What is Anavar?
Anavar (active: oxandrolone) is an oral, 17a-alkylated DHT derivative. It is considered one of the mildest anabolics overall - low androgenic profile, no aromatization to estrogen, little water retention. Clinically it was used for decades for muscle wasting, burns and after major surgery.
This information is for research and educational purposes only. No medical advice.
Comparison
Oral compounds at the androgen receptor
Oral steroids and a non-steroidal modulator, as stated in the TPD lexicon. Tap a card to open its entry.
Simplified: all act via the androgen receptor. Oxandrolone, oxymetholone and stanozolol are 17-alpha-alkylated steroids, ostarine is a modulator without a steroid skeleton. 18
How it works
Oxandrolone activates the androgen receptor and raises protein synthesis and nitrogen retention. Because it does not aromatize there is no estrogen-related water retention - gains look dry and defined. That makes it interesting in research contexts for cutting and definition phases.
Where it acts
Where oxandrolone acted in studies
Tap a point or a card. Colour = androgen receptor, grey = observed in studies.
- Skeletal muscle
Fat-free mass, thigh muscle area and strength rose within 12 weeks2
AR - Skin and wounds
After burns skin graft donor sites healed 4.4 days faster on average5
Observed in trials - Fat tissue
Total fat -1.9 kg and trunk fat -1.3 kg in 12 weeks, mostly stayed down after stopping2
Observed in trials - Liver
Raised liver enzymes in 32 percent, on placebo in 3 percent6
Observed in trials - Heart and blood lipids
LDL rose and HDL fell3
Observed in trials - Testes and hormone axis
LH, FSH and total and free testosterone fell markedly3
Observed in trials
Targets in the ChEMBL database8
Compound CHEMBL1200436: one recorded mechanism, agonist with direct binding to the human receptor.
- Gene
- AR
- UniProt
- P10275
- ChEMBL
- CHEMBL1871
- Action
- Agonist, direct binding
How to use it
Dosing
Dosing
Dosing, titration and syringe
Loading the dosing information …
- Getting started and stepping up, drawn as a staircase
- Units on the U-100 syringe for every step
- How long one vial lasts
What the research shows
The review by Orr & Fiatarone Singh (Drugs, 2004) summarizes over 30 years of clinical experience: in studies on HIV wasting, severe burns and catabolic states, oxandrolone improves fat-free mass and wound healing, with a comparatively favorable safety profile under monitoring.
Study results
What the trials measured
Interactive: switch tabs, tap points, show or hide arms. Arms are named relative to each other, no dosing advice.
Body composition after 12 weeks2
32 healthy men aged 60 to 87, change in kg on oxandrolone
All changes larger than on placebo (placebo values not given in the abstract). Much of the gain was body water. Twelve weeks after stopping, fat-free mass and strength were back at baseline while fat stayed down at -1.5 kg.
Weight and body cell mass3
262 men with weight loss, three levels against placebo, gain in kg
Weight also rose on placebo. Only weight at the middle level and body cell mass at the middle and highest level beat placebo. In return the body's own hormones fell, liver enzymes and LDL rose and HDL fell.
Healed pressure ulcers6
212 people with spinal cord injury, share healed in percent
No benefit over placebo, the trial was stopped early for futility. Liver enzymes rose in 32.4 percent on oxandrolone and in 2.9 percent on placebo.
Research status
Where the research stands
Selection from 21 entries on ClinicalTrials.gov, without withdrawn, suspended and undated ones. Many studies cover burns, children with Turner or Klinefelter syndrome and wasting. Almost all test tablets, one running study an implant under the skin. As of 26 Oct 2026. 7
- Preclinical Over 30 years of clinical use, review of efficacy and safety
- Phase 1 4 trials, 4 completed
- Phase 2 4 trials, 2 completed, 1 stopped early
- Phase 3 5 trials, 3 completed, 2 stopped early
- Approval from 1964, withdrawn in the USA in 2023
Show all 10 trials on a timelineHide timeline
NCT00004275 · 80 participants, started Oct 1999, primary endpoint reached Aug 2007. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
NCT00348946 · 93 participants, started Jul 2006, primary endpoint reached Nov 2017.
Registry entry ↗ · Results not yet in PubMed
NCT04090697 · 34 participants, started Dec 2019, stopped early Sept 2023.
IMOX · NCT06974526 · 96 participants (planned), started Nov 2025, primary endpoint planned Apr 2027.
NCT00029159 · 200 participants, started Nov 1992, primary endpoint reached Jan 2007. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
NCT00673309 · 644 participants, started Jul 2000, primary endpoint reached Apr 2011. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
NCT00675714 · 1,126 participants, started Jan 2004, stopped early Sept 2018. Tests several agents.
NCT00070148 · 155 participants, started Mar 2004, primary endpoint reached Aug 2007. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
NCT00101361 · 212 participants, started Aug 2005, stopped early Dec 2008.
Registry entry ↗ · Results: Bauman et al., Annals of Internal Medicine, 2013
ORCT · NCT03091075 · 4 participants, started Sept 2018, stopped early Jan 2026.
Bar: start to primary endpoint (planned for running trials). Green = completed, blue = progress until 26 Oct 2026, grey = stopped early. Phase 1: 4 trials on safety and pharmacokinetics, not shown as bars.
Side effects
- Liver: 17a-alkylated, ALT/AST can rise. Liver support and limited duration make sense.
- Lipids: can lower HDL markedly - a known downside of oral anabolics.
- HPTA suppression: even mild anabolics suppress your own production.
- Barely any estrogen side effects, since no aromatization.
Tolerability
Raised liver enzymes
Out of 100 participants, in how many liver enzymes rose.
| Event | Placebo | Oxandrolone, one study level |
|---|---|---|
| Liver enzymes raised6 | 3% | 32% |
This trial saw no serious side effects caused by oxandrolone. In HIV too liver enzymes and LDL rose while HDL fell. The FDA cites from the label blood-filled liver cysts, liver tumours, bile congestion and blood lipid changes with a higher risk of atherosclerosis.63110
Storage
Store dry and cool, protected from light. Out of reach of children.