title: Pharmacokinetics of testosterone after percutaneous gel or buccal administration.
abstract: OBJECTIVE
  To determine the pharmacokinetics of testosterone following its administration using transdermal gel or buccal lozenges.
  
  
  METHODS
  Pilot study.
  
  
  METHODS
  University-based hospital.
  
  
  METHODS
  Ten bilaterally oophorectomized women.
  
  
  METHODS
  Daily micronized testosterone gel (1 mg) and testosterone propionate lozenge (1 mg).
  
  
  METHODS
  Total testosterone, androstenedione, dihydrotestosterone, 3alpha-androstanediol glucuronide, and sex hormone-binding globulin were measured in serum by specific radioimmunoassays; free testosterone levels were also calculated.
  
  
  RESULTS
  Before treatment, serum testosterone levels in the groups using the lozenge and gel were 16 +/- 4.0 and 20 +/- 6.0 ng/dL, respectively. Mean maximum testosterone levels obtained with the lozenge occurred 1 hour after administration on days 1 (692 +/- 236 ng/dL) and 14 (836 +/- 309 ng/dL) of treatment and fell precipitously thereafter. In contrast, testosterone levels obtained with the gel showed a prolonged rise reaching maximal levels of 97 +/- 78 and 100 +/- 60 ng/dL after 18 hours. The serum level patterns of free testosterone, dihydrotestosterone, and 3alpha-androstanediol glucuronide were similar to the corresponding total testosterone levels.
  
  
  CONCLUSIONS
  Administration of testosterone lozenge by buccal absorption produced a rapid and brief elevation of testosterone levels, with levels reaching upper limits of the male range. In contrast, transdermal testosterone gel absorption resulted in a prolonged elevation of testosterone levels, which were in the hyperandrogenic female range but resembled steady state pharmacokinetics.
authors: Department of Obstetrics and Gynecology, University of Southern California, Keck School of Medicine, Los Angeles, California, USA. coulam@hsc.usc.edu
authors: C C
authors: CC
authors: Slater
authors: I
authors: I
authors: Souter
authors: C
authors: C
authors: Zhang
authors: C
authors: C
authors: Guan
authors: F Z
authors: FZ
authors: Stanczyk
authors: D R
authors: DR
authors: Mishell
mesh_terms: D000042:Absorption; D000279:Administration, Cutaneous; D000284:Administration, Oral; D015113:Androstane-3,17-diol / Q000031:analogs & derivatives / Q000097:blood; D002610:Cheek; D013196:Dihydrotestosterone / Q000097:blood; D005260:Female; D005782:Gels; D006801:Humans; D008875:Middle Aged; D010052:Ovariectomy; D010865:Pilot Projects; D013739:Testosterone / Q000008:administration & dosage* / Q000097:blood / Q000493:pharmacokinetics*; D013997:Time Factors
chemical_list: D005782:Gels; D013196:Dihydrotestosterone; D015113:Androstane-3,17-diol; C028895:androstane-3,17-diol glucuronide; D013739:Testosterone