Keeping the applicator upright, patients should place it up into the axilla and wipe steadily down and up into the axilla. If the solution drips or runs, it can be wiped back up with the applicator. The solution should not be rubbed into the skin with fingers or hand. The process is then repeated with application of 30 mg of testosterone (1 twist actuation) to the other axilla to achieve a total of 60 mg of testosterone applied. For patients prescribed the 90 mg dose of testosterone, the procedure is the same, but three applications are required. To dose 120 mg of testosterone, four applications are required alternating left and right for each application as shown in Table 1. When repeat application to the same axilla is required, the axilla should be allowed to dry completely before more AXIRON is applied.
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Both doctors agree that because there are many different steroid creams available (and seven different categories of steroids), it's critical to visit a board-certified dermatologist instead of a primary care physician. "If a person uses too much of a steroid cream or one that's too strong for their skin, there can be complications," says Dr. Rand. "General doctors may not be aware of the specific strengths and recommendations for these products. I've also heard from patients that their pharmacists made a decision to give them a different cream based on price, and this is also a concern. Most likely, the pharmacists also aren't aware of the specifics regarding these creams. However, when used appropriately, steroid creams can be a total game changer and even help save people’s lives."