Jatenzo (testosterone undecanoate) is an oral capsule used for testosterone replacement therapy (TRT) in adult males with hypogonadism, a condition that causes low testosterone production. You take a dose by mouth twice a day, once in the morning and once in the evening. Common side effects include headaches, high blood pressure, and nausea. This medication is only available as a brand-name medication, meaning there are no generic versions.
Low testosterone (hypogonadism)
Jatenzo (testosterone undecanoate) 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. Jatenzo (testosterone undecanoate) raises testosterone levels to normal and healthy ranges in men with low testosterone.
Jatenzo (testosterone undecanoate) 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.
Risk factors: High blood pressure | Heart problems
Jatenzo (testosterone undecanoate) can raise your blood pressure, which increases the risk of serious heart problems, including heart attack and stroke. This is more likely to occur in people who already have heart problems or have risk factors for heart problems. Even a small blood pressure increase can raise this risk, even if you don’t notice any symptoms. Let your prescriber know and get emergency help right away if you experience symptoms of heart problems, such as:
Heart attack: dizziness, tiredness, tightness or pain in the chest, heartburn, trouble breathing, sweating, anxiety
Stroke: sudden numbness or weakness on one side of your body, sudden confusion, trouble speaking, difficulty maintaining balance
Before starting Jatenzo (testosterone undecanoate), your prescriber will check your heart health and blood pressure. Your blood pressure should be checked about 3 weeks after starting or increasing your dose and regularly after that. If your blood pressure becomes too high, your prescriber might adjust your medications or consider stopping Jatenzo (testosterone undecanoate).
Jatenzo (testosterone undecanoate) can increase your red blood cell count, which might lead to blood clots, heart attacks, and strokes. Your prescriber will check your red blood cell levels with blood tests every 3 months to make sure they stay in a healthy range. If your levels get too high, your prescriber might lower your dose or pause treatment until they return to normal. If your red blood cell levels rise again after restarting Jatenzo (testosterone undecanoate), you might need to stop the medication altogether to avoid serious blood clot risks.
Jatenzo (testosterone undecanoate) can cause life-threatening blood clots in your legs or lungs. Watch for symptoms of a blood clot in the legs, such as leg pain, swelling, or redness. Signs of a blood clot in the lungs include trouble breathing or chest pain. If you have any of these symptoms, tell your prescriber right away and get medical help right away, as you might need to stop the medication.
Risk factors: Higher doses of Jatenzo (testosterone undecanoate) than prescribed | Taking Jatenzo (testosterone undecanoate) with other testosterones
Jatenzo (testosterone undecanoate) 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 Jatenzo (testosterone undecanoate) over time can lead to addiction. The FDA has only approved this medication for treating low testosterone in males with certain conditions. Taking it for other reasons can cause serious side effects, including heart attack, heart failure, stroke, depression, and psychosis.
Risk factors: History of enlarged prostate
Taking Jatenzo (testosterone undecanoate) can worsen symptoms in people with an enlarged prostate, also known as benign prostatic hyperplasia (BPH). Let your prescriber know if you notice changes in urination, such as frequent nighttime urination, trouble urinating, a weak stream, urgency, or accidental leakage.
Jatenzo (testosterone undecanoate) can also raise your risk of prostate cancer. Your prescriber might check for prostate cancer before you start treatment and continue to monitor your prostate health while you're taking this medication.
Using certain forms of testosterone, such as methyltestosterone and testosterone enanthate intramuscular injection, for a long time can cause serious liver problems. This isn't a known risk of Jatenzo (testosterone undecanoate), but it's still important to watch for signs of liver damage. Tell your prescriber if you have stomach pain, light-colored stools, dark urine, or if your skin or the whites of your eyes turn yellow, as you might need to stop the medication.
Risk factors: Taking higher doses of Jatenzo (testosterone undecanoate)
Taking high doses of testosterone, including Jatenzo (testosterone undecanoate), can lower sperm production by affecting hormone levels in the body. This might lead to reduced sperm count and other changes in semen quality. If you are planning to have children, talk to your prescriber about this possible risk before starting or continuing this medication.
Risk factors: History of heart, liver, or kidney conditions | Taking other medications that cause swelling
Taking Jatenzo (testosterone undecanoate) can make your body hold onto extra salt and water, which might cause swelling in your legs or arms and sudden weight gain. This is more likely if you're also taking medications that cause swelling, like corticosteroids. It can be more serious in people with heart, liver, or kidney conditions. Swelling can be more serious if you have heart, liver, or kidney problems. If you notice swelling, talk to your prescriber, as you might need to stop Jatenzo (testosterone undecanoate) or take a diuretic (water pill) to help reduce fluid buildup.
