Read all of this leaflet carefully before you start using Sustanon. It will help answer some of the questions you may have.

• Keep this leaflet. You may need to read it again.
• If you would like to know more or there is something you do not understand, ask your doctor or pharmacist.

This leaflet contains the following important information:

• after castration or a similar problem called eunuchoidism
• impotence caused by hormonal disorders
• decreased sex drive
• infertility caused by low sperm count
• bone loss caused by low hormone levels
• when the pituitary gland cannot work as well as it should (hypopituitarism); this can cause decreased sexual ability in males.

Sustanon is packed in 1 ml glass ampoules and comes in packs of 1 ampoule, 3 ampoules and 6 ampoules. We are not selling the 1 and 3 ampoule packs in the UK.

2. Things to consider before Sustanon is used
2.1 Do not use Sustanon if…

Please tell your doctor before Sustanon is injected if:

• You have cancer of the prostate or breast
• You are pregnant
• You are breast-feeding
• You are allergic to any of the ingredients in Sustanon.

Even so, your doctor may still want to give you Sustanon.

2.2 Take special care with Sustanon.…
Before you start using Sustanon
Before Sustanon is injected tell your doctor if you have ever had any of the conditions listed below:

• heart disease
• kidney disease
• high blood pressure
• epilepsy
• migraine
• cancer of the bone.

Extra supervision may be necessary in some cases, particularly:

• the elderly
• in the treatment of young boys since male hormones may cause early sexual development and delay growth.

Sustanon may affect some blood tests.

Pregnancy
Do not use Sustanon if you are pregnant, or if you think you are pregnant.

Breast Feeding
Do not use Sustanon if you are breast feeding.

Using other medicines
Other medicines may affect how Sustanon works or Sustanon may affect how they work. Certain drugs can cause more enzymes to be made in the liver these are called ‘enzyme inducing drugs’ for example medicines used to treat epilepsy; phenobarbitone. These drugs may affect the levels of testosterone in your body and your doctor may need to adjust the dose or frequency of your Sustanon injections.

If you are taking any other medicines, tell your doctor before Sustanon is given to you.

2.3 Other useful information
What about allergies?
Sustanon contains Arachis oil (peanut oil). If you are allergic to peanut or Soya, do not use Sustanon.
Sustanon also contains benzyl alcohol. If you are allergic to this, tell your doctor immediately.
Products containing benzyl alcohol should not be given to children under 3 years of age.

Ability to drive or use machines
Sustanon does not seem to affect alertness or concentration, so its use should not affect your ability to drive or to use tools or machinery.

3. How should Sustanon be given?
Sustanon should only be injected by your
doctor or nurse.

3.1 How much Sustanon is injected?
Adults: The dose is chosen by your doctor.
For Sustanon 100, usually one injection of
1ml every two weeks is given.
For Sustanon 250, usually one injection of
1ml every three weeks is given
However the dose given depends on the individual.

Elderly: Smaller and less frequent doses
may be given to the elderly.

Children: Smaller and less frequent doses
may be given to children.

3.2 How are Sustanon injections given?
The injections are given by your doctor or nurse. Sustanon is injected deep into a muscle.

3.3 What if an accidental overdose occurs?
It is very unlikely an overdose of Sustanon could occur as it is given by your doctor.
However, if you do think you have been given too much consult your doctor immediately.

3.4 What if a dose is missed?
Don’t worry if you miss a dose. Ask your doctor for advice.

4. Possible side effects
Like all medicines, Sustanon can have side effects.
Tell your doctor as soon as possible, if you notice any of the following side effects, he may decide to stop your treatment for a while:
[list][*]prolonged painful erection[*]increased sexual desire[*]decreased amounts of ejaculation fluid[*]swollen legs or ankles (caused by water retention)[*]hoarseness of the voice.[/list]

As a result of using Sustanon you may develop a low sperm count. If you are concerned about this discuss it with your doctor.

Young boys should be monitored closely as the following side effects may occur: early sexual development, erections occurring more often than normal, enlarged penis and delayed growth.

5. Further information

Storing Sustanon
Do not store above 25°C.
Do not refrigerate or freeze.
Keep the ampoules in the outer carton to protect from light.
Sustanon should be kept out of reach and sight of children.

Use by date
Do not use Sustanon after the ‘Use By’
date printed on the pack.

This leaflet was revised in May 2003