藥品由印度空運進口寄回台灣
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產品名稱 : | 缺貨/男性更年期藥物 30顆/盒 CERNOS 40mg TRT荷爾蒙補充 睪固酮 |
睪固酮膠囊 荷爾蒙補充劑怎麼吃
1.在抽血檢查診斷確定睪固酮低下,醫師多數建議"初服二周每天早.午.晚與飲食同服1顆,2周後每天早餐時一顆,2-3個月後再抽血檢查,若睪固酮夠了就不需再吃了
2.ADAM評估量表顯示睪固酮低下時,可採取相對低量補充,每天早或午餐一顆,日常多涉取睪固酮類較高的食物即可
睪固酮補充有什麼好處?
促生睪丸素,激發潛能,活力充沛,增肌,改善性功能低下,改善性慾低下。針對男性更年期症狀,接受睪固酮補充治療有許多好處:增加肌肉強度、降低脂肪含量、提高骨質、縮小腰圍、提高好膽固醇(HDL)、降低胰島素抗性,以及改善情緒憂鬱等。
睪固酮補充台灣健保給付嗎?
目前睪固酮補充療法需自費,沒有健保給付。有多種劑型可供選擇,包括口服藥錠、貼片、凝膠塗抹、中、長效針劑(數週,最長可到3個月一次)針劑。
睪固酮口服藥物對比:
甲基睪固酮(methyltestosterone),
有健保給付,非常便宜,但是因為經過肝臟代謝,有造成肝臟損傷之疑慮,所以這個藥物在先進國家幾乎都禁用了,國內醫師也不建議服用此藥 【不推薦購買 X 】
CERNOS (11酸睪固酮): 商品為 Testosterone 40mg(膠囊),服用方法為一天三次,每次一顆。建議要跟脂類食物一同攝取。【推薦購買 √ 】
Testosterone 口服劑型主要含有甲基睪固酮單方成份或結合雌激素的複方錠劑,是避免肝毒性研發出來的口服男性睪固酮,使藥物在進入肝臟之前從淋巴液吸收。長期服用還沒有副作用或毒性的報告。
睪固酮口服藥物價格對比:
Testosterone undecanoate (11酸睪固酮): 商品為Andriol Testocaps 40mg/cap(恩賜特膠囊),服用方法為一天三次,每次一顆。建議要跟脂類食物一同攝取。
Testosterone undecanoate 口服劑型主要含有甲基睪固酮單方成份或結合雌激素的複方錠劑,是避免肝毒性研發出來的口服男性睪固酮,使藥物在進入肝臟之前從淋巴液吸收。長期服用還沒有副作用或毒性的報告。
Cernos 十一酸睾酮软胶囊 40mg*30s(1盒30顆),平均一顆約為40~50元;印度睾酮软胶囊更實惠。【推薦購買 √ 】
CERNOS 安特爾(睪酮軟膠囊)太陽製藥 男性荷爾蒙補充劑 男性更年期藥物
【性 狀】本品為黃色軟膠囊 https://www.poxet.tw/goods-199.html
【通用名稱】十一酸睪酮膠囊\安特爾
【英文名稱】CERNOS
【生產企業】Sun Pharmaceutical Industries Limited
【產品規格】每粒含40mg,每盒10粒
【贈送藥品】威而鋼、超犀、樂威壯
送壯陽藥的目的是針對睾酮素替代療法無反應的病患,可以在療程後的12週,綜合使用睾酮素及PDE5抑制劑(俗稱壯陽藥),有助於改善睾酮素缺乏症。
【成 份】 Testosterone 含有十一酸睪酮,十一酸睪酮是一種天然睪丸酮的脂肪酸酯。
【療 效】睪固酮補充治療效果是以性生活狀況改善為準,不是看(睪固酮濃度)數字,性功能是用進廢退、需要刺激的;愈用功能愈好,愈不用愈退步。中年男性睪固酮濃度維持在350~700ng/dL之間,「如果性功能要好,至少維持370ng/dL以上。」不需要補充到跟年輕小伙子一樣,對身體太刺激、負擔過大,長期容易有副作用。
【特 性】
藥效學特性:睪酮是男性器官和第二性征生長和發育必不可少的重要內源性激素,睪酮對成年男子的睪丸功能、附件結構以及性欲、身心健康、勃起能力、攝護腺/前列腺和精囊功能的維持不可缺少。性腺功能低下男子用AMBITREE睪固酮膠囊治療後,睪酮、雙氫睪酮和雄甾酮的血漿濃度呈臨床顯著性增加。同時,性激素結合球蛋白血漿水平降低。原發性性腺功能低下促性腺激素分泌過多男子使用AMBITREE睪固酮膠囊治療,可以使促性腺激素水平恢復正常。
藥物動力學特性:口服後,十一酸睪酮與油酸一起經腸道吸收進入淋巴系統,因此避免了肝臟的首過失活作用。在藥物吸收過程中,十一酸睪酮部分地降解為十一酸雙氫睪酮。
藥物由淋巴系統進入血漿十一酸睪酮與十一酸雙氫睪酮在知漿和組織中均水解。
產生天然雄激素:睪酮和雙氫睪酮,單劑服用CERNOS80-160mg後,血漿總睪酮水平呈臨床顯著性增加,服藥4-5小時(Tmax)之後達到血漿峰值水平40nmol/1(Cmax);血漿睪酮可在較高水平維持至少8小時,睪酮和雙氫睪酮通過正常渠道代謝,主要通過尿液以本膽烷醇酮和雄酮排泄。
