Testosterone enanthate solutions

The solubilization techniques for injectable formulations are similar to those in oral formulations and include pH adjustment, mixed aqueous/organic cosolvents, organic solvent mixtures, cyclodextrin com-plexation, emulsions, liposomes, polymeric gels, and combinations of techniques. " Molecules that are non-ionizable, lipophilic, and non-polar are challenging to formulate owing to their low water solubility and no effect of pH on solubility. Examples include paclitaxel, docetaxel, cyclosporin A, etoposide, loraze-pam, tacrolimus, testosterone enanthate, and halo-peridol decanoate, and they are all solubilized in non-aqueous solutions composed entirely of organic solvent(s), which are usually but not always diluted prior to administration. 

Figure 7.41 Solutions of testosterone enanthate. Image courtesy of the Oklahoma State Bureau of Investigation.

Testosterone (T.) derivatives for clinical use. T. esters for im. depot injection are T. propionate and T. heptanoate (or enanthate). These are given in oily solution by deep intramuscular injection. Upon diffusion of the ester from the depot, esterases quickly split off the acyl residue, to yield free T. With increasing lipophilicity, esters will tend to remain in the depot, and the duration of action therefore lengthens. A T. ester for oral use is the undecanoate. Owing to the fatty acid nature of undecanoic acid, this ester is absorbed into the lymph, enabling it to bypass the liver and enter, via the thoracic duct, the general circulation. 17-0 Methyltestosterone is effective by the oral route due to its increased metabolic stability, but because of the hepatotoxicity of Cl 7-alkylated androgens (cholestasis, tumors) its use should be avoided. Orally active mesterolone is 1 a-methyl-dihydrotestosterone. Trans-dermal delivery systems for T. are also available. 

Testosterone itself, although it is absorbed on oral administration, is ineffective because of poor bioavailability (i.e., rapid first-pass hepatic metabolism). Even the tl/2 of injected testosterone from an oil solution is only about 4-10 minutes. The several esters listed in Table 14-8—acetate, propionate, cypionate, and enanthate—on intramuscular injection of oil solutions, allows for infrequent doses (e.g., every 2 weeks) because of relatively slow absorption and subsequent hydrolysis of these pro-drugs to the parent compound—testosterone. In a practical sense, then, these esters are more active. 

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