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Testopel vs. Depo-Testosterone

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Testopel (testosterone) and Depo-Testosterone (testosterone cypionate) are both used to treat low testosterone in males, but they have some key differences. Testopel is a long-acting testosterone replacement that comes in the form of pellets implanted under the skin every 3 to 6 months, while Depo-Testosterone is an injectable form administered into the buttock muscle every 2 to 4 weeks. Testopel requires a minor surgical procedure in your provider's office to place the pellets under the skin, which can lead to risks like infection and pellet extrusion. In contrast, Depo-Testosterone can be injected at home but still requires careful administration to avoid complications. Testopel is only available as a brand medication, whereas Depo-Testosterone is available as a lower-cost generic. Both medications share similar risks, such as heart attack, stroke, and dependency.

Testopel

(testosterone pellets)

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Testosterone cypionate

(Depo-Testosterone)

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Summary for Testopel

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.

Indications for Testopel

Pros and Cons for Testopel

Pros

  • A long-acting testosterone replacement medication
  • Implanted every 3 to 6 months
  • Can be used in children and adults
  • Unlike testosterone gel, there’s no risk of accidentally exposing others to testosterone

Cons

  • Can cause pain and swelling at the implantation site
  • Risk of infections or extrusions at the implantation site
  • Is a surgical procedure that must be done at the prescriber's office
  • Dose adjustments are difficult since they require surgical removal or addition of pellets

Common Side Effects for Testopel

  • Enlargement of male breasts
  • Pain or swelling at the implantation site

Warnings for Testopel

  • Infection and extrusion at the implantation site
  • Risk of blood clots, including heart attack or stroke
  • Potential for misuse, dependency, and addiction
  • Prostate problems
  • Liver problems
  • Swelling in the legs or arms (edema)
  • High calcium in the blood
  • Sexual side effects
  • Fast bone maturation in children

Summary for Depo-Testosterone

Prescription only

Testosterone cypionate (Depo-Testosterone) is a prescription injectable testosterone used to treat low testosterone in adult males by raising levels back to a healthy range. As a form of testosterone replacement therapy, it can help improve energy, mood, muscle strength, and sex drive. It’s injected into a buttock muscle by you or a healthcare professional, usually once or twice a month. Possible side effects include injection-site reactions, acne, and enlarged breasts.

Indications for Depo-Testosterone

Pros and Cons for Depo-Testosterone

Pros

  • Only needs to be used once every 2 to 4 weeks
  • Can be injected at home
  • Helps with energy, muscle mass, mood, and sex drive

Cons

  • Needs to be injected into the buttock muscle
  • Risk of heart and prostate problems
  • Need regular lab tests

Common Side Effects for Depo-Testosterone

Warnings for Depo-Testosterone

  • Blood clots
  • Heart attack and stroke
  • Worsening of enlarged prostate and risk of prostate cancer
  • Potential for misuse, addiction, and dependency
  • Lower sperm count
  • Liver problems
  • Swelling in the arms and legs (edema)
  • Enlarged breasts
  • Changes in cholesterol levels
  • High calcium levels
  • Effects on growing bones in children

Prices with our coupons for Testopel vs. Depo-Testosterone

Price Card Drug Icon
Testopel1 box / 10 pellets of 75mg
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Testosterone Cypionate1 vial / 1ml of 200mg/ml
$11.29$21.21
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