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methyltestosterone

Generic Methitest
Used for Breast Cancer, Testosterone Replacement

Methyltestosterone (Methitest) is a pill form of testosterone used for testosterone replacement therapy (TRT) in males with low testosterone levels. It's also used to treat females with breast cancer that has spread to other parts of the body. The medication comes as a tablet or capsule and is typically taken by mouth once a day. Your dosage will depend on your condition and how you respond to treatment. Possible side effects include nausea, acne, and headaches.

Reviewed by:Last reviewed on February 13, 2025
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What is Methyltestosterone (Methitest)?

What is Methyltestosterone (Methitest) used for?

Males

Females

How Methyltestosterone (Methitest) works

Methyltestosterone (Methitest) is a testosterone replacement that works like the natural testosterone in the body. Testosterone helps develop and maintain male features. It plays a key role in building muscle and bone strength, controlling sex drive, and producing sperm. Methyltestosterone (Methitest) raises testosterone levels to normal and healthy ranges in men with low testosterone.

It's unclear how methyltestosterone (Methitest) works to treat advanced breast cancer in females, but it's thought to slow cancer growth.

Drug facts

Common BrandsMethitest
Drug ClassTestosterone replacement
Controlled Substance ClassificationSchedule III
Generic StatusLower-cost generic available
AvailabilityPrescription only
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Risks and warnings for Methyltestosterone (Methitest)

Methyltestosterone (Methitest) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

Liver problems

  • Risk factors: Using high doses of methyltestosterone (Methitest) long term

Methyltestosterone (Methitest) can cause liver damage, especially if taken at high doses or for a long time. In serious cases, liver problems can be life-threatening. Let your prescriber know if you have symptoms like stomach pain, light-colored stools, dark urine, or yellowing of your skin or eyes. You might need to stop taking methyltestosterone (Methitest), and in some cases, the yellowing might go away after stopping the medication.

Risk of blood clots, including heart attack or stroke

Taking methyltestosterone (Methitest) can raise your risk of blood clots. Get medical help right away if you have sudden shortness of breath, leg pain, swelling, warmth, or redness.

Methyltestosterone (Methitest) potentially raises your risk of heart problems like heart attack, stroke, or heart-related death. Talk to your prescriber about the possible heart risks before starting or continuing this medication.

Potential for misuse, dependency, and addiction

  • Risk factors: Higher doses of methyltestosterone (Methitest) than prescribed | Taking methyltestosterone (Methitest) with other testosterones

Methyltestosterone (Methitest) is a controlled substance because it has a risk of misuse, dependency, and addiction, especially if taken at higher doses than prescribed or with other testosterones.

Misusing methyltestosterone (Methitest) over time can lead to addiction. The FDA has only approved this medication for treating low testosterone and delayed puberty in males and breast cancer in females. Taking it for other reasons can cause serious side effects, including heart attack, heart failure, stroke, depression, and psychosis.

Swelling in the legs or arms (edema)

  • Risk factors: History of heart, liver, or kidney conditions | Taking other medications that cause swelling

Methyltestosterone (Methitest) can cause fluid buildup (edema), which can be dangerous if you have heart, kidney, or liver conditions. In serious cases, this can lead to heart failure. If you notice swelling in your legs, feet, or hands, or have trouble breathing, contact your prescriber right away. If needed, they might stop the medication and prescribe a diuretic (water pill) to help reduce the fluid buildup.

High calcium in the blood

  • Risk factors: Breast cancer

If you have breast cancer, taking methyltestosterone (Methitest) might cause high calcium levels (hypercalcemia) by affecting your bones. If this happens, your oncologist might stop the medication to prevent further problems. Let them know if you experience nausea, vomiting, weakness, or confusion, as these could be signs of high calcium levels.

Fast bone maturation in children

  • Risk factors: Young children

In children, methyltestosterone (Methitest) can make bones mature faster without helping them grow taller. This could lead to a shorter adult height. The younger your child is, the higher the risk that this medication could affect their final height. Talk to your child's prescriber if you have concerns about how this treatment might impact their growth.

