The Pharmacokinetics of Intravenous Testosterone in Elderly Men with Coronary Artery Disease

Abstract

Intracoronary testosterone injections have recently been shown to possess coronary vasodilating effects. The same may be true for intravenous testosterone, but the pharmacokinetic and hemodynamic aspects need exploration before pharmacologic studies can begin. This trial determined the pharmacokinetic and hemodynamic properties of 300 µg of testosterone given intravenously. Degree of testosterone aromatization to 17‐b estradiol after exogenous administration and overall patient tolerability also were evaluated. Eleven elderly men with coronary artery disease participated in the study and were given 300 µg of testosterone intravenously over 10 minutes. Serum blood concentrations of testosterone and 17‐b estradiol were measured at baseline and then periodically. Testosterone serum concentrations were stripped and fit to a two‐compartment model for all patients. The volume of distribution (Vdarea) was 80.36 ± 24.51 L, and the elimination half‐life was 55.93 ± 23.06 minutes. No hemodynamic differences or side effects were noted. The serum concentrations of 17‐b estradiol were significantly increased from baseline beginning 5 minutes after infusion to the end of the study (180 minutes after infusion).