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According to reviews, many users are making the switch from Androgel (a prescription testosterone gel) to Fortesta due to its higher absorption rates and affordable prices.
Harley, at Drugs.com wrote, “I switched from Testim to Fortesta a year ago since Testim was causing high blood pressure . . .I am now using 8 pumps per day, my PSA’s have been great, my pressure is great, my muscle mass is growing, my T levels are above 700 and I am a sexual God according to my wife of 22 years. The sexual drive, performance, stamina and “size” have jumped by leaps and bounds. I’m VERY happy with Fortesta.”
Sounds pretty good, doesn’t it?
However, just because Fortesta is FDA approved doesn’t mean it will work this well for everyone. Let’s examine this gel further to find out if it’s a good choice for you. . .
What Is Fortesta?
Fortesta is a clear, colorless, odorless gel containing testosterone. It is designed to treat adult males who have low or no testosterone (hypogonadism). It may also be used by other conditions as prescribed by your doctor.
What’s Inside Fortesta?
Fortesta is a class 3 controlled substance because it contains the androgen hormone testosterone. It replaces or supplements testosterone naturally produced by the body.
Fortesta also contains inactive ingredients such as propylene glycol, water, and ethanol for easy application.
Is Fortesta Clinically Proven?
Fortesta received FDA approval based on clinical research performed in a multicenter, 90 day open label trial on 149 hypogonadal males.
The gel was applied once each morning to the thighs and adjusted based on serum testosterone concentrations.
After 90 days, 77.5% of Fortesta subjects experienced a normal testosterone range.
According to researchers, “No patient had a Cmax greater than or equal to 2500 ng/dL on Day 90. There were no clinically significant changes from baseline for sex hormone binding globulin (SHBG) (slight decrease), E2 (slight increase) and ratio of DHT to total testosterone (slight increase) at Day 90.” 
Side Effects and Safety Concerns
All medications and supplements come with side effect risk. If your doctor prescribes Fortesta, it’s because he or she believes the benefits outweigh the risks.
Nevertheless, it’s best to approach Fortesta with caution and use only as recommended. Be especially watchful for the following signs and symptoms:
Common Side Effects
• Skin redness or irritation at application site
• Increased blood level of prostate specific antigen
• Abnormal dreams
• More frequent or longer lasting erections
• Changes in sex drive
Although these side effects are minor, it’s important to talk with your doctor if any of these symptoms bother you or do not go away.
Serious Side Effects
If you experience any of the below serious side effects, contact your doctor and seek medical help immediately.
• Lowered sperm count
• Swelling of the ankles, feet, or body
• Enlarged or painful breasts
• Increased red blood cell count
• Blood clots in legs
• Severe allergic reactions
• Excessive daytime sleepiness
• Changes in appetite
• Memory problems
• Changes in mood (anxiety, depression, hostility)
• New or worsening urination problems
• Severe headaches
• Shortness of breath
• Skin discoloration
• Stomach pain
• Unexplained or unusual weight gain
Problems Associated with Enlarged Prostate
Fortesta may aggravate enlarged prostate signs and symptoms. This can include:
• Increased nighttime urination
• Difficulty urinating
• Having to pass urine multiple times throughout the day
• Increased urge to urinate right away
• Unable to pass urine or weak urine flow
Fortesta may also increase risk of prostate cancer. Your doctor should check your prostate for any problems before and during Fortesta use.
If you see any of the following signs or symptoms in women or children, stop using Fortesta and immediately call your healthcare provider:
• Enlarged penis or clitoris
• Early pubic hair development
• Increased erections or sex drive
• Aggressive behavior
• Changes in body hair
• Increased acne
Fortesta may interact with the following medications:
Insulin. Changes in insulin sensitivity or glycemic control may occur. In diabetic patients, androgen’s metabolic effects may decrease blood glucose, resulting in a decrease in insulin requirements.
Oral Anticoagulants. Androgens may change anticoagulant activity. Consequently more frequent monitoring of international normalized ratio (INR) and prothrombin time is recommended.
Corticosteroids. Testosterone administration interacts with corticosteroids and may result in increased fluid retention. Patients with cardiac, renal, or hepatic disease require careful monitoring.
Fortesta may be an effective testosterone booster, but as you can see, it comes with a long list of negative side effects and warnings.
Consequently, it’s imperative to follow the directions provided by your doctor as closely as you can. Ask your doctor to clarify any instructions you don’t understand.
Fortesta can aggravate certain medical conditions rather than treating them. Before using Fortesta, tell your doctor if you have any of the following:
• Breast or prostate cancer
• Urinary problems due to enlarged prostate
• Heart, liver, or kidney problems
• Difficulty breathing while asleep (sleep apnea)
• Any other medical conditions.
