Doctor insights on:
Does low dose cortef (hydrocortisone) heal the adrenals, helping the patient to feel well again and enabling them to eventually go off the drug? Non-addison's.
No: Taking any dose of steroid causes the adrenal glands to work less, as the pituitary gland regulates your adrenal hormone level. If your adrenal glands truly do not work, you need lifelong adrenal hormone replacement. However, I see people who have been diagnosed with "adrenal fatigue". This is not a true medical diagnosis. Most of these people have no adrenal problem at all. ...Read more
About 8-12 hours: 8-12 hours is what is referred to as the 'half-life' of this medication. That means that 1/2 of the drug has been metabolized (removed) in this time period. Although half of the dose is still present after this time period, it is understandably much less effective for every hour beyond this. The maximal (usual) effect of this drug, then, is good for the first 8-12 hours. ...Read more
No: It has no value in a true cfs. ...Read more
Yes: There are acth and TSH but if your adrenal and thyroid is missing or not working, then these two hormones will do nothing to help you. ...Read more
Solu cortef (hydrocortisone): It doesn't treat it in any way. It may be used with other medications used to treat this condition, but in and of itself it doesn't. ...Read more
Autoimmune Alopecia: Assuming that you have autoimmune thyroid disease and addison's disease, hair loss may also be the result of autoimmune attack on your hair follicles. Given both adrenal and thyroid involvement it is also possible that the alopecia is from being sick awhile before treatment in which case it may improve with hormone replacement. A dermatologist will help to sort out and treat if necessary. ...Read more
What to do if I'm allergic to solu-cortef and penicillin. Need dental treatment but am worried about anaesthetic?
Allergy tsting: Hi, the advise I can give you is to see your dentist first and get an idea what kind of a treatment plan will be recommended. After it your dentist will give you samples of the anesthetics that will be used during the procedure and you can get tested with your MD for allergies to these anesthetics. Good luck to you! ...Read more
My husband lost his job and our insurance. I have Addison’s Disease and need refills on my Synthroid, Estrodoil, Cortef, Florinef and 2 Solu-Cortef In?
Contact local clinic: This is the public information site on Healthtap. We do not offer to diagnose or treat anyone for anything. If you have a condition that requires prescription meds you need to look to a local clinic for help. Sometimes you will find these affiliated with teaching hospitals. ...Read more
I am to begin taking cortef (hydrocortisone) at moderate dose, prob for a couple years at least. What can I do to protect my health and what should I look out for?
I'd recommend: U follow up with your dr and endocrinologist who should closely monitor your pituitary and adrenal status. It's a sensitive issue to maintain and taper off someone on chronic steroid use. Best wishes! Http://www. Mayoclinic. Com/health/prednisone-withdrawal/an01624 http://www. Medicinenet. Com/script/main/mobileart. Asp? Articlekey=484. ...Read more
What is the best way to lose weight while on cortef (hydrocortisone)? I've gained 60 lbs since starting it. Thank you.
Very hard: This is a steroid used to calm/quiet/restore damaged/inflammed areas. Unfortunately, it goes throughout the body and often leads to "enhanced caloric accumulation" (=fat!).Need to try to maintain as much activity in your day as able to tolerate safely--walking, bike (stationary or outside), swim, etc.). Monitor portion size and limit high-calorie foods. ...Read more
Should an increase in petechiae be looked into when on hydrocortisone (cortef) tablets? Have had some for years but they are increasing in numbers.
Absolutely: I am going to assume that your health is stable and that you are not thrombocytopenic. If you actually have petechiae, they always deserve to be worked up; you want to know whether you have a capillary fragility syndrome. In the US, we have food faddists who give themselves scurvy; I trust Australians are more sensible. Cortef (hydrocortisone) makes capillaries more fragile. I'd get specialist consultation. ...Read more
Cortef: Cortef (hydrocortisone) is a steroid medication. An allergy occurs when your body’s immune system creates antibodies to a foreign substance causing a reaction that can be mild to severe. For potential adverse effects see: http://www. Rxlist. Com/cortef-side-effects-drug-center. Htm ...Read more
I have been on cortef (hydrocortisone) 3 times a day for a total of 30mg a day. Is this harmful for pregnancy?
Not directly: Cortef (hydrocortisone) is similar to cortical adrenal hormones. The placenta is able to break down maternal cortical adrenal hormones, so that the fetus is not exposed to an excess of them. However Cortef (hydrocortisone) (like any other cortical adrenal hormone) can cause hypertension and diabetes in the mother, and these may negatively affect the pregnancy. As always, one has to balance risks and benefits... ...Read more
Will be on daily cortef (hydrocortisone) at moderate dose, am curious if in addition to helping the problem I'm using it for if it'll also help hives, alrgc reactions?
I have Addison and a pituitary micro adenoma and am on cortef but still having symptoms after weeks, high heart rate, low BP, dizziness, abdominal px.
See doctor: With the symptoms you have and the seriousness of your disease you need to follow up with your doctor ...Read more
Just recovered from addisonian crisis a year ago. Currently on cortef (hydrocortisone). Trying to conceive since 6 month ago but failed. What can help?
Depends: It depends upon whether your low cortisol levels were from adrenal or pituitary causes. If it was pituitary, you may have other hormonal abnormalities that interfere with conception. If it was your adrenal glands, and you're receiving appropriate replacement, you should return to whatever fertility you had prior to your acute episode. Check w/your doctors and have your partner checked. ...Read more
Disabled w/dysautonomia. Each time I use steroids for other reasons, my dys gets A LOT better. Would low dose daily cortef (hydrocortisone) be a good idea for me?
Discuss with your MD:
It mah be helpful. We do not know the details of your case. Often Fludrcorisone is used to help body retain salt and fluids
Discuss with your doctor if you are a candidate for it. ...Read more
Hello. My wbc, rbc and abs lymphs have been just slightly elevated for 3 years. Between. 02-.2 high. Could it be from cortef (hydrocortisone) or should I be worried?
I have been put on cortef (hydrocortisone) for adrenal insufficiency? How long is the treatment? I'm worried it is permanent.
Might be Permanent: Different things can cause this. If you have addison's disease then this is most certainly permanent. If you were previously on a long course of steroids for immunosuppression, this may be temporary, in an effort to prolong the steroid weaning process. Please ask your physician to explain the cause and what to expect from your adrenal insufficiency to you. ...Read more
What are the differences between cortef (hydrocortisone) and prednisone in terms of replacing natural cortisol. Other than the potency.?
Prednisone vs HC: The biggest difference between Hydrocortisone (cortef) and Prednisone is the amount of time they stay in yor bloodstream or half life. Prednisone has a longer half life then Hydrocortisone and is give once a day vs twice a day with hydrocortisone. Hydrortisone is usually the preferred steroid to treat cortisol deficiency because it more closely reproduces the diurnal variation of cortisol producti. ...Read more
Why don't drs recognize adrenal dysfunction until the adrenals are 90% burnt out (addison's)? Seems there should be treatment, such as cortef, (hydrocortisone) before
Adrenal Failure: Adrenal failure is diagnosed long before the adrenals are 90% burned out (which would mean they can only make 10% of usual cortisol levels). Cortrosyn stimulation tests are pretty sensitive in detecting adrenals that can't make the high levels of cortisol needed in case of severe illness or injury. ...Read more
Prednisone is more potent than cortef (hydrocortisone) as an anti inflammator but is it also more potent in the breakdown of glycogen to glucose?
Steroids: What is the question what you have said is true. ...Read more