【適 應 癥】
男子:原發性或繼發性性腺功能低下的睪酮替代療法,例如:
*睪丸切除後;
*無睪癥;
*性慾功能低下;
*內分泌性陽萎;
*因睪酮下所引起的精子生成功能障礙的不育癥;
*因睪酮低下面引起的性欲減退、腦力和體力減弱。
*女性-男性性別轉換:
*使女性男性化
【劑 量】:一般劑量應根據每個病人對藥物的反應情況而加以適當的調整。起始劑量每天3粒,連服2周,通常這一劑量是比較合適的。連服2周後服用劑量調整為每天1粒。
【服
法】: 睪固酮膠囊應與食物一起服用,確保藥效吸收。如有需要可用少量水吞服,必須將整個膠囊吞服。不可咬嚼。可將每天的劑量分成兩個等份,早晨服一份,晚間服一份,如膠囊個數不能均分為兩等份,則早晨服用膠囊個數較多的一份。
【療程】:在醫師處方下先補充男性荷爾蒙,通常以治療一到三個月後症狀會逐漸得到改善,學理上需要長期外在補充睪固酮才能持續維持男性活力。屆時再抽血檢測血中濃度,再變更劑量。補充睪固酮,需持續監測攝護腺抗原指數(PSA)。
接受睪固酮治療1週後要抽血追蹤,之後3、6、12個月療程監測,持續監測PSA、肛門指診以及血球容積比。如果治療達穩定狀態,臨床症狀也有改善,可斟酌調整使用劑量。
【禁 忌 癥】
*已確診或懷疑為攝護腺/前列腺癌或乳腺癌的男子;
*妊娠;
*哺乳。
【注意事項】
*青春期前男孩應慎用雄激素以避免骺骨早閉及性早熟,應當定期監視骨骼成熟情況。
*病人如患有隱性或顯性心臟病、腎病、高血壓、癲癇、三叉神經痛或有上述疾病過去史應該在醫生的密切監視下使用。因為這些疾病可能偶爾會復發或者加重。
*良性攝護腺/前列腺增生的男子慎用雄激素。
*如發生與雄激素相關的副反應,應立即停藥,待癥狀消失後,再服用較低的劑量。
*使用甾體激素可能影響某些實驗室測量結果。
*運動員注意: 睪固酮膠囊所含有的成分有可能使興奮 劑測試呈陽性。
【副 反 應】在雄激素治療中曾發現過下列副反應:
*男性紅血球增多,水份及鈉滯留導致水腫,腹瀉,胃痛或不適,腿痛,頭暈,出汗增多,頭痛,痤瘡和乳房增大。如果這些困擾您或顯得嚴重,請告知您的醫生。可能有減少或防止它們的方法。某一些副作用可能意味著您應該停止服用這種藥物,包括呼吸急促,勃起頻繁或持續和精子數量少。
【相互作用】酶的誘導劑可能增加或降低治療對睪酮水平的影響,因此可能需要調整AMBITREE睪固酮膠囊的劑量。
【哪些人不適合睪固酮補充治療】
● 睪固酮濃度為正常值
● PSA濃度偏高
● 罹患攝護腺癌或乳癌
● 紅血球數量過多
● 睡眠呼吸中止症
● 嚴重下泌尿道症候群
● 仍有生育計劃者
● 妊娠及哺乳期:在妊娠及哺乳期間不能服用AMBITREE睪固酮膠囊
如果您在開始使用該藥治療後出現頻繁或持續勃起、煩躁、緊張或體重增加等癥狀,請告知您的醫生。
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Testosterone Capsules Hormone Supplement How to Take
1. After the blood test is confirmed to be low testosterone, most physicians recommend that "take 1 tablet every morning, noon, and evening with food and drink for the first two weeks, and take one tablet with breakfast every day after 2 weeks, and then draw blood after 2-3 months. Check, if the testosterone is enough, you don't need to eat any more
2. When the ADAM assessment scale shows low testosterone, a relatively low amount of supplement can be taken, one tablet per day for breakfast or lunch, and daily intake of foods with higher testosterone is enough
What are the benefits of testosterone supplementation?
