Azmiro (testosterone cypionate) is a prescription injection used to treat males with low testosterone. It's a type of testosterone replacement therapy that raises your testosterone levels to healthy levels and improves symptoms like low energy, reduced sex drive, mood changes, and muscle loss. The injection goes deep into the buttock muscle and is given by a healthcare professional, usually every 2 to 4 weeks. Some side effects include injection site reactions, headache, and higher red blood cell counts.
Azmiro (testosterone cypionate) is a testosterone replacement therapy that acts like the natural hormone testosterone. Testosterone helps support many male traits and functions, such as muscle and bone strength, sex drive, and sperm production.
Azmiro (testosterone cypionate) works by raising testosterone levels back to a normal and healthy range in males with low testosterone.
Azmiro (testosterone cypionate) 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.
Azmiro (testosterone cypionate) can raise your red blood cell count, which can lead to blood clots. Your prescriber will check your red blood cell levels before you start treatment and during it. If your levels get too high, you might have to stop the medication until they go back to normal.
Azmiro (testosterone cypionate) itself can cause life-threatening blood clots in your legs or lungs. If you notice leg pain, swelling, warmth, or redness, tell your prescriber right away, as these could be signs of a blood clot in your leg. If you suddenly have trouble breathing or chest pain, it could mean a clot has moved to your lungs. If this happens, you might have to stop taking the medication.
Taking Azmiro (testosterone cypionate) can worsen certain symptoms if you have an enlarged prostate, also called benign prostatic hyperplasia (BPH). Let your prescriber know if you notice changes in urination, such as going more often at night, feeling like you need to go right away, having trouble starting, leaking, or a weak stream.
Azmiro (testosterone cypionate) might also raise your risk of prostate cancer. Your prescriber might order blood tests or check your prostate before and during treatment to help keep you safe.
Azmiro (testosterone cypionate) can raise your blood pressure. Having high blood pressure over time can raise your risk for heart problems, like heart attack or stroke.
Get emergency help right away if you have chest pain, cold sweats, left arm pain, trouble breathing, trouble walking, trouble speaking, or weakness on one side of the body. You should check your blood pressure often while you’re using this medication, especially if you already have high blood pressure.
Azmiro (testosterone cypionate) is a controlled substance because it can be misused or cause dependence, especially if you take higher doses than prescribed or combine it with other testosterone products.
Misusing Azmiro (testosterone cypionate) can lead to addiction. This medication is only approved by the FDA to treat low testosterone in men. Taking Azmiro (testosterone cypionate) for other reasons can cause serious heart and mental health problems. Always use it exactly as prescribed.
Azmiro (testosterone cypionate) can lower sperm count, which might make it harder to have a baby. This is more likely with higher doses, and the effect could be permanent. Tell your prescriber if you plan to have children before starting this medication.
Using certain forms of testosterone, such as methyltestosterone or testosterone enanthate intramuscular injection, for a long time can cause serious liver problems. This isn't a known risk of Azmiro (testosterone cypionate), but it's still important to look out for symptoms of liver damage. Let your prescriber know if you have stomach pain, pale stools, dark urine, or yellowing of your skin or eyes.
Azmiro (testosterone cypionate) can make your body keep extra salt and water, which might lead to edema, or swelling in your arms and legs. This is more likely if you take other medications that cause swelling, like corticosteroids (e.g., prednisone, methylprednisolone). Swelling can be more serious if you have heart, liver, or kidney problems. Tell your prescriber if you notice these symptoms.
Azmiro (testosterone cypionate) can make sleep apnea, a condition that causes breathing problems during sleep, worse in some people. This is more likely if you have obesity or lung problems. Talk to your prescriber if you or your partner notice loud snoring, pauses in breathing during sleep, or if you feel very tired during the day.
Some people using Azmiro (testosterone cypionate) might develop gynecomastia, which is swelling or enlargement of breast tissue in men. You might also feel soreness or pain in your chest area. Talk to your prescriber if you have questions about this side effect.
