On the black market, oxandrolone has always been a hot item. Although it is again being manufactured in the ., don’t count on seeing it much. The exorbitant price BTG is asking for Oxandrin precludes it from entering the black market in any volume. At the pharmacy, these tablets can cost over $4 each, a tremendous jump from the price Searle was selling It for a decade earlier. Before last year, this left the SPA version from Italy as the only version athletes did see regularly on the black market. They come 30 tabs to a box, in 2 foil and plastic strips of 15 each. The tablets usually sell for $1-2 each, which is much more reasonable than the . item. This is a trusted item, but may still not be the most cost effective at this time. To cash in on the obvious high demand and low supply for this steroid, a version was introduced a little closer to home, Mexico, by the firm Ttokkyo. These guys are working hard to introduce products that bodybuilders, I mean house pets, are going to have a high demand for. The product seemed to do very weil, although more recently they have doubled to dosage on this item to 5mg per tablet. Both versions of the Ttokkyo product are still circulating at this time, come in plastic bottles of 100 tablets each, and offer the most steroid per dollar for a commercial product. Additionally, many athletes have found mail-order sources that carry generic oxandrolone preparations, often in 5mg and l0mg capsules, which may offer even better pricing. Thus far I have seen such drugs produced in Spain, France and Brazil. it is obviously difficult to determine if these are legitimate when purchasing, so there is risk involved.
Anticoagulants: Patients on anticoagulants such as warfarin should be carefully monitored during anabolic steroid therapy as anabolic steroids may increase sensitivity to oral anticoagulants which may require a concomitant reduction in anticoagulant dosage to achieve a desirable prothrombin time (PT). Anticoagulant patients should be monitored regularly during anabolic steroid therapy, particularly during initiation and termination of therapy. Warfarin patients should have INR and PT monitored throughout androgen therapy and warfarin dosages titrated to achieve the desired INR and PT. Such patients should be monitored for occult bleeding.