Doctor insights on:
Florinef Side Effects
No: Florinef (fludrocortisone) is the synthetic equivalent of your salt retainig hormone used to control salt waisting caused by adrenal insufficiency. We use it to treat salt waisting adrenal hyperplasia which is a congenital disorder, so patients are on it for life, and no longterm consequences have been found. ...Read more
Should I be concerned about longterm side effects of Florinef (fludrocortisone) 50 mcg daily taken for POTS syndrome. Need to take to function. I also have SLE.
Although there is: potential for electrolyte abnormalities, hypertension and calcium metabolism issues, in general Florinef (fludrocortisone) is safe and effective long term for many POTS patients. Your health care professional should be monitoring your electrolytes and blood pressure and adjusting your dosage appropriately to avoid long term side effects. The alternative is poor treatment and recurrent syncope with potential harm. ...Read more
Starting florinef (fludrocortisone) 0.5mg 3x/week for lightheaded spells related to dysautonomia .How long before I should feel difference if it works? Side effects?
Florinef (fludrocortisone): This drug should work the first time you take it if the dose is correct. It does not work immediately in the morning but causes your body to retain more fluid over the course of the day. That is intended to help regulate your blood pressure, especially when upright. ...Read moreSee 1 more doctor answer
Is florinef (fludrocortisone) better to take than prednisone? I'm concerned about long term side effects but need to take florinef (fludrocortisone) 0.05 mg for POTS syndrome 3x/week.
Prednisone is not: really a good alternative for florinef (fludrocortisone) in terms of POTS. At least not in the long term. Prednisone has little mineralocorticoid effect compared to florinef (fludrocortisone), and you mainly need that effect, and a little adrenocorticoid effect that prednisolone offers. Eventually you will need to replace both substances as your both aspects of your adrenal function shuts down with long term steroid use. ...Read more
Florinef (fludrocortisone) for pots 50mcg felt a lot better now .1mg feel dizzy and sick. Will these side effects go? Potassium is fine weekly blood test. Ughh!
Lower dose?: You may need to lower the dose, but you should only do this with your doctor's supervision! never stop Florinef (fludrocortisone) abruptly, it could lead to fatal adrenal crisis if you were previously on it for awhile. Florinef (fludrocortisone) supresses your body's natural production of cortisol, so stopping suddenly can cause low cortisol crisis. ...Read more
Unlikely: Although Florinef (fludrocortisone) has been causative of darkening of urine and increased frequency, the usual change in urine odor is either due to diet, or the odor is actually vaginal. Cloudy urine can occur normally as salts precipitate out when the urine hits the toilet water. ...Read more
A side effect on florinef (fludrocortisone) leaflet says shortness of breath. How come it can cause this?
Rare side effect: Micromedex does not mention shortness of breath as a side effect. Micromedex is a respected drug information resource professionals use. Drug companies are mandated to report any side effect even if they are rare. Florinef (fludrocortisone) is known to cause fluid retention. Excessive fluid in the blood means heart will have to work hard, causing shortness of breath. ...Read more
Stared florinef (fludrocortisone) 0.5 mg 2days ago 4 dysautonomia caused by my connective tissue disease. Currently have terrible sharp r side chest pain so bad it hurts to move or breathe. Can florinef (fludrocortisone) cause this?
Not sure.: Looks like about $2/pill. Could be the manufacturing process, the liability overhead or profiteering. ...Read more
What could happen if you were to suddenly stop taking florinef (fludrocortisone) after taking it for 3 yrs?
Symptoms can return: There are several indications for fludrocortisone. I certainly would not stop this without consulting your physician. ...Read more
Long: Hi. Fludrocortisone has a long shelf life (far exceeding the "expiration date" from the manufacturer). ...Read more
Because: Florinef (fludrocortisone) has an effect on your bodies electrolyte levels and if it gets too out of balance some serious problems can arise - one is blood pressure. Your doctor might explain more reasons, but it is definitely true that monitoring is a very important part of your best treatment. Best! ...Read moreSee 2 more doctor answers
Is it safe to go from .1 if florinef (fludrocortisone) once a day to .1 three times a day overnight?
Depends: Why are you taking it? Most people with addison's need .05 - 2.0 mg/d patients with pots may need more? ...Read more
I will be using 0.025-0.2mg of fludrocortisone(florinef), i wish to take postassium to ensure it doesn't go low, is 99mg 3 times a day enough?
Decrease slowly.: If you are on the Florinef (fludrocortisone) for adrenal issues, it is best to decrease slowly by dropping to twice a day (bid) for a week or two...Then daily (qd) for a week or two. Then half a tab for a week, etc. As long as you do not have any negative effects while weaning, you should be fine. However, it is best to consult with the physician who started you on the Florinef (fludrocortisone) before doing so. ...Read more
Probably not: B"sd Florinef is the only available cortico-steroid that acts at the aldosterone receptor. It is most notable for actions on the kidney to retain sodium and excrete potassium. Excess dosing can result in salt retention (hypertension) and low potassium. Under dosing would be the opposite. Tingling most often has to due with low blood calcium. Be glad to discuss details of the face in the case ...Read moreSee 1 more doctor answer
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