Stimulate testosterone, stimulate potential, be energetic, increase muscle, improve low sexual function, and improve low libido. Testosterone supplementation for andropause symptoms has many benefits: increased muscle strength, reduced fat mass, improved bone mass, reduced waist circumference, improved good cholesterol (HDL), reduced insulin resistance, and improved mood depression, among others.
Does Taiwan’s health insurance cover testosterone supplementation?
At present, testosterone replacement therapy needs to be paid for by oneself, and there is no health insurance coverage. There are a variety of dosage forms to choose from, including oral tablets, patches, gel application, medium and long-acting injections (several weeks, up to once every 3 months) injections.
Testosterone Oral Drugs Comparison:
Methyltestosterone is paid by health insurance and is very cheap, but because it is metabolized by the liver, it may cause liver damage, so this drug is almost banned in advanced countries, and domestic doctors do not recommend taking this drug [not recommended to buy X 】
Testosterone (testosterone 11 acid): The product is Andriol Testocaps 40mg/cap ( Capsule), which is taken three times a day, one tablet each time. It is recommended to take it with fatty food. 【Recommended to buy √】
The oral dosage form of Testosterone undecanoate mainly contains a single component of methyltestosterone or a compound lozenge combined with estrogen. It is an oral male testosterone developed to avoid liver toxicity, so that the drug can be absorbed from the lymph fluid before entering the liver. There have been no reports of side effects or toxicity with long-term use.
Testosterone oral drug price comparison:
Enci special capsule price (ANDRIO) (own expense) ANDRIOL TESTOCAPS 40MG/CAP (1 row of 10 capsules), 450 yuan. 【Not recommended to buy X】
Cernos (at your own expense) Testosterone Undecanoate Soft Capsules 40mg*30s (1 box of 30 capsules), an average of 900-1200 yuan per box; Indian Testosterone Soft Capsules are more affordable. 【Recommended to buy √】
Cernos (testosterone soft capsules) sun pharma male hormone supplements male menopause drugs
【Properties】This product is a yellow soft capsule https://www.poxet.tw/goods-199.html
【Common Name】CERNOS Testosterone Undecanoate Capsules
[English name] Testosterone Undecanoate soft gelatin Capsules
【Manufacturer】Sun Pharmaceutical Industries Limited
[Product Specifications] Each capsule contains 40mg, 30 capsules per box
[Gift Drugs] Viagra, Chaoxi, Leweizhuang
The purpose of sending aphrodisiac medicine is for patients who do not respond to testosterone replacement therapy. After 12 weeks of treatment, combined use of testosterone and PDE5 inhibitors (commonly known as aphrodisiac medicine) can help improve testosterone deficiency.
[Ingredients] CERNOS contains testosterone undecanoate, which is a natural fatty acid ester of testosterone.
【Efficacy】The effect of testosterone supplementation therapy is based on the improvement of sexual life, not the number (testosterone concentration). The concentration of testosterone in middle-aged men is maintained between 350 and 700 ng/dL. "If the sexual function is good, at least maintain above 370 ng/dL." There is no need to supplement it like a young man. It is too stimulating and burdensome to the body, and long-term side effects are prone to occur .
【Characteristics】
Pharmacodynamic properties: Testosterone is an important endogenous hormone essential for the growth and development of male organs and secondary sexual characteristics. Testosterone has an important effect on adult men's testicular function, accessory structure and libido, physical and mental health, erectile ability, prostate/prostate And the maintenance of seminal vesicle function is indispensable. Clinically significant increases in plasma concentrations of testosterone, dihydrotestosterone, and androsterone were observed in hypogonadal men treated with CERNOS. At the same time, plasma levels of sex hormone-binding globulin decrease. Treatment with CERNOS in men with primary hypogonadism and hypergonadotropin secretion can normalize gonadotropin levels.