Testosterone treatments like Azmiro (testosterone cypionate) can affect your cholesterol levels. Your prescriber might need to adjust your dose or stop the medication if these changes happen. They will check your cholesterol regularly, especially when you first start using the medication.
Azmiro (testosterone cypionate) can raise calcium levels in your blood and urine, especially in people with cancer. High calcium levels can cause symptoms such as muscle weakness, frequent urination, thirst, stomach pain, and blood in the urine. Your prescriber might check your blood regularly during treatment to make sure your calcium levels stay normal.
Azmiro (testosterone cypionate) can affect bone growth in children. It can cause the bones to mature too quickly, which can make the growth plates close early. This can lead to a shorter adult height. The younger the child, the higher the risk. If your child is using this medication, their care team should check bone growth every 6 months by taking X-rays of the wrist and hand to make sure the bones are developing safely.
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.
Contact your healthcare provider immediately if you experience any of the following.
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:
Get emergency help immediately if any of the following symptoms of overdose occur:
Symptoms of overdose
Blurred vision
headache
seizures
slurred speech
sudden and severe inability to speak
temporary blindness
weakness in the arm or leg on one side of the body, sudden and severe
Some 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. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
Gum or mouth irritation
Less common
Bad, unusual, or unpleasant (after) taste
bleeding gums
blemishes on the skin
breast pain
change in taste
crying
depersonalization
discouragement
dizziness
dysphoria
enlarged breasts
euphoria
fear or nervousness
feeling sad or empty
gum pain or blisters
hoarseness
indigestion
irritability
itching skin
loss of appetite
loss of interest or pleasure
lower back or side pain
mouth ulcers
noisy breathing
painful or difficult urination
paranoia
passing of gas
pounding in the ears
quick to react or overreact emotionally
rapidly changing moods
redness and swelling of the gums
slow or fast heartbeat
stinging of the lips
stomach cramps, pain, fullness, or discomfort
swelling of the gums
swelling of the nose
tiredness
toothache
trouble concentrating
trouble sleeping
unusual tiredness or weakness
vomiting
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Azmiro and Depo-Testosterone are both testosterone injections, but they aren’t exactly the same. Azmiro is a newer brand of testosterone cypionate, while Depo-Testosterone is an older brand of the same medication. They contain the same active ingredient and work the same way to raise your testosterone levels. One difference is how they're packaged. Depo-Testosterone only comes in vials, while Azmiro comes in vials and also in prefilled syringes. Talk to your prescriber if you have questions comparing the two medications.
Although your testosterone levels might start rising soon after you start Azmiro, it usually takes a little longer to feel the effects. You might notice improvements in mood or sex drive after about 3 to 4 weeks. Bigger changes, like stronger muscles or healthier bones, often take 2 or 3 months or longer.
Azmiro is a long-acting testosterone injection, so one dose usually lasts about 2 to 4 weeks. But how long it lasts for you can vary based on your dose, your metabolism, and how your body responds. Your prescriber will check your hormone levels and symptoms to decide the best timing for your injections.
It can. For some people Azmiro might worsen sleep apnea, especially for those who have obesity or long-term lung conditions. If you notice louder snoring, waking up gasping, or feeling very tired during the day, talk to your prescriber.
No. Azmiro isn't available over the counter (OTC). You can only get it with a prescription from a healthcare professional.
| Dosage | Quantity | Price as low as | Price per unit |
|---|---|---|---|
| 1ml of 200mg/ml | 2 syringes | $486.25 | $243.13 |
Azmiro (testosterone cypionate) is injected by a healthcare professional. Your prescriber will work with you to find the right dose for you. They will adjust your dose based on how your body responds and how well you tolerate the medication.
In general, the typical dose is 50 mg to 400 mg injected deep into your buttock muscle every 2 to 4 weeks.
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 this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
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 Azmiro (testosterone cypionate) will not be safe for you to take.