Abstract
Objective
To evaluate whether testosterone could be prescribed safely in General Practice by appropriately trained primary care clinicians.
Methods
We audited testosterone prescribing in four GP surgeries across the Northwest against standards extrapolated from current guidance. We then introduced a structured EMIS template and protocol and then re-audited our prescribing against the same standards 6 months later.
Results
Initiating and prescribing of testosterone after our interventions met all our standards to 100%.
Conclusion
Our protocol and template facilitated safe prescribing of testosterone within a primary care setting.
Keywords
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References
1.
Rook
D
Wilkinson
J
Temple
R
, et al. Tales from the community menopause clinic . Post Reprod Health 2024 ; 30 : 199 –205 .
2.BMS Testosterone replacement in menopause , 2022 . https://thebms.org.uk/wp-content/uploads/2022/12/08-BMS-TfC-Testosterone-replacement-in-menopause-DEC2022-A.pdf (accessed March 2024)
3.NICE: menopause diagnosis and management , 2015 . https://www.nice.org.uk/guidance/ng23 (Accessed March 2024)
4.
Glaser
R
Dimitrakakis
C
. Testosterone therapy in women: myths and misconceptions . Maturitas 2013 ; 74 (3 ): 230 –234 .
5.GMC: prescribing unlicensed medicines , 2025 : https://www.gmc-uk.org/professional-standards/the-professional-standards/good-practice-in-prescribing-and-managing-medicines-and-devices/prescribing-unlicensed-medicines (Accessed January 2025)
6.GOV.UK Off-label or unlicensed use of medicines: prescribers’ responsibilities , 2025 . https://www.gmc-uk.org/professional-standards/the-professional-standards/good-practice-in-prescribing-and-managing-medicines-and-devices/prescribing-unlicensed-medicines (Accessed January 2025)
7.Deciding if it is safe to propose, prescribe or provide medicines, treatment and devices , 2025 . https://www.gmc-uk.org/professional-standards/the-professional-standards/good-practice-in-prescribing-and-managing-medicines-and-devices/prescribing-unlicensed-medicines (Accessed January 2025)
8.Cheshire and Merseyside area prescribing Group: testosterone gel for HSS in menopausal women , 2024 . https://www.panmerseyapc.nhs.uk/media/2722/testosterone_hsdd_menopause.pdf (Accessed March 2024)