Starting on Nebido

FormerMember
FormerMember
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Hi,

Just a quick one hopefully, seeking some further advice. I have had a bilateral orchiectomy last year and have been on 2 x testogel sachets per day since June 2017. Since September 2017 I have been finding it very difficult to get Tesogel in the sachet form, and have since learnt, both on here and from my brother who is a Pharmacist, that they have not been able to order it as the supplier Besins Healthcare has put a hold on it. I have since been informed that they have introduced a pump version of the Testogel into the market and essentially you would administer 2 pumps to get the same dosage of roughly 1 testogel sachet (I presume this is correct). Anyway, as i'm sure quite a few of you are familiar with this, you are also aware of how this is an area that no one seems to take responsibility for and the patient is left very much to their own devices. As it has been a panic to keep getting Testogel each month, plus I'm still only 29, so I have wanted to give the Nebido injections a go and see how I go with them. I'm aware that bloods need to be checked before the injection is administered, and ideally I wanted to speak to an Endocrinologist, and hopefully they would lead me through the finer detail- side note, my GP sent a referral to an Endo in October 2017 and I phoned yesterday and the waiting list until I'm seen is 22 months!!!!! Seems like a very long time. Anyway, my GP is not very clued in on these things, and the one person that has helped me has been my Cancer Centre nurse. She has coordinated that the prescription for Nebido would be sent to my GPs, so I am trying to explain to my GP a little about the injection and assure him that the practice nurse should be able to administer it. I'm hoping they can do so.....anyway, a long back story to ask a simple question- my wife and I have booked a 2 week holiday leaving end of next week, and I woke up this morning wondering if there would be any side effects when you first go onto the Nebido injections? I remember when I first started Testogel I felt rubbish, but i'm not sure whether that was down to being wrecked from the operation etc...and maybe perhaps since I have been on hormone replacements for 10 months already, moving to Nebido is just continuing the hormone replacement in a different way, so it may be ok. No one seems to be able to help me with this, so I would appreciate a response if anyone is aware....

many thanks in advance,

Jon 

  • Hi Jon,

    I hope the nebido goes well for you, I tried it for a year, and now use tostran or testogel depending on availability.

    Nebido thoughts:

    - yes a practice nurse can inject it, into the upper bum is the normal site

    - its a 4ml injection, they need to go slow..... almost up to a minute to inject it all

    - its quite thick, so if its been stored cold its not going to very comfortable going in - ask if you can hold it in your hands for a few minutes before the nurse draws it into the syringe

    - on the day, no real side effects other than a dead-leg feeling. I used to cycle to and from my injections

    - you'll start on 12 weeks intervals BUT MAKE SURE YOU GET THE BOOSTER INJECTION AT 6 WEEKS (just another vial injected)

    - if blood tests show you are running out of testosterone before the next injection they can shorten the interval

    Longer side effects - you may find that you peak too high at the start of a cycle, or drop too low at the end. This can mean you feel worse at times.

    My advice is stick with what you know for the holiday IF where you going is going to let you bring in the sachets/pump (take your prescription, take only what you'll use). One nice thing about nebido is not carrying the treatment though customs.

    Greg

  • FormerMember
    FormerMember in reply to gregm

    Hi 

    Hopefully a quick one. After months of low levels on the testogel pump (which I now see that a lot of you are struggling with)- I decided to give nebido a try. I had my first injection 3 weeks ago and I used the advice Greg supplied and told the nurse to inject it very slowly. She didn’t know a lot about it but was very willing to work with me and get it right. It was painful going in and a few days after but generally I think I’m feeling ok- mood seems to be fine compared with when I was on the pumps. Just a question. 1 week after the injection a lump appeared at the injection site which has since got bigger and very itchy. About the size of a ping pong ball. Anyone have experience of this? Anything to be worried about? I have read online that people call it a butt egg and it is common, but normally appears immediately after the injection and goes away quickly. Others have had issues with the nurse not administering it properly and others have been allergic to one of the ingredients in nebido. Any advice is really appreciated.


    Many thanks


    Jon 

  • Hi Jon,

    Sorry, I'm no expert on butt eggs and I'm NOT going to google that on my work computer...

    I do think it worth getting the lump looked at, especially as its occured a while after , just to check for infection.

    Another tip to reduce the pain is to warm the nebido in your hands for a good minute. Chances are in its been in a fridge and it'll be like injecting molasses with a lot of syringe force if not warmed up. Just a minute warming it makes it runny.

    Greg

  • FormerMember
    FormerMember in reply to gregm

    Hi all

    just a quick question. Im 30 years old and had my ffirst nebido injection 9 weeks ago (I have had both right and left testicles removed in the last 2 years). I have got on better on nebido than testogel pumps but have been struggling a lot off and on with constipation the past 3 weeks. Have you ever heard of stomach issues being related to this type of TRT before? Also I’m feeling pretty rubbish- legs heavy, pins and needles in hands, can’t get enough sleep, lethargic, my level was 14 (at 9am) two weeks ago, so I’m wondering if it is starting to drop further?? Don’t want to assume, but this is what I have heard happens to most people on nebido. 

    Any thoughts welcome....

    Thanks as always 

    Jon

  • Hi Jon,

    Something I'd say from your post  "Had my first nebido injection 9 weeks ago..."   - when you start nebido your're meant to get a 2n injection 6 weeks in, otherwise you won't have enough testosterone and you'll feel really awful towards the end of the cycle. Guess what, you feel awful.

    So, you won't have a stable level of testosterone yet. You need to speak to your endo/GP about when the next dose can be administered.

    G.

  • FormerMember
    FormerMember in reply to gregm

    Thanks for the advice Greg. I have my next injection next week so hopefully that will help. Funny, I had read up on nebido quite a bit before I started and had noted the 6 week booster that I saw you mention (and others too) on this blog. I mentioned this to my GP, my  nurse and then to my oncologist last week but they all said they had never heard of any need for that, so I didn’t push it any further. Still on a 2 year waiting list for an endo, so I will speak to my GP this week and see and hopefully the next week injection will help.

    thanks

    jon 

  • Hi,

    I guess that's why we have specialists, they can't know everything, but the upshot is you feel rough. The information is on the leaflet in the box I think - I'll go check...

    G.

  • Yep, its in the instructions in the box - did the nurse give you the leaflet or did they bin it?

    G.

  • FormerMember
    FormerMember in reply to gregm

    very good informative thread, great information Greg.

    My urologist said I should consider injections and he wrote to my doctor saying the exact same as you, 2nd injection exactly 6 weeks after first, then blood tests at the 9 - 10 week stage to decide if further injections should be at the 12 week stage or 10 week stage.

    .

    I am off on holiday in 2 weeks time, when home I may consider a trail year on injections with the option of returning to testogel.