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The safety and warning information for this medication is crucial for understanding potential risks and ensuring safe use. It's important to consult with your healthcare provider if you have any questions or concerns. Here are the key points to consider:

• Risk of Blood Clots: Testosterone replacement therapy can increase the risk of blood clots, leading to heart attacks or strokes. Regular blood tests (complete blood count) are necessary to monitor blood cell counts. If you experience symptoms like chest pain, cold sweats, left arm pain, difficulty breathing, trouble walking, speaking difficulties, or weakness on one side of the body, seek immediate medical attention. This risk is higher for individuals with a history of heart conditions.

• Prostate Issues: There is a potential increased risk of prostate enlargement and prostate cancer in males using testosterone enanthate. Symptoms can include pain, difficulty urinating, changes in urination, or blood in the urine. Immediate consultation with a healthcare provider is recommended if these symptoms appear.

• Misuse and Dependency: Testosterone enanthate is a controlled substance due to its potential for misuse and addiction, especially with higher than prescribed doses or when combined with other testosterone products.

• Liver Health Concerns: Long-term use of testosterone enanthate may lead to severe liver problems. Regular liver enzyme tests are advised. Symptoms like stomach pain, light-colored stools, dark urine, or yellowing of the skin or eyes warrant a healthcare provider's attention.

• Fertility Impact: This medication can reduce sperm count and may affect fertility. The effects could be permanent, so it is important to discuss family planning with your healthcare provider before starting treatment.

• Edema: Testosterone enanthate may cause fluid retention, leading to swelling in the arms or legs and sudden weight gain. This is more concerning for individuals with heart, liver, or kidney issues or those taking other medications like corticosteroids that also cause swelling.

• High Blood Calcium Levels: The medication can lead to high calcium levels in the blood, especially in individuals with cancer or those taking medications that increase calcium. Regular monitoring of calcium levels is recommended.

• Bone Development in Children: When used for delayed puberty in children, testosterone enanthate can accelerate bone maturation without increasing bone length, potentially leading to shorter adult height. Regular X-rays may be necessary to monitor bone development.

• Severe Allergic Reactions: Severe allergic reactions, including facial swelling and anaphylaxis, can occur. People with sesame oil allergies should not use this medication. Contact emergency services immediately if you experience hives, a rash, breathing difficulties, or swelling of the face, lips, or throat.

Contraindications for testosterone enanthate include:

• Males with breast or prostate cancer.
• Females who are pregnant or may become pregnant.

Always consult with a healthcare provider before starting or stopping any medication.

Common side effects:

• Breast enlargement in males
• Acne
• Frequent erections
• Pain at the injection site

Less common but important to monitor:

• Deepening of the voice
• Irregular or absent menstrual periods
• Increased hair growth on the face and body

Serious side effects:

• Bleeding or blood clots
• Noticeable changes in sex drive
• Tingling sensation
• Persistent headaches
• Feelings of anxiety or depression
• Nausea

When using testosterone enanthate, it's important to be aware of potential interactions with other medications:

• Oral Anticoagulants (e.g., Warfarin): Testosterone can enhance the effects of blood thinners, increasing the risk of bleeding. Regular monitoring of blood clotting parameters is essential when these medications are used together.

• Antidiabetic Medications and Insulin: Testosterone may lower blood sugar levels, potentially requiring adjustments in diabetes medications. Diabetic patients should closely monitor their blood glucose levels during testosterone therapy.

• Corticosteroids and ACTH: Combining testosterone with these can lead to increased fluid retention, which may be problematic for individuals with heart, liver, or kidney conditions. Caution is advised when using these medications together.

• Oxyphenbutazone: Concurrent use with testosterone can result in elevated levels of oxyphenbutazone, necessitating careful monitoring.

Always inform your healthcare provider about all medications and supplements you're taking to ensure safe and effective use of testosterone enanthate.