睪酮 / 睪丸酮
Testosterone
Testosterone cypionate, Testosterone enanthate, Testosterone propionate
別名: Depo-Testosterone · Delatestyl · AndroGel · Testopel · Synovex · Testosterone cyclopentylpropionate · Testosterone cypionate · Testosterone enanthate · Testosterone propionate · NSC-9166
由 VetSheet 獸醫團隊審訂更新於 2026年4月5日本內容以實證獸醫文獻為本
劑量為合格獸醫專業人員的臨床參考。請務必對照最新仿單及個別病患確認。
各物種劑量
🌎 NA — North America🌍 EU — Europe
狗
| 適應症 | 劑量 | 途徑 | 頻次 | 療程 | 地區 |
|---|---|---|---|---|---|
| Testosterone-responsive urinary incontinence (may be used with phenylpropanolamine) in males | Testosterone propionate: approximately 2 mg/kg IM or SC 3 times per week. Testosterone cypionate: 200 mg IM once per month | IM/SC | 3 times per week / once per month | — | 🌎 NA |
| Testosterone-responsive urinary incontinence | Testosterone propionate: 2.2 mg/kg IM q2-3 days. Testosterone cypionate: 2.2 mg/kg IM once per month | IM | q2-3 days / once per month | — | 🌎 NA |
| Testosterone-responsive urinary incontinence | Testosterone cypionate: 2.2 mg/kg IM q4-8 weeks | IM | q4-8 weeks | — | 🌎 NA |
| Testosterone-responsive urinary incontinence | Testosterone propionate: 2.2 mg/kg IM or SC every 2-3 days. Testosterone cypionate: 2.2 mg/kg every 30 days or 200 mg IM every 30 days. | IM/SC | every 2-3 days / every 30 days | — | 🌎 NA |
| Estrus control | Testosterone enanthate or cypionate 0.5 mg/kg IM once every 5 days or methyltestosterone tablets 25 mg PO twice a week; this dose is for Greyhound-sized dogs. | IM/PO | once every 5 days / twice a week | — | 🌎 NA |
| To reduce mammary gland enlargement seen in pseudopregnancy | Testosterone enanthate or cypionate 0.5-1 mg/kg IM once | IM | once | — | 🌎 NA |
貓
| 適應症 | 劑量 | 途徑 | 頻次 | 療程 | 地區 |
|---|---|---|---|---|---|
| Infertility or reduced libido | 0.1-1 mg every other day or every third day for 3-5 injections IM or SC. Not indicated for testis descent. | IM/SC | every other day or every third day | 3-5 injections | 🌎 NA |
| Testosterone-responsive urinary incontinence (may be used with phenylpropanolamine) in males | Testosterone propionate 5-10 mg IM as needed. | IM | as needed | — | 🌎 NA |
- Infertility or reduced libido: Using either testosterone cypionate or propionate
牛
| 適應症 | 劑量 | 途徑 | 頻次 | 療程 | 地區 |
|---|---|---|---|---|---|
| To produce an estrus-detector (teaser) animal (cull cows, heifers, steers) | Testosterone propionate 200 mg IM on day 1 and on days 4-9. On day 10, give 1 gram IM and attach a chinball marker and put with the breeding herd. To maintain the teaser give 1 gram booster every 10-14 days. | IM | varies | — | 🌎 NA |
| To produce an estrus-detector (teaser) animal (cull cows, heifers, steers) | Alternatively, initially give testosterone enanthate 0.5 gram IM and 1.5 gram SC (divided in two separate locations). After 4 days attach chinball marker and put in with breeding herd. To maintain, give 0.5-0.75 gram SC every 10-14 days. | IM/SC | varies | — | 🌎 NA |
劑量為合格獸醫專業人員的臨床參考。請務必對照最新仿單及個別病患確認。
概覽
睪酮 (Testosterone) 是一種內源性雄性激素,在獸醫學中主要用於治療已絕育雄性犬貓的激素反應性尿失禁。
- 小動物:主要用於治療絕育雄性犬貓的尿失禁,偶爾用於治療特定的雙側性脫毛(皮膚炎)。
- 大動物:在牛隻醫學中,被用來製造「試情牛」(teaser animals) 以偵測發情。
- 臨床提示:其用於提高家畜性慾或治療不孕症的效果通常不佳。
- 法規:睪酮產品屬於第三級管制藥品 (C-III)。
作用機轉
Testosterone is highly lipophilic and diffuses across target cell membranes. In many tissues, it is converted by 5-alpha-reductase → dihydrotestosterone (DHT). Both testosterone and DHT bind to intracellular androgen receptors → the receptor complex translocates to the nucleus → binds to DNA hormone response elements → modulates gene transcription.
- Urethral Tone: Helps maintain normal urethral muscle tone and mucosal integrity in neutered males.
