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This medication, Tlando (testosterone undecanoate), has specific safety considerations and warnings that are crucial for safe use. It's essential to understand the potential risks and necessary precautions associated with its administration. Please consult your healthcare provider if you have any questions or concerns.

• High Blood Pressure and Cardiovascular Risks: Tlando may elevate blood pressure, increasing the risk of heart attack, stroke, or sudden cardiac death, especially in individuals with pre-existing heart conditions or risk factors like high blood sugar. Regular monitoring of blood pressure is advised, with adjustments to your treatment plan as necessary, which may include starting or changing blood pressure medications.

• Elevated Red Blood Cell Count and Blood Clots: The medication can increase red blood cell counts, leading to potential blood clots in critical areas such as the brain, heart, lungs, and legs. Regular checks of your red blood cell levels are recommended during the first year of treatment and periodically thereafter. Seek immediate medical attention if you experience symptoms indicative of a stroke, heart attack, or other clot-related issues.

• Misuse and Dependence Risk: Tlando is a controlled substance due to its potential for misuse, which can lead to severe heart and mental health complications. It's vital to use this medication strictly as prescribed and not in combination with other testosterone products unless directed by a healthcare professional.

• Prostate Health Concerns: Tlando may exacerbate symptoms in individuals with an enlarged prostate, such as increased urination frequency or difficulty urinating. Inform your provider of any changes in urinary habits.

• Liver Health Monitoring: While not a known risk for Tlando, similar testosterone injections have been linked to severe liver problems. Be vigilant for signs of liver damage, such as stomach pain or jaundice, and report these to your healthcare provider immediately.

• Fluid Retention and Edema: The medication can cause fluid retention, leading to swelling in the limbs, particularly when taken with corticosteroids or in individuals with heart, liver, or kidney conditions. Discuss any signs of swelling with your provider.

• Sleep Apnea Exacerbation: Tlando may worsen sleep-related breathing issues, particularly in those with obesity or lung conditions. Report any increase in sleep disturbances or daytime sleepiness to your healthcare provider.

• Calcium and Prolactin Level Changes: Tlando can elevate calcium levels, posing risks for those with cancer, and increase prolactin levels, potentially leading to symptoms such as breast enlargement or sexual dysfunction. Regular blood tests may be necessary to monitor these levels.

• Contraindications: Tlando should not be used by males with breast or prostate cancer, females who are pregnant, or males with low testosterone not linked to specific medical conditions. Always consult your healthcare provider if these conditions apply to you before starting Tlando.

These warnings and precautions are intended to ensure the safe and effective use of Tlando. Always discuss any concerns or symptoms with your healthcare provider to optimize your treatment and safety.

When taking this medication, some common side effects might include nausea, vomiting, headaches, skin color changes, oily skin, hair loss, and acne. These are typically mild, but if they persist or worsen, it is advisable to consult your healthcare provider. Additionally, some users might experience high blood pressure or upper respiratory tract infections, but these are less frequent.

More serious side effects, though rare, demand prompt medical attention. These include mental or mood changes such as anxiety or depression, trouble sleeping, signs of liver disease like persistent nausea or yellowing of the skin, swelling in extremities, unusual tiredness, or changes in heartbeat. There is also a risk of increased or decreased sexual interest, as well as issues like trouble urinating or increased urination, particularly at night.

Very serious side effects necessitate immediate medical intervention. These include symptoms of a heart attack such as chest pain or cold sweats, stroke-associated signs like sudden vision changes or trouble speaking, and blood clots, which may cause leg swelling or chest pain. Additionally, rare but severe allergic reactions may occur, characterized by rash, itching, or breathing difficulties.

In extremely rare cases, males may experience prolonged or painful erections lasting over four hours, which requires urgent medical assistance to prevent permanent damage. If you notice any other effects not mentioned, seek advice from your healthcare provider. Always stay informed and prioritize your health when managing side effects.