as you get older.
- How to recognise a blood clot: painful swelling of one leg or sudden change in colour of the skin e.g. turning pale, red or blue, sudden breathlessness, sudden unexplained cough which may bring up blood; or sudden chest pain, severe light headedness or dizziness, severe pain in your stomach, sudden loss of vision. Seek urgent medical attention if you experience one of these symptoms.
If you are suffering from severe heart, liver or kidney disease, treatment with Sustanon 250 may cause severe complications in the form of water retention in your body sometimes accompanied by (congestive) heart failure.
Tell your doctor if you have high blood pressure or if you are treated for high blood pressure as testosterone may cause a rise in blood pressure.
If you have sleep apnoea (temporarily stopping breathing during your sleep), it may get worse if you are using testosterone-containing products. Let your doctor know if you are worried about this. Extra supervision by your doctor may be necessary in case you are overweight or suffer from chronic lung disease.
During treatment you should also tell your doctor:
- if you are a female-to-male transsexual. You should have special assessments, including psychiatric assessment, before treatment is started.
- if you are a female-to-male transsexual and have a personal or family history of breast cancer and a personal history of endometrial cancer.
The safety and efficacy of this medicine has not been adequately determined in children and adolescents. Extra supervision by your doctor is necessary in the treatment of children and adolescents since testosterone administration in general may cause early sexual development and limits growth (see section 4 “Children and adolescents”).
Blood tests may be affected.
For female-to-male transsexuals, Sustanon 250 may be given as part of a programme of treatment, including surgery.
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines – even those not prescribed.
Other medicines may influence the effects of Sustanon 250, or Sustanon 250 may affect other medicines.
Therefore, you must tell your doctor or pharmacist if you are using, or ar
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