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Xyosted vs. Depo-Testosterone

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

Key takeaways

Xyosted (testosterone enanthate) and Depo-Testosterone (testosterone cypionate) are both testosterone replacement therapies used to treat low testosterone levels in adult males. They belong to the same drug class and are both controlled substances, classified as Schedule III due to their potential for misuse and dependency. However, they differ in their administration routes and dosing schedules. Xyosted is administered as a subcutaneous injection in the stomach once a week, while Depo-Testosterone is given as an intramuscular injection in the buttocks every 2 to 4 weeks. Xyosted is only available as a brand-name medication, whereas Depo-Testosterone has a lower-cost generic option. Common side effects of Xyosted include high blood pressure and injection site bruising, while Depo-Testosterone may cause enlargement of male breasts and acne. Both medications can interact with other drugs, but Xyosted specifically contains sesame oil, which may be a concern for those with allergies. Neither medication is recommended for males with breast or prostate cancer.

Xyosted

(testosterone enanthate)

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Testosterone cypionate

(Depo-Testosterone)

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Summary for Xyosted

Prescription only

Xyosted (testosterone enanthate) is a testosterone replacement therapy (TRT). It's used in adult males to treat low testosterone levels. It comes as an autoinjector for home use, allowing you to self-inject under the skin (subcutaneously) in the stomach once a week. Side effects can include headache and bruising at the injection site. Currently, it's only available as a brand-name medication since no generic version is available.

Indications for Xyosted

Pros and Cons for Xyosted

Pros

  • Available as a ready-to-use autoinjector, so you don't need to draw up the medication
  • Available in many different strengths
  • Only needs to be given once a week
  • Can be injected at home

Cons

  • Can cause high blood pressure, which can lead to serious heart conditions
  • Requires regular blood tests to monitor testosterone
  • Contains sesame oil, so not a good option if you have an allergy to sesame
  • Only available as a brand medication

Common Side Effects for Xyosted

  • High red blood cell count (14%)
  • High blood pressure (13%)
  • Rise in prostate-specific antigen (PSA, (12%)
  • Injection site bruising (7%)
  • Headache (5%)

Warnings for Xyosted

  • High blood pressure
  • Risk of blood clots, including heart attack or stroke
  • Prostate problems
  • Potential for misuse, dependency, and addiction
  • Liver problems
  • Swelling in the legs or arms (edema)
  • Sleep apnea
  • High calcium in the blood
  • Suicidal thoughts and behavior

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 Xyosted vs. Depo-Testosterone

Price Card Drug Icon
Xyosted1 carton / 4 autoinjectors of 75mg
$437.21$795.59
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Testosterone Cypionate1 vial / 1ml of 200mg/ml
$11.29$21.23
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