Adrenal Insufficiency Community
pred. making me ill/doc wont give me hydrocortisone
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

pred. making me ill/doc wont give me hydrocortisone

Just diagnosed with empty sella, pit. atrophy and adrenal insufficiency. I gained 20lbs rapidly and am full of fluid. Blurred vision and headaches.  I was given prednisone 2.5mgs. 2x daily.  When I take only one pill [2.5] I have episodes of hot/sweating, dizzy spells,frequent urination, chest pains, worsening rapid heart rate with fluttering, stomach cramps, over acid stomach/reflux and distention,feelings of fear etc...My doc has told me hydrocortisone is for bad adrenals and mine is pituitary and it binds salt, so I need pred.  I have low sodium and low bp and temps which are now all over the place too.   A fever, then 5 min later, low.  Also, Hashimoto's and low thyroid and on Armour.  Please, advise.  What can I do?  
Related Discussions
5 Comments Post a Comment
Blank
757137_tn?1347200053
Prednisone is also bad for the adrenals.
Blank
657231_tn?1390151580
Find another doctor?

HC is the preferred replacement - it is chemically most like what the body makes - and since the half-life is short, it can be manipulated to mimic a normal diurnal rhythm.

Pred and dex have longer half lives and doses can *stack* where you actually still have some in the body when you take the next dose. I have not personally heard of taking pred in the afternoon for replacement purposes (as it can last up to 36 hours). You can eat with it to help avoid stomach upset.

If you have low sodium, then the normal course of action is to add fludrocortisone - florinef - a minercorticoid - so the body holds on to the sodium (I take salt tablets as well) to avoid having a crisis. After all, a crisis is low sodium.

You need a doctor that knows adrenals.
Blank
757137_tn?1347200053
Prednisone can give you adrenal fatigue - a nasty business that hopefully is cured in two years. I should know. I am one of its victims.
Blank
657231_tn?1390151580
Any corticosteroid can cause the adrenals to suppress - and the longer acting ones tend to be more of a problem.
It can cause AI (temporary or permanent) or even Cushing's (steroid induced - and in those that have tumors unknown, kick off everything).
I am not a fan of steroids either.
Blank
Avatar_f_tn
Steroids are a necessary evil in the treatment of SAI.  What else am I supposed to take?  Yes, they will suppress my adrenals, but what does it matter!  My pituitary doesn't tell them to work anyway.  They will/have atrophied over time with no signal.  You say " cause adrenal fatigue"  that is nothing compared to insufficiency.  I wish I only had fatigue!
Blank
Post a Comment
To
MedHelp Health Answers
Recent Activity
922048_tn?1387946184
Blank
Sherri90049 commented on Moma_Cher's status
9 hrs ago
922048_tn?1387946184
Blank
Sherri90049 commented on Moma_Cher's status
Apr 23
219241_tn?1357815389
Blank
redheadaussie Yet another surgery next we... Comment
Apr 23
Adrenal Insufficiency Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
Apr 16 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank
Top Thyroid Answerers
Avatar_m_tn
Blank
gimel
MI
168348_tn?1379360675
Blank
ChitChatNine
798555_tn?1292791151
Blank
LazyMoose
MN
657231_tn?1390151580
Blank
rumpled
Northern, NJ
Avatar_f_tn
Blank
Jackie419
1139187_tn?1355710247
Blank
Brucergoldberg
dallas, TX