Doctor insights on:
Fludrocortisone Acetate Medication
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 more
For an aldosterone deficiency doctors will prescribe fludrocortisone acetate; is it the same as aldosterone?
No: Hi. No, fludrocortisone is not chemically identical to aldosterone (although many similarities), but it selectively activates the mineralocorticoid (aldosterone) receptor, so serves the purpose of aldosterone. ...Read more
Dx'd with neurocardiogenic syncope! Is florinef (fludrocortisone) a safe long term drug? Should. I see an electro physiologist?
Florinef (fludrocortisone): Can be an effective long term treatment. ..See how it works...If ineffective an ep might be useful. ...Read more
I put a florinef (fludrocortisone) tablet on my tongue it melted then I spat it out. Will anyone of been absorbed? So terrified of anaphylaxis to new drugs.
Had mild rash in past from penicillin after few days. Terrified of drug anaphylaxis from florinef (fludrocortisone) for my bp. Never had anaphylaxis. So hard!
No relationship.: The rash from penicillin lis likely mediated by another immune mechanism than ige-mediated anaphylaxis and thus even then the risk for anaphylaxis is small. Florinef (fludrocortisone) is totally different from penicillin so don't lose sleep over it. I presume you are taking Florinef (fludrocortisone) for low blood pressure. ...Read more
Not sure.: Looks like about $2/pill. Could be the manufacturing process, the liability overhead or profiteering. ...Read more
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 more
Masking a UTI?:
Florinef (fludrocortisone) will not mask the symptoms of a UTI and has no effect on its occurrence. For more information on Florinef (fludrocortisone) go to this link:
http://www. Mayoclinic. Com/health/drug-information/dr600669/dsection=proper-use
good luck. ...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
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 more
What are the possible side effects of Fludrocortisone (florinef (fludrocortisone) acetate)?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:
problems with your vision;
swelling, rapid weight gain, feeling short of breath;
severe dep. ...Read more
How often should I be getting bloodwork done for electrolytes while on florinef (fludrocortisone)?
No specific: Answer == check w/your doctor. If stable, generally 2-4/year. ...Read more
I have POTS. I have a friends w/ POTS who is only on a beta blocker & is fine while I' m on florinef, (fludrocortisone) beta blocker, & still have very BAD days. Why?
Like many issues: POTS has quite variable severity, some people are only mildly bothered by symptoms others quite debilitated. Additionally the pathophysiologic causes are several, so different people respond to different interventions/medications. ...Read more
Newly diagnosed with POTS syndrome. Is it normal to crave large amounts of salt? I sometimes feel I can't get enough. Some days Florinef (fludrocortisone) doesn't work.
Not unusual at all.: Florinef (fludrocortisone) is a long term Rx that takes weeks to show effect. The expression of your autonomic dysfunction varies on an hourly basis. It is not the florinef (fludrocortisone) that is not working on a daily basis but rather the severity of your disease varying on a daily basis making it feel like the florinef (fludrocortisone) is not working that day. Check out https://www. Youtube. Com/watch? V=YQpAYCzGAC8 and other Dr. Blair Grubb sites. ...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
Long: Hi. Fludrocortisone has a long shelf life (far exceeding the "expiration date" from the manufacturer). ...Read more
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?
Florinef (fludrocortisone): Why are you on Florinef (fludrocortisone)? Alcohol is indeed a weak diuretic but is dose dependent. There is more than one indication for the use of Florinef (fludrocortisone), including low BP, Hihg K. But long term issue is best avoided. So in summary if you are talking it for low BP, indeed avoid Alcohol. ...Read more
Is cloudy urine with odor first thing in the morning a side effect of florinef (fludrocortisone)?
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
Florinef (fludrocortisone). 2mg for dysautonomia does it increase blood volume a lot? Much? Must do to help right?
Yes: Due to its effects on increasing na+ levels, and therefore blood volume, Fludrocortisone (florinef) is the first line of treatment for orthostatic intolerance and postural orthostatic tachycardia syndrome (pots). ...Read more
Is there any reason fludrocortisone would cause diziness after 2 weeks? Maybe not the florinef? I have dysautonomia.
Give it more time:
Florinef (fludrocortisone) is supposed to expand blood volume, and thereby supports blood pressure in people with dysautonomia.
It does take a few weeks for Florinef (fludrocortisone) to have its effect on blood volume. Give it a longer time, perhaps does needs to go up, but definitely report this to your prescribing doctor. ...Read more
How quickly does Florinef (fludrocortisone) work? Is it possible to feel better the next day after Florinef (fludrocortisone), Gatorade, and added salt, water?
Usually the effects: Of Florinef (fludrocortisone) take several weeks. The Gatorade, added salt and water could work much more quickly including less than 24 hours. This is probably why you feel better so quickly. The Florinef (fludrocortisone) will be long term management. Maintaining good hydration and increased salt intake will contribute to a more rapid improvement. ...Read more