Questions

Confirm you will not use this medication for physical performance enhancement.

Provide a list of your symptoms related to your diagnosis:

Confirm you understand that taking testosterone replacement without requiring it can damage your health?

Confirm you will get annual PSA blood tests.

Do you have any issues with passing urine? (Reduced flow, more frequent, increased urge, waking in the night to go, hesitancy when starting)

Are you male?

Have you seen your GP regarding this and confirmed you have low testosterone?

Please confirm you will read the patient information leaflet supplied with the medication.

Are you taking any of the following: Antifungals, Antivirals, Cephalosporin antibiotics, chemotherapy or other cancer drugs, Ciclosporin, Colistimethate, Didanosine, Foscarnet, Gentamicin, Methotrexate, non-steroidal anti-inflammatory drugs e.g. Iburoprofen, Diclofenac, Naproxen, Tacrolimus, Trimethoprim?

Have you been diagnosed with the following: HIV, Osteoporosis or Osteopaenia?