Also tell your doctor about any medications you take, prescription or otherwise.
How to Apply
1. Before using a new canister, you will need to prime the pump. Gently push down the pump 8 times. Do not use any gel that comes out during priming. Wash it down the sink or throw it in the trash to avoid accidental exposure.
2. Use Foresta exactly as your doctor tells you. Your doctor will tell you the correct dose.
3. Depress the pump to apply the medicine directly on clean, dry, intact skin on the front and inner part of the thighs. Use one finger to gently rub Fortesta evenly onto the skin.
4. Let application dry thoroughly
5. Wash hands immediately with soap and water.
6. When it is time to throw away Fortesta canister, safely throw it away in household trash. Be careful to prevent accidental exposure to children, women, or pets.
Fortesta works best when applied at the same time each day: first thing after your morning shower is typically recommended. Wait at least 2 hours after application before swimming, showering, or bathing.
The typical recommended starting dose is 40 mg testosterone (4 pumps). However, this dose can be adjusted between a minimum of 10 mg of testosterone and 70 mg testosterone.
To ensure proper dosing, the dose should be titrated based on serum testosterone concentration from a blood sampling.
If you miss a dose, take it as soon as possible, unless it is almost time for your next dose. In this case, skip the missed dose and go on with your regular schedule. Do not take 2 doses at once.
If overdose is suspected, contact poison control by calling 1-800-222-1222 or go to the emergency room immediately. Symptoms may include confusion, one-sided weakness, slurred speech, or vision changes.
Fortesta users should be aware that the testosterone can transfer from your body to others. It can happen if others come in contact with the place you applied Fortesta or if you forgot to wash your hands after application.
Signs of early puberty (such as pubic hair) have occurred in young children accidentally exposed to testosterone through contact with Fortesta users.
To reduce this risk, women and children should avoid contact with the unwashed or unclothed area where Fortesta was applied. Should accidental exposure occur, women and children should wash hands immediately with soap and water.
Men using Fortesta should also take the following precautionary steps:
• Apply it only to the front and inside thigh area that will be covered by clothing
• Wash hands immediately after application
• After gel has dried, cover application area with clothing. Keep area covered until you have washed the application area well or have showered.
• If you expect another person to have skin-to-skin contact with your thigh, wash the application area well with soap and water.
• It is flammable until dry. Let the gel dry before smoking or going near an open flame.
Fortesta comes with pretty explicit warnings on what not to do:
• Do not give it to anyone else (even if they have the same symptoms as you)
• Do not sell Fortesta
• Do not change your dose without talking to your doctor
• Do not apply the gel to any other body parts, including stomach, penis, scrotum, or upper arms
• Do not freeze
• Do not apply to open sores, wounds, or irritated skin
• Do not allow another person to apply gel for you
Can Women Use Fortesta?
Although some women benefit from taking testosterone supplements, Fortesta is not one of these. This prescription medication should not be used by women or children under 18 years old. Accidental Fortesta exposure results in severe and sometimes irreversible negative side effects.
How to Buy Fortesta
Fortesta is only available via doctor’s prescription after being tested for low testosterone.
Consequently, avoid buying it from online sites that offer prescription-free Fortesta. These sites are scams, and they often provide dangerous imitations or illegal substances.
The best place to buy it is from your local pharmacy. Although prices vary, the average Fortesta cost is $700 a for a 4 month supply. However, many insurance companies cover the cost.
Patient Savings Program
If you’ve received your Fortesta prescription but are unable to afford the product, then you may be eligible for a patient savings program.
Endo Pharmaceuticals offers a patient savings program that covers the entire cost of the first canister for eligible patients. Then the co-pay is reduced to $25 a month for each of your next 23 refills. Restrictions apply.
More About the Manufacturers
Fortesta is developed and distributed by Endo Pharmaceuticals. The company was originally established in 1997.
According to their website, “Endo Pharmaceuticals is focused on creating high-value branded products that meet the unmet needs of patients along care pathways for pain, urology, oncology and endocrinology.”
Should You Try Fortesta?
Fortesta seems to be a reliable testosterone when used appropriately. Although the manufacturers make a long list of potential side effects and risks, many users love their results. Very few users experience negative symptoms.
However, Fortesta is not for everyone. Some users fail to qualify for a doctor’s prescription while others don’t respond well to the formula.
If you want to learn more about Fortesta, ask your doctor.
 “Fortesta (Testosterone Gel).” MediLexicon. Available from: http://www.medilexicon.com/drugs/fortesta.php