Nandrolone Decanoate

Injection

200 mg/mL

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Product Overview

Nandrolone Decanoate Description1-6

Nandrolone Decanoate is a long-acting anabolic androgenic steroid (AAS) administered via intramuscular injection. It is the decanoate ester of nandrolone, a synthetic derivative of testosterone with reduced androgenic properties and enhanced anabolic activity. These characteristics support its medical use in the treatment of anemia, particularly anemia associated with chronic kidney disease, and in the management of muscle wasting related to chronic illness, such as HIV/AIDS, or prolonged corticosteroid use. Nandrolone decanoate is compounded in a sterile, oil-based vehicle suitable for deep intramuscular injection under aseptic conditions.

Mechanism of Action1-6

Nandrolone binds to androgen receptors and stimulates anabolic activity, promoting protein synthesis and inhibiting protein catabolism. It enhances nitrogen retention in muscle tissues and stimulates erythropoiesis through increased erythropoietin production.

Common1-6

  • Hepatic: Elevated liver enzymes, rarely hepatotoxicity
  • Endocrine: Suppression of endogenous testosterone production, testicular atrophy, menstrual irregularities
  • Dermatologic: Acne, oily skin
  • Cardiovascular: Fluid retention, altered lipids (↓HDL, ↑LDL), potential for hypertension
  • Hematologic: Polycythemia (monitor hematocrit)
  • Others: Injection site pain, mood changes, libido changes

Contraindications1-6

  • Known or suspected breast or prostate carcinoma in men
  • Pregnancy or breastfeeding
  • Hypersensitivity to nandrolone, sesame oil, or other excipients
  • Severe hepatic dysfunction
  • Nephrotic syndrome with edema

Precautions1-6

  • Monitoring required for lipid profiles, liver function, CBC, and hormonal panels
  • Use with caution in patients with cardiovascular, hepatic, or renal disease
  • May exacerbate sleep apnea in predisposed individuals
  • Risk of virilization in females even at low doses
  • Pediatric use may cause premature epiphyseal closure
  • Store at controlled room temperature (20–25°C / 68–77°F).
  • Protect from light and excessive heat.
  • Do not refrigerate or freeze.
  1. Clinical Pharmacology®. Nandrolone Decanoate Monograph. Elsevier. Accessed 2025.
  2. ASHP Drug Information. Nandrolone. American Society of Health-System Pharmacists.
  3. Grunfeld C, Kotler DP, Dobs A, Glesby M, Bhasin S. Oxandrolone in the treatment of HIV-associated weight loss in men: a randomized, double-blind, placebo-controlled study. J Acquir Immune Defic Syndr. 2006 Mar;41(3):304-14. doi: 10.1097/01.qai.0000197546.56131.40. PMID: 16540931.
  4. Johansen KL et al. Use of anabolic agents in patients with chronic kidney disease. J Am Soc Nephrol. 2006.
  5. FDA Prescribing Information (e.g., Deca-Durabolin [Discontinued brand reference])
  6. Micromedex. Nandrolone Clinical Overview. IBM Watson Health.

WPPL operates as a 503A compounding pharmacy and prepares individualized prescription medications pursuant to provider direction. Compounded preparations are not reviewed, tested, or approved by the FDA.

This listing also includes commercially manufactured products for convenience; these items are not compounded by our pharmacy and are sold as provided by their manufacturers. Actual products in stock at time of dispensing may vary due to supply chain variability. Any statements regarding non-compounded products are manufacturer-supplied, have not been evaluated by the FDA, and are not intended to diagnose, treat, cure, or prevent any disease. WPPL does not verify or endorse any therapeutic claims made by manufacturers. Please refer to original labeling for complete product information.

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