Risk factors: History of sleep apnea | Obesity | History of lung disease
Jatenzo (testosterone undecanoate) can worsen sleep apnea, a condition that causes breathing problems during sleep. This is more likely if you have risk factors like obesity or long-term lung disease. If you experience loud snoring, choking during sleep, or excessive daytime tiredness, talk to your prescriber.
Risk factors: History of cancer | Taking other medications that cause high calcium in the blood
If you have cancer and are at risk for high calcium levels (hypercalcemia), be careful when taking Jatenzo (testosterone undecanoate) or other androgens. Your prescriber might check your calcium levels regularly to make sure they stay in a safe range. If you notice symptoms like nausea, weakness, or confusion, contact your prescriber.
Risk factors: History of depression, anxiety, or other mental health conditions | History of suicidal thoughts and behavior
Some people taking Jatenzo (testosterone undecanoate) in clinical trials have reported depression and suicidal thoughts. Let your prescriber know if you or someone you care for notices new or worsening depression, anxiety, mood changes, or thoughts of self-harm. If these symptoms appear, get medical help right away.
Source: DailyMed
Side effects that you should report to your care team as soon as possible:
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
Works well to replace testosterone in the body
Comes as a capsule taken by mouth
Lower risk of liver problems compared to other testosterone products
Must take it twice a day
Can cause high blood pressure, which can raise your risk of serious heart problems
Requires regular blood tests to monitor testosterone and nutrient levels
Take Jatenzo (testosterone undecanoate) twice daily—once in the morning and once in the evening—with food. Taking it with food helps your body absorb it better, leading to better results.
Take Jatenzo (testosterone undecanoate) exactly as prescribed by your prescriber. This medication is only FDA-approved for the treatment of low testosterone in males with certain medical conditions. Misusing it can cause serious side effects like heart attack, heart failure, stroke, depression, and psychosis.
Jatenzo (testosterone undecanoate) can cause breast enlargement, tenderness, or pain. This side effect can continue during treatment, so let your prescriber know if it becomes bothersome.
Jatenzo (testosterone undecanoate) can raise your blood pressure, so check your blood pressure regularly while taking it. If your blood pressure gets too high, your prescriber might recommend medication to lower it or stop your treatment if it can't be controlled.
Jatenzo (testosterone undecanoate) can lower your blood sugar. You might need to check your blood sugar more often, especially if you use insulin. If you experience symptoms of low blood sugar like shakiness, sweating, fast heartbeat, and confusion, talk to your prescriber because it might require changes to your medications.
Taking Jatenzo (testosterone undecanoate) together with blood thinners like warfarin (Coumadin) can make bleeding easier and harder to stop. Your prescriber might check your blood clotting time more often when you're taking this medication. Let them know if you have unusual bleeding, bruising, blood in your urine, or dark stools, as your blood thinner dose might need adjusting.
Taking Jatenzo (testosterone undecanoate) might affect your cholesterol levels, which could require adjusting your cholesterol medication or stopping testosterone therapy. Your prescriber will check your cholesterol levels regularly, especially after you start treatment, to make sure they stay in a healthy range.
Jatenzo (testosterone undecanoate) can raise your risk of heart attack and stroke due to high blood pressure. Some medications can also raise blood pressure, so always check with your prescriber or pharmacist before starting any new medications.
The typical starting dose is 237 mg by mouth twice a day, once in the morning and once in the evening. Your prescriber will adjust your dose based on your testosterone blood levels.
The typical maintenance dose ranges from 158 mg to 396 mg twice daily.
Males with breast cancer or prostate cancer
Females who are pregnant
Males with low testosterone without certain medical conditions, such as having low testosterone due to age
Low testosterone (hypogonadism)
Low testosterone levels from certain medical conditions
Low testosterone levels from certain medical conditions
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Endocrine Society. (2021). Study finds oral testosterone therapy undecanoate is effective, with no liver toxicity.
Swerdloff, R. S., et al. (2020). A new oral testosterone undecanoate formulation restores testosterone to normal concentrations in hypogonadal men. The Journal of Clinical Endocrinology and Metabolism.
Tolmar Inc. (2023). Jatenzo- testosterone undecanoate capsule, liquid filled [package insert]. DailyMed.
You and Your Hormones. (2020). Testosterone.
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