Ask a doctor on the topic of Medications

Unequal amount of gel from the Testogel bottle pumps.

March 8, 2020 | 30,00 EUR | answered by MD Felix Aaslepp

Hello,

about 5 weeks ago, on the recommendation of my endocrinologist, I started using Testogel. Initially, I used one pump for 10 days, and since then I have been using 2 pumps. Now, the first bottle is slowly running out and a few days ago I noticed that the second pump each day is delivering about 1/3 less gel than the first. Since I did not want to reduce the amount (and should not), I opened a second bottle and used one pump from the old bottle and one from the new bottle, which both delivered the same amount again. However, now even the single pump from the almost empty bottle is delivering less than the one from the new bottle. What should I do now?

Should I just use the new bottle to get the correct amount again? But that would mean wasting the rest of the first bottle, and the gel is not cheap. And the problem will likely repeat with each bottle as it nears the end.

Or should I maybe take 3 pumps from the old bottle, which would approximately correspond to the correct amount? Or 2 pumps from the old bottle and 1 pump from the new bottle if that would be closer to the correct amount?

Unfortunately, I cannot reach my endocrinologist in the coming days to ask him directly.

Thank you and best regards.

MD Felix Aaslepp

Hello!
Thank you for your question!
As testosterone reaches a kind of "saturation" in the blood after about 2 days, a slight fluctuation in the daily amount/dose is not so relevant. If you feel that the amount of a dose has significantly reduced, I would still recommend using only the new bottle to ensure the correct amount. Simply address the issue with your urologist at your next appointment. In the meantime, your pharmacist is also a good point of contact, as there may be a known issue with a specific batch of the medication. They may be able to exchange the medication for you. This information is also important for the company that manufactures the medication. Such deviations should not occur with pharmaceuticals.
Best regards!