Pharmacokinetic properties: After oral administration, testosterone undecanoate is absorbed through the intestinal tract together with oleic acid into the lymphatic system, thus avoiding the first-pass inactivation of the liver. During drug absorption, testosterone undecanoate is partially degraded to dihydrotestosterone undecanoate.
The drug enters the plasma from the lymphatic system. Testosterone undecanoate and dihydrotestosterone undecanoate are hydrolyzed in plasma and tissues.
Produce natural androgen: testosterone and dihydrotestosterone, after a single dose of CERNOS80-160mg, the plasma total testosterone level increases clinically, and reaches the peak plasma level of 40nmol/1 (Cmax) after 4-5 hours (Tmax) of taking the drug; plasma Testosterone can be maintained at a high level for at least 8 hours. Testosterone and dihydrotestosterone are metabolized through normal channels, mainly excreted through urine as cholanolone and androsterone.
【Indications】
Men: Testosterone replacement therapy for primary or secondary hypogonadism, such as:
*after orchiectomy;
*No testes;
* low libido function;
*Endocrine impotence;
*Infertility due to sperm production dysfunction caused by testosterone;
*Low libido, weakened mental and physical strength caused by low testosterone.
*Female-male gender transition:
*Masculinizes women
[Dosage]: The general dosage should be adjusted appropriately according to each patient's response to the drug. The starting dose is 3 capsules per day for 2 weeks, usually this dose is more appropriate. After serving for 2 weeks, the dose was adjusted to 1 capsule per day.
[Dosage]: CERNOS capsules should be taken with food to ensure drug absorption. Swallow with a little water if necessary, capsules must be swallowed whole. Do not chew. The daily dose can be divided into two equal parts, one in the morning and one in the evening. If the number of capsules cannot be equally divided into two equal parts, take the part with more capsules in the morning.
[Course of treatment]: Under the doctor's prescription, first supplement male hormones. Usually, the symptoms will gradually improve after one to three months of treatment. Theoretically, long-term external testosterone supplementation is required to maintain male vitality. At that time, blood will be drawn to test the blood concentration, and then the dosage will be changed. Testosterone supplementation requires continuous monitoring of the prostate antigen index (PSA). After receiving testosterone treatment for 1 week, blood should be drawn for follow-up, followed by 3, 6, and 12-month course monitoring, and continuous monitoring of PSA, digital rectal examination, and hematocrit. If the treatment reaches a stable state and the clinical symptoms are also improved, the dosage can be adjusted accordingly.
【Contraindications】
*Men with diagnosed or suspected prostate/prostate cancer or breast cancer;
*pregnancy;
*breast-feeding.
【Precautions】
*Androgens should be used with caution in prepubertal boys to avoid premature epiphyseal closure and precocious puberty, and skeletal maturation should be monitored regularly.
*Patients who suffer from recessive or overt heart disease, kidney disease, high blood pressure, epilepsy, www.poxet.net trigeminal neuralgia or past history of the above diseases should use it under the close supervision of a doctor. Because these diseases may occasionally recur or worsen.
*Androgens should be used with caution in men with benign prostate/prostatic hyperplasia.
*If side effects related to androgen occur, the drug should be stopped immediately, and a lower dose should be taken after the symptoms disappear.
*Use of steroids may affect some laboratory measurements.
*Athlete Note: CERNOS contains ingredients that may result in a positive doping test.
[Side reactions] The following side effects have been found in androgen therapy:
*In men, increased red blood cells, water and sodium retention lead to edema, diarrhea, stomach pain or discomfort, leg pain, dizziness, increased sweating, headache, acne and breast enlargement. Let your doctor know if these bother you or seem severe. There may be ways to reduce or prevent them. Certain side effects may mean you should stop taking this drug, including shortness of breath, frequent or persistent erections, and low sperm count.
[Interaction] Inducers of enzymes may increase or decrease the effect of treatment on testosterone levels, so dose adjustment of CERNOS may be required.
[Who are not suitable for testosterone supplementation therapy]
● Testosterone concentration is normal
● High PSA concentration
● have prostate or breast cancer
● Too many red blood cells
● sleep apnea
● Severe lower urinary tract syndrome
● Those who still have family planning
● Pregnancy and lactation: do not take CERNOS during pregnancy and lactation
Tell your doctor if you have frequent or persistent erections, restlessness, nervousness, or weight gain after starting treatment with this medicine.
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