- Anabolic Effects: Increases protein anabolism and decreases catabolism → retention of nitrogen, sodium, potassium, and phosphorus.
- Erythropoiesis: Stimulates erythropoietic stimulating factor (erythropoietin) → increases red blood cell production.
- Endocrine Feedback: Large exogenous doses exert negative feedback on the pituitary gland → inhibits luteinizing hormone (LH) and follicle-stimulating hormone (FSH) → inhibits spermatogenesis.
安全性與警告
禁忌症
- Known hypersensitivity to the drug
- Prostate carcinoma
- Pregnancy (FDA Category X / Papich Class D)
不良反應
- Perianal adenomas
- Perineal hernias
- Prostatic disorders (enlargement)
- Behavior changes (aggression)
- Polycythemia (at high doses)
- Oligospermia or infertility (in intact males with chronic use)
注意事項
Use with caution in patients with renal, cardiac, or hepatic dysfunction. Teratogenic Warning: Contraindicated in pregnancy; causes congenital malformations and embryotoxicity. It is unknown if androgens are excreted in milk; consider milk replacers for nursing patients. Testosterone is a C-III controlled substance.
藥物交互作用
May enhance the edema associated with ACTH or adrenal steroid therapy
Testosterone may decrease serum glucose levels
Testosterone cypionate may increase propranolol clearance
Testosterone may increase anticoagulant effects
監測
- Clinical efficacy (resolution of incontinence, estrus detection behavior)
- Adverse effects (prostatic enlargement, aggression, perineal hernias)
- Hematocrit/PCV (for polycythemia with chronic use)
藥物動力學
吸收
Orally administered testosterone is rapidly metabolized by the GI mucosa and liver (first-pass effect). Esterified compounds (enanthate, cypionate) are less polar and more slowly absorbed from lipid tissue after IM injection, providing a duration of 2-4 weeks. Propionate has a shorter duration of action.
分佈
Highly bound to a specific testosterone-estradiol globulin (98% in humans). The free form concentration determines the plasma half-life.
代謝
Metabolized in the liver.
排除
Excreted primarily in the urine (≈90%) and feces (≈6%).
過量
No specific acute toxicity information is available.
- Chronic Overdose: High dosages or chronic usage may result in oligospermia or infertility in intact males due to negative feedback on LH/FSH.
- Other Effects: Polycythemia (excessive red blood cells) has been reported in humans receiving high dosages.
- Treatment: Discontinue therapy and provide supportive care. Monitor hematocrit and prostatic size.
可用產品
劑型
- Injection (oil)
- Subcutaneous implant pellets
- Transdermal gel/patch
- Buccal system
獸醫用
- Component E-H (Testosterone propionate 200 mg / Estradiol benzoate 20 mg implant)
- Synovex-H (Testosterone propionate 200 mg / Estradiol benzoate 20 mg implant)
- Synovex-Plus (Testosterone propionate 200 mg / Estradiol benzoate 28 mg implant)
人用標示
- Depo-Testosterone Injection (100 mg/mL, 200 mg/mL)
- Delatestyl Injection (200 mg/mL)
- Testopel Implant Pellets (75 mg)
- Androderm Transdermal System
- AndroGel 1%
- Testim Gel 1%
- Striant Buccal System
各地核准狀態
暫無法規資料: 🇺🇸 US · 🇪🇺 EU · 🇬🇧 UK · 🇭🇰 HK · 🇹🇼 TW · 🇯🇵 JP · 🇰🇷 KR · 🇦🇺 AU
儲存與穩定性
Store at room temperature; avoid freezing or exposing to temperatures greater than 40°C. If exposed to low temperatures, a precipitate may form but should redissolve with shaking and rewarming. Using a wet needle/syringe may cause cloudy solutions but will not affect potency.
飼主須知
🐾 睪酮的用途是什麼?
睪酮是一種雄性激素,在獸醫學中主要用於治療絕育雄性犬貓的尿失禁。它有助於恢復尿道肌肉的張力,防止尿液漏出。
💊 如何給藥?
通常由您的獸醫師進行肌肉或皮下注射。單次注射的效果可維持數週,具體取決於所使用的劑型。
⚠️ 重要安全警告
懷孕警告:睪酮可能導致嚴重的胎兒畸形。孕婦或可能懷孕的女性絕對不可接觸此藥物,也應避免接觸剛接受治療動物的注射部位或體液。
🔍 需要觀察什麼
如果您注意到以下任何情況,請聯繫您的獸醫師:
- 行為改變:攻擊性增加、騎乘行為或焦躁不安。
- 排尿或排便困難:這可能表示前列腺腫大。
- 尾巴根部附近的腫塊:可能表示肛周腫瘤或疝氣。
VetSheet 藥物參考供合格獸醫專業人員作臨床決策輔助之用,不能取代專業判斷或廠商最新仿單。
