which is the better steroid replacement, prednidone or cortef (hydrocortisone)? for secondary adrenal insufficiency.

Question

Why have I been put on cortef (hydrocortisone) for adrenal insufficiency?

Answer 1

Same thing: Depends the dose check with your doc asap.

Answer 2

I like Cortef (hydrocortisone) best: For adults it's a personal preference, but Hydrocortisone (cortef (hydrocortisone)) gives more physiologic steroid hormone replacement. Doses much easier to adjust, though trade-off is taking 3 times/day because 1/2 life is shorter than prednisone. Prednisone is much stronger than Hydrocortisone so it's easier to get cushingoid taking it, especially because dose can't be manipulated as finely as with cortef (hydrocortisone).

Answer 3

No: Not a specific group of symptoms for insufficiency.

Answer 4

It can be: However, it can be a cause of literally hundreds of other things, including anything that is causing dehydration. When we dont have enough liquid on board, the heart speeds up, blood pressure goes down and the body makes lots of adrenaline to counteract this, causing shakes and anxiety. Adrenal insufficiency can also do this. First thing, get hydrated! second - call your doctor.

Answer 5

Yes: Within reason. The injection itself may initially irritate the tissues around the nerve and the nerve itself. Especially if you had what is called a transforaminal injection. It sounds as if your injection was given around the 3rd lumbar nerve, right ?

Answer 6

Typically unlikely: Assuming you received the injection in your lower back for back pain control (or for labor & delivery), this side effect is highly unusual. Laboring patients, however, because of traction on the nerves in their lower backs due to compression by the baby during labor and delivery and with legs "up in stirrups, " do experience transient symptoms like these. They almost always go away over time.

Answer 7

Depends: The doctor who answered your question is correct w/ exception. If the injection were what is called "transforaminal" and was at the level of the 3rd spinal nerve on that side and no "caine" was used in the epidural space, these symptoms could occor and would not be unexpected.

Answer 8

No: Epidural steroid injections may cause nerve root irritation which is temporary however i doubt that your recent epidural has caused your groin pain. I would advise that you follow up with your doc and be re evaluated.

Answer 9

Rash: A recurring rash would be good reason to consult a dermatologist to determine the cause and set you on a course of treatment. You should be seen when the rash is prominent and not treated with cortisone, so the doctor can diagnosis it more readily.

Answer 10

Contact agents: Likely something you are using on your hands. Since you didn't mention itching, an irritant reaction is a more likely cause. Try to use mild soap to wash your hands and apply a moisturizer after washing. Sanitizing gel can dry up and irritate your skin as well. Excessive hand washing can do the same.

Answer 11

Physical therapy: Tennis elbow can usually be treated by oral antiinflamatory medication or steroid inj. Pt in an essential part of a treatment plan. If that doesn't work, surgery is a last option.

Answer 12

Therapy is best: Steroid injections bring improvement 50% of the time at 6 weeks, but usually symptoms return. Subsequent injections buy less time and degree of relief. At 9 months and 1 year patient with therapy have been shown to fair the best, those with benign neglect the next best, and with steroids in third place. 90% of patients have resolution by 12 month. 10% require surgery.

Answer 13

No: Not to my knowlege. Contact the nih.Gov site since they might be recruting people with this disorder for some studies.

Answer 14

Unlikely: I cannot find any reason why they would have any benefit.

which is the better steroid replacement, prednidone or cortef (hydrocortisone)? for secondary adrenal insufficiency.

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