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· Information for use in females has been deleted as more convenient alternatives are available.
· Section 4.1: Indications have been replaced by more general terminology.
· Section 4.3: Hypersensitivity to active or excipients has been added as contraindication
· Section 4.4: Monitoring frequency has been added for DRE and hematocrit and hemoglobin; warnings for with patients with cardiac failure, renal or hepatic dysfunction, or hypertension have been modified; warning for patients with epilepsy or migraine have been added. Additional warnings on glucose tolerance, anticoagulants and sleep apnea have been added for safety reasons and are in line with the known effects of androgens in general.
· Section 4.5: Effect of enzyme inhibiting drugs has been added. The decrease in the need for anti-diabetic medication and adaptation of the dose of anticoagulants has been added based on ISSAM recommendations.
· Section 4.8: Side effects have been revised and undesirable effects are included based on class labeling and valid scientific information.
· Section 4.9: Overdose information has been revised based on recommendations as given by the ISSAM.
· Section 5: Pharmacological properties have been revised
There have also been editorial changes, including those to update in accordance with the EU Guideline on the SPC and the QRD throughout the SmPC.
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