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Side effects of Methyltestosterone (Methitest)

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

Males

  • Breast enlargement
  • Acne

Females

  • Deeper voice
  • Acne
  • Missed or irregular menstrual periods
  • Increased facial and body hair

Less Common Side Effects

  • High calcium in the blood
  • High red blood cell count
  • High cholesterol
  • More erections
  • Low sperm count
  • Changes in sex drive
  • Swelling in the legs or arms
  • Bleeding
  • Headache
  • Anxiety
  • Depression
  • Nausea

Methyltestosterone (Methitest) serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Liver damage: stomach pain, nausea, vomiting, yellowing of the skin, yellowing of the whites of the eyes, light-colored stools, dark urine, weight loss
  • Heart attack: chest pain, cold sweats, left arm pain, difficulty breathing
  • Stroke: face drooping, trouble seeing, walking, or speaking, weakness on one side of the body
  • Blood clot in the legs: pain, swelling, warm to touch, redness
  • Blood clot in the lungs: trouble breathing, chest pain, cough
  • Withdrawal: depression, fatigue, craving, restlessness, irritability, lack of appetite, trouble sleeping (insomnia), lowered sex drive, low testosterone

Source: DailyMed

The following Methyltestosterone (Methitest) side effects have also been reported

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
  • Blood clot—pain, swelling, or warmth in the leg, shortness of breath, chest pain
  • Heart attack—pain or tightness in the chest, shoulders, arms, or jaw, nausea, shortness of breath, cold or clammy skin, feeling faint or lightheaded
  • Increase in blood pressure
  • Liver injury—right upper belly pain, loss of appetite, nausea, light-colored stool, dark yellow or brown urine, yellowing skin or eyes, unusual weakness or fatigue
  • Mood swings, irritability, hostility
  • Prolonged or painful erection
  • Sleep apnea—loud snoring, gasping or choking during sleep, daytime sleepiness
  • Stroke—sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision
  • Swelling of the ankles, hands, or feet
  • Thoughts of suicide or self-harm, worsening mood, feelings of depression

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

  • Acne
  • Change in sex drive or performance
  • Hoarseness
  • Irregular menstrual cycles or spotting
  • Nausea
  • Unexpected breast tissue growth
  • Unexpected hair growth
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Pros and cons of Methyltestosterone (Methitest)

Pros

  • Is a pill taken by mouth
  • Restores healthy testosterone levels in men
  • Supports male development during puberty

Cons

  • Risk of liver problems with long-term use
  • Potential for serious heart problems and blood clots
  • Risk of misuse and dependence since it's a controlled substance
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Pharmacist tips for Methyltestosterone (Methitest)

pharmacist
  • Taking methyltestosterone (Methitest) at higher doses than prescribed can lead to misuse. This can cause serious conditions like heart attack, heart failure, stroke, depression, and psychosis. Always take methyltestosterone (Methitest) as prescribed to avoid these risks.
  • Methyltestosterone (Methitest) shouldn't be used for bodybuilding or athletic performance, as misuse can lead to dangerous side effects. The FDA has only approved methyltestosterone (Methitest) for treating low testosterone and delayed puberty in males and breast cancer in females. Take methyltestosterone (Methitest) only as directed by your prescriber.
  • If you’re a female taking methyltestosterone (Methitest) for breast cancer, the medication can cause male features, like a deeper voice, acne, missed menstrual periods, and increased facial or body hair. To prevent these effects from becoming permanent, stop the medication at the first sign of these changes and talk to your oncologist.
  • Methyltestosterone (Methitest) can cause breast enlargement, pain, or tenderness in males. This might continue throughout treatment. Let your prescriber know if this becomes bothersome.
  • Methyltestosterone (Methitest) can interact with certain medications, like blood thinners and insulin. Tell your prescriber about all medications and supplements you’re taking to avoid harmful interactions.
  • Since methyltestosterone (Methitest) can cause serious liver problems, report any signs of liver problems — such as yellowing skin or eyes, dark urine, light-colored stool — to your healthcare provider right away.
  • Methyltestosterone (Methitest) can lower your blood sugar. If you have diabetes, you might need to monitor your blood sugar more often while taking this medication. Learn to recognize and treat low blood sugar. Talk to your prescriber if you experience shakiness, sweating, a fast heartbeat, or confusion, as you might require changes to your diabetes medications.
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Common questions about Methyltestosterone (Methitest)

Though weight gain isn't a reported side effect of methyltestosterone (Methitest), it depends on how your body responds. Some people might gain weight because the medication helps build muscle and increases appetite, while others might experience fluid build up, leading to temporary weight gain. If you have questions about weight changes with this medication, talk with your prescriber.

