Tlando

• Risk factors: High blood pressure | Heart problems | High blood sugar | People identified as obese

Tlando (testosterone undecanoate) can raise your blood pressure. Higher blood pressure can lead to serious problems, such as heart attack, stroke, or sudden cardiac (heart-related) death. This is more likely to occur in people who already have heart problems or have risk factors for heart problems, such as high blood sugar. Your provider will check your blood pressure before you start Tlando (testosterone undecanoate), about 3 weeks after you begin treatment, and regularly after that. They'll also ask you to check your blood pressure at home. If you develop high blood pressure, your provider might ask you to start a blood pressure medication. If your blood pressure still remains high, you might need to stop taking Tlando (testosterone undecanoate).

Let your provider know and get emergency help right away if you experience symptoms of heart problems, such as:

• Stroke: sudden numbness or weakness on one side of your body, sudden confusion, trouble speaking, difficulty maintaining balance
• Heart attack: dizziness, tiredness, tightness or pain in the chest, heartburn, trouble breathing, sweating, anxiety

Tlando (testosterone undecanoate) can cause a high red blood cell (RBC) count. This can raise your risk for blood clots, which can affect any part of your body, including the brain, heart, lung, and legs. Your provider will check your RBC levels about every 3 months during your first year of Tlando (testosterone undecanoate) treatment, and then every 6 months after that. Get emergency help right away if you have symptoms of stroke, heart attack, or of blood clots in other parts of the body, including:

• Blood clot in the leg: leg pain, swelling, or redness
• Blood clot in the lungs: difficulty breathing or chest pain

• Risk factors: Taking more Tlando (testosterone undecanoate) than prescribed | Taking Tlando (testosterone undecanoate) with other testosterones

Tlando (testosterone undecanoate) is a controlled substance because of its potential for misuse. People have misused Tlando (testosterone undecanoate) by taking it for reasons other than what's prescribed. Misusing Tlando (testosterone undecanoate) can cause serious heart and mental health problems, such as heart attack, heart failure, stroke, liver problems, depression, delusions, hallucinations, and aggression.

Misusing Tlando (testosterone undecanoate) can also lead to addiction and dependence. Some symptoms of addiction include taking higher doses of Tlando (testosterone undecanoate) than prescribed and continuing to take this medication despite experiencing serious health problems related to the medication. Dependence can lead to withdrawal symptoms, such as depression, tiredness, and irritability.

Only take Tlando (testosterone undecanoate) as prescribed by your provider.

• Risk factors: History of enlarged prostate

Taking Tlando (testosterone undecanoate) can worsen certain symptoms in people with an enlarged prostate, or benign prostatic hyperplasia (BPH). Let your provider know if you experience any changes in your urinary routine, such as more urination at night, feeling like you need to urinate more often or immediately, trouble urinating, accidentally urinating, or urinating slowly.

Tlando (testosterone undecanoate) can also raise your risk of prostate cancer. Your provider might have you perform occasional blood tests and physical check-ups before and during treatment. Tlando (testosterone undecanoate) isn't recommended if you have prostate cancer, because it might worsen your cancer.

Using injectable testosterone, such as methyltestosterone and testosterone enanthate intramuscular injection, for long periods of time can cause life-threatening liver problems. This isn't a known risk of Tlando (testosterone undecanoate), but it's important to look out for signs and symptoms of liver damage. Let your provider know if you're experiencing stomach pain, light-colored stools, dark urine, or if your skin or the whites of your eyes turn yellow, because you might need to stop the medication.

• Risk factors: History of heart, liver, or kidney conditions | Taking other medications that cause swelling like corticosteroids

Taking Tlando (testosterone undecanoate) can cause your body to hold onto more salt and water, which can lead to swelling in your legs or arms and sudden weight gain. This is more likely to happen if you're also taking other medications that cause swelling, such as corticosteroids (e.g., prednisone, methylprednisolone (Medrol)). It can be more serious in people with heart, liver, or kidney conditions. Talk to your provider if you have any of these symptoms, because you might need to stop Tlando (testosterone undecanoate) or take other medications (e.g., water pills or diuretics) to help with this problem.

• Risk factors: History of sleep apnea | History of obesity | History of lung disease

Tlando (testosterone undecanoate) can worsen symptoms in people who have breathing problems while they sleep. This is more likely to happen to people who also have a history of obesity or lung conditions. If you experience more daytime sleepiness or if your partner notices that you stop breathing in your sleep more often, talk to your provider.

• Risk factors: History of cancer | Taking other medications that cause high calcium in the blood

Tlando (testosterone undecanoate) can raise calcium levels in the blood, especially in people with cancer. Too much calcium can lead to muscle weakness and kidney problems, such as frequent urination, thirst, stomach pain, and blood in the urine. During treatment with Tlando (testosterone undecanoate), your provider might have you perform regular blood tests to make sure your calcium levels are within the normal range.

Tlando (testosterone undecanoate) can raise prolactin levels in your blood. Prolactin is a hormone that's responsible for making breast milk during and after pregnancy. Normally, males have low levels of prolactin. But taking Tlando (testosterone undecanoate) can cause that level to become higher than normal. This can lead to larger breasts, discharge from the nipples, sexual problems, and lower amounts of body hair. Your provider will check your prolactin level before you start Tlando (testosterone undecanoate) and again 3 to 4 months into your treatment. If your prolactin levels are too high, your provider might tell you to stop taking the medication.