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ANABOLIC STEROIDS (Systemic)
Some commonly used brand names are:
In the U.S.—
This medicine belongs to the group of medicines known as anabolic (an-a-BOL-ik) steroids. They are related to testosterone, a male sex hormone. Anabolic steroids help to rebuild tissues that have become weak because of serious injury or illness. A diet high in proteins and calories is necessary with anabolic steroid treatment.
Anabolic steroids are used for several reasons:
Anabolic steroids may also be used for other conditions as determined by your doctor.
Anabolic steroids are available only with your doctor"s prescription, in the following dosage forms:
Before Using This Medicine
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For anabolic steroids, the following should be considered:
Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to anabolic steroids or androgens (male sex hormones). Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnancy—Anabolic steroids should not be used during pregnancy. They may cause the development of male features in the female fetus and premature growth and development of male features in the male fetus. Be sure you have discussed this with your doctor.
Breast-feeding—It is not known whether anabolic steroids pass into breast milk.
Children—Anabolic steroids should be used with caution in pediatric patients. This medicine may cause children to stop growing or their bone growth to slow down. In addition, they may make male children develop too fast sexually and may cause male-like changes in female children.
Older adults—When elderly male patients are treated with anabolic steroids, they may have an increased risk of enlarged prostate or cancer of the prostate.
Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking anabolic steroids, it is especially important that your health care professional know if you are taking any of the following:
Other medical problems—The presence of other medical problems may affect the use of anabolic steroids. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This Medicine
Take this medicine only as directed . Do not take more of it and do not take it more often than your doctor ordered. To do so may increase the chance of side effects.
In order for this medicine to work properly, it is important that you follow a diet high in proteins and calories . If you have any questions about this, check with your health care professional.
Dosing—The dose of these medicines will be different for different patients. Follow your doctor"s orders or the directions on the label . The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.
The number of tablets that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are taking the anabolic steroid .
Missed dose—If you miss a dose of this medicine and your dosing schedule is:
If you have any questions about this, check with your doctor.
Storage—To store this medicine:
Precautions While Using This Medicine
Your doctor should check your progress at regular visits to make sure that this medicine does not cause unwanted effects.
If your child or teenager is taking this medicine, it is important that the doctor take x-rays every 6 months to check your child for bone growth and height. Anabolic steroids may interfere with normal bone growth.
For diabetic patients:
Side Effects of This Medicine
Tumors of the liver, liver cancer, or peliosis hepatis, a form of liver disease, have occurred during long-term, high-dose therapy with anabolic steroids. Although these effects are rare, they can be very serious and may cause death. Discuss these possible effects with your doctor.
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur :
For both females and males
Yellow eyes or skin
Rare (with long-term use)
Black, tarry, or light-colored stools; dark-colored urine; purple- or red-colored spots on body or inside the mouth or nose; sore throat and/or fever; vomiting of blood
Also, check with your doctor as soon as possible if any of the following side effects occur:
For both females and males
Bone pain; nausea or vomiting; sore tongue; swelling of feet or lower legs; unusual bleeding; unusual weight gain
Rare (with long-term use)
Abdominal or stomach pain; feeling of discomfort (continuing); headache (continuing); hives; loss of appetite (continuing); unexplained weight loss; unpleasant breath odor (continuing)
Incidence not known
Lack or slowing of normal bone growth
For females only
Acne or oily skin; enlarging clitoris; hoarseness or deepening of voice; irregular menstrual periods; unnatural hair growth; unusual hair loss
Mental depression; unusual tiredness
For young males (boys) only
Acne; enlarging penis; increased frequency of erections; unnatural hair growth
Unexplained darkening of skin
For sexually mature males only
Enlargement of breasts or breast soreness; frequent or continuing erections; frequent urge to urinate
For elderly males only
Difficult or frequent urination
Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:
For both females and males
Chills; diarrhea; feeling of abdominal or stomach fullness; muscle cramps; trouble in sleeping; unusual decrease or increase in sexual desire
For males only
Decreased sexual ability
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, anabolic steroids may be used in certain patients with the following medical conditions:
Other than the above information, there is no additional information relating to proper use, precautions, or side effects for these uses.
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