Doctor insights on:
Fludrocortisone Acetate Adverse Effects
FLUDROCORTISONE: No Flu is related chemically to aldo but not the same. It is used as aldo in those who do not make enough due to disease of the adrenals or having had both adrenals taken out. It can cause high BP and low K if taken in excess. I specialize in aldo problems and run a Yahoo group for pts with hyperaldosteronism. Happy to help if you need more info. ...Read moreSee 1 more doctor answer
For an aldosterone deficiency doctors will prescribe fludrocortisone acetate; is it the same as aldosterone?
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
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
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
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
Depends: Hi. Fludrocortisone doesn't work for all causes of dizzy spells. If it's going to work, you'll know within a few days (may need some fludrocortisone dose titration). Be aware that a risk of fludrocortisone for this purpose is too high BP when you're lying down. Still be cautious going from lying to standing. Good luck! ...Read more
I am on 0.1 of florinef (fludrocortisone) 3 times a day, would that raise my am cortisol level from 8 to 16? I have pots.
Why would my blood pressure be low like 78/49 or in the 80/50. I take florinef (fludrocortisone) and add salt to almost everything?
Florinef (fludrocortisone): May need your dose adjusted. Talk to your prescribing physician. ...Read more
Fludrocortisone increases blood volume, alcohol causes dehydration. Does this mean they will work against each other? Thus florinef (fludrocortisone) less effective?
Strange question: Why are you taking fludrocortisone? Do you know its mechanism of action? Did your doctor tell you what it is used for? The only reason I have EVER prescribed this drug is for idiopathic orthostatic hypotension, which I have NEVER seen in a 24 year-old. If your doctor has prescribed Florinef, ask him why he prescribed it. You shouldn't be combining alcohol with ANY prescription medication. ...Read more
Have POTS syndrome & not that well controlled yet. On Florinef, (fludrocortisone) nadol, midrone, &high salt diet. Need colonscopy. How to not worsen symptoms 4 prep?
Why might I have slightly low blood sodium of 133 while on Florinef (fludrocortisone) 50 mcg/day along w/ 9 grams salt/day for months for POTS. Recheck or no concern?
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