Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Methyltestosterone (Methitest) and Testopel (testosterone pellets) are both used to treat low testosterone and delayed puberty in males, but they have some key differences. Methyltestosterone can also be used to treat breast cancer in females. Methyltestosterone is taken orally in pill form, while Testopel is implanted under the skin as pellets. Methyltestosterone is available in a generic form, making it less expensive, whereas Testopel is only available as a brand medication and might be more costly. Testopel pellets are long-acting and need to be implanted every 3 to 6 months, which requires a minor surgical procedure lasting about 15 minutes. On the other hand, methyltestosterone is easier to take but can cause serious liver damage with long-term use. Both medications can cause side effects like enlargement of male breasts and acne, but Testopel also carries risks of infection at the implantation site and the pellets coming out of the skin. Neither medication is recommended for men with breast or prostate cancer nor women who are pregnant or may become pregnant.
Methyltestosterone (Methitest)
Testopel (testosterone pellets)
Methyltestosterone (Methitest)
Testopel (testosterone pellets)
Summary of Methyltestosterone vs. Testopel
Summary for Testosterone replacement
Prescription only
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.
Summary for Testosterone replacement
Prescription only
Testopel (testosterone pellets) is an implantable pellet medication used as long-acting testosterone replacement therapy. It treats certain males with low testosterone and delayed puberty. The pellets are implanted, or placed under your skin, by a healthcare professional (HCP) typically every 3 to 6 months. Side effects include pain and swelling at the implantation site, as well as sexual side effects like more frequent erections and changes in sex drive.