Yes. Methyltestosterone (Methitest) is FDA approved to treat low testosterone and delayed puberty in males. It's also approved to treat breast cancer that has spread in females.

Yes. Acne is a common side effect of methyltestosterone (Methitest). This happens because testosterone can cause higher oil production in the skin and clogged pores. If you notice acne while taking methyltestosterone (Methitest), talk to your prescriber about ways to manage it.

The time it takes for methyltestosterone (Methitest) to leave your body can vary from person to person. A single dose may take anywhere from 1 to 8 hours to clear from your system. This estimate is based on the medication’s half-life, which is the time it takes for half of the drug to leave your body.

Testosterone is a natural sex hormone that your body produces. It helps develop and maintain male features, such as penis and scrotum growth, a deeper voice, facial and body hair, and larger muscle size. If natural testosterone is taken by mouth, very little is absorbed in the body. On the other hand, methyltestosterone (Methitest) is a lab-made version of testosterone that works like the natural hormone but is better absorbed and stays in the body longer.

Methyltestosterone (Methitest) is safe for most people when used as prescribed, but it does come with risks and side effects. It can cause liver problems, mood changes, and raise your risk of heart problems or blood clots. Because of these risks, it should only be used for the shortest time needed. Talk with your prescriber if you have concerns about whether this medication is safe for you.

Yes. Methyltestosterone (Methitest) can be hard on the liver, especially with long-term use or at higher doses. Since the pill is taken by mouth, it passes through the liver first, which can raise the risk of liver damage. Let your prescriber know if you experience stomach pain, nausea, vomiting, yellowing of the skin or eyes, light-colored stools, or dark urine. Your prescriber might order occasional blood tests to check your liver health while you’re taking this medication.

Yes. Methyltestosterone (Methitest) can cause male pattern baldness in some people, but it can also lead to excessive hair growth in others. If you're concerned about hair changes while taking this medication, talk to your prescriber.

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Methyltestosterone (Methitest) dosage

The average cost for 30 capsules of 10mg of Methyltestosterone (Methitest) is $551.85 with a free GoodRx coupon. This is 78.10% off the average retail price of $2,520.09.
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10mg30 capsules$551.85$18.40

Typical dosage for Methyltestosterone (Methitest)

Your dose will depend on your age, sex, and condition being treated. Your prescriber might change your dose depending on how well it works for you and if you have any side effects.

  • Males

    • Low testosterone: The typical starting dose is 10 mg to 50 mg by mouth per day.
    • Delayed puberty: The typical dose is usually low and taken for a short time, about 4 to 6 months.
  • Females

    • Breast cancer: The typical dose is 50 mg to 200 mg by mouth per day.
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Methyltestosterone (Methitest) contraindications

Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Methyltestosterone (Methitest) will not be safe for you to take.

  • Males with breast cancer or prostate cancer
  • Females who are pregnant or may become pregnant
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What are alternatives to Methyltestosterone (Methitest)?

There are a number of medications that your doctor can prescribe in place of Methyltestosterone (Methitest). Compare a few possible alternatives below.
Methyltestosterone (Methitest)
Used for:

Males

Females

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$14.50Lowest GoodRx priceView prices

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References

Best studies we found

Amneal Pharmaceuticals of New York LLC. (2024). Methitest- methyltestosterone tablet [package insert]. DailyMed.

Boni, C., et al. (2014). Therapeutic activity of testosterone in metastatic breast cancer. Anticancer Research.

Department of Justice/Drug Enforcement Administration. (2020). Steroids.

GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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