Adrenal Insufficiency Community
1.32k Members
Avatar universal

Body temp regulation is difficult

Thought I might be in crisis. I switched back from hydrocortisone to prednisone.  One symptom, is that I can't seem to keep my body temperature normal.  I start shaking all over my body and freezing with very little locational temperature change or reduced activity, i.e. walking to sitting.   My labs ran normal, with potassium at the bottom level.  My doctor, an internist, seem to think that I could taper down from 20 prednisone (upped in case it was a crisis) to possibly 0, within 6 months, although I've been on long term prednisone...   Is this common?
3 Responses
Avatar universal
  The extra cortisol could have affected your thyroid, making it hypo. Are you also balancing your hormones with Thyroxine? Did you have a T4 level on your lab results?
Avatar universal
Frankly, you need to see an endo, and get tapered off the pred in a longer wean.

Also, the wean is going to be painful - it will hurt, so realize that up front, but it will be worth it, but since you have been on steroids long term, you have to get your adrenals tested to find out if they will tolerate the wean or if you are going to be on steroids the rest of your life. 20mg is a huge dose. 5mg is a suppressive dose so your adrenals are completely replaced and on vacation so it will not be until you get to 5 where you will try to wake those puppies up.

Pred will effect the sodium and potassium - but usually it goes high but I do tank in K as well. However one just stress doses for a short time, not for a long time. If you were not having symptoms of a crisis, she should have upped your mineralcorticoids and salt, and that would have balanced your K without subjecting you to so much steroid!

You will need an emergency kit as well - and I would ask for HC to help taper down as it is much easier.

Get an endo to test the adrenals first!
757137 tn?1347200053
It was prednisone and inhaled steroids (for asthma) that gave me adrenal fatigue. That resulted in anxiety and panic attacks. (I got off that poison and now take natural supplements which work a lot better than that other stuff did.) If your adrenals are affected then it is possible that your thyroid is too. That can cause a low body temperature and a sensitivity to cold.
Have an Answer?
Top Thyroid Answerers
Avatar universal
Avatar universal
Northern, NJ
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Here’s how your baby’s growing in your body each week.
These common ADD/ADHD myths could already be hurting your child
This article will tell you more about strength training at home, giving you some options that require little to no equipment.