tears and sweat not salty.

I am a 33 yo female. I have been having some problems with my health lately. I am exhausted all the time. Just diagnosed with idiopatic hypersomnia. My blood pressure keeps dropping down to 70-80/40's. Mostly orthostatic but not always. I have tachycardia (usually around 110bpm), muscle pain, I am losing tons of hair,  abdominal pain, and nausea.

I have noticed that my tears and sweat are not salty anymore

I take adderall (adderrall) for fatigue (just increased to 80 mg per day). Enbrel 50 mg once a week (4 RA), Mobic 15mg qd, baclofen 5mg tid, ambien 5mg hs, and hydrocodone 10/325 up to 6 times a day.

I had a 24 hr urine test 6 months ago for cortisol but it was normal.

Would adderall (adderrall) increase cortisol levels?
It seems to me that it could be related to aldosterone but i can't seem to find any info on sodium concentration changes in tears and sweat.
I had a CT abdomen and pelvis Wed but haven't gotten the results yet.
Could any of the medicines I am taking cause these symptoms?

[Dr Santos]

Hi,

How are you? Adderall (adderrall) is a central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control. Some side effects include: fast, pounding, or uneven heartbeats;  feeling light-headed or fainting;
increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure) or even tremor, restlessness, hallucinations, unusual behavior, or motor tics (muscle twitches). Amphetamines are believed to exert their effects by binding to the monoamine transporters and increasing extracellular levels of the biogenic amines dopamine, norepinephrine and serotonin, not so with cortisol. Cortisol is a corticosteroid hormone or glucocorticoid produced by the adrenal cortex, that is part of the adrenal gland . The amount of cortisol present in the blood undergoes diurnal variation, with the highest levels present in the early morning, and the lowest levels present around midnight.

Serum cortisol levels have been observed in connection with abnormal ACTH levels, clinical depression, psychological stress, and such physiological stressors as hypoglycemia, illness, fever, trauma, surgery, fear, pain, physical exertion or extremes of temperature. Do update us with the result of your CT abdomen and pelvis.
Take care and regards.