Adrenal Insufficiency Community
Secondary adrenal insuffiancy
About This Community:

This patient support community is for discussions relating to Adrenal Insufficiency.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Secondary adrenal insuffiancy

Hello
I have a low ACTH level therefore a low cortisol level and secondary adrenal insuffiancy. I had gotten down to 3mg of prednisone every other day and was doing ok when my endocrinologist changed me to HC and I had a crisis two weeks ago. Back on pred now but had to increase my dose due to poison ivy outbreak. I was wanting to know how quickly I can cut my dose. I am currently at 10mg daily and had to leave work early because of my low blood pressure. I went from 20mg to 10mg just wondering if maybe that was too big of a cut at once in my case?
657231_tn?1421251398
I am only a patient - but that is a hefty, fast cut. Weaning is best done in increments.

If you are having issues with low blood pressure, has the doctor tested your sodium, potassium, renin and aldosterone? Perhaps you need florinef aka fludrocortisone? That will help keep out of trouble without high doses of steroids. My doctor also suggests adding salt to my diet and I take salt tablets to keep my BP up. You may need to see a cardiologist as well.

The florinef can help you stay out of crisis as you will retain sodium.

You can wean - but make sure you increase your sodium and I would not make large cuts fast. Even though pred is long acting, you may be using it.

A normal replacement dose of pred is 5mg - why are you shooting for 3mg? Do you have steroid induced Cushing's?
Blank
Post a Comment
To
MedHelp Health Answers
Recent Activity
Avatar_f_tn
Blank
JessicaWooten31 commented on When Your Cold Is Not...
Apr 19
363281_tn?1353103243
Blank
SassyLassie commented on photo
Apr 16
463897_tn?1342704822
Blank
MH Community Mgr commented on photo
Apr 16
Top Thyroid Answerers
Avatar_m_tn
Blank
gimel
MI
657231_tn?1421251398
Blank
rumpled
Northern, NJ
798555_tn?1292791151
Blank
LazyMoose
MN
Avatar_f_tn
Blank
Guppy70
Fort Collins, CO
Adrenal Insufficiency Community Resources
RSS Expert Activity
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
Top Thyroid Answerers
Avatar_m_tn
Blank
gimel
MI
657231_tn?1421251398
Blank
rumpled
Northern, NJ
798555_tn?1292791151
Blank
LazyMoose
MN
Avatar_f_tn
Blank
Guppy70
Fort Collins, CO