Doctor insights on:
Medicine For Adrenal Suppression
Adrenal Insufficient: There are herbal remedies, including ginseng, ashwaganda and rhodiola, and also dhea. ...Read more
If high cortisol can decrease serotonin levels then can low cortisol (like due to iatrogenic adrenal suppression) increase serotonin levels?
Is the risk of adrenal suppression/insuffiency increased or the same at, let's say, 35 mg prednisone compared to 45 mg? Or any dosage above 7.5 equal?
0.5 mg florinef (fludrocortisone) every other day works so well for my POTS but I'm so afraid I will end up with adrenal suppression & osteoporosis when I'm older. Help?
POTS is a 'syndrome': "Syndrome" = "we don't get it". In POTS, there is an unexplained alteration in the balance of stress/relaxation response (autonomic system) that coordinates heart rate and blood vessel size and so-on. After cardiology has assured no dangerous abnormalities, it makes sense to try cranial osteopathy or craniosacral which can balance autonomic system. Look for credentialed providers. ...Read more
Is it risky to be on 0.05 mg Florinef (fludrocortisone) ever other day for POTS? I struggle with when off it. Concern for bones, thinning skin, adrenal suppression
B"sd Florinef (fludrocortisone) is the only aldosterone like agent available. To my knowledge, unlike corticosteroids it does not suppress the pituitary adrenal axis or cause thinning of the skin. If anything it should decrease renal calcium excretion and possibly decrease bone loss. the main concerns;
2. hypertension, especially when supine.
glad to discuss further ...Read more
Florinef (fludrocortisone) for POTS. Wish 2wean off eventually but sx come back. Are most w/POTS on longterm? Isn't it bad to be on longterm (bones, adrenal suppression)
Currently there is: No cure for POTS. All treatments are palliative to avoid symptoms and complications from syncope. It is a molecular genetic abnormality of the autonomic nervous system. Although there is potential for long term side effects from the Florinef (fludrocortisone) the alternative is harm and disability from non treatment. Of course Sx come back without Florinef (fludrocortisone). Ask about other therapies that might be reasonable. ...Read more
Acth lab <5 1 wk p completing 15day prednisone taper. Is adrenal suppression artificial? Concerned? 20mg x3tabsx 5days, x 2x 5 days, x1 x 5 days.
Abdominal: No, adrenal suppression is linked to fatigue and overwhelm not abd pain. ...Read more
No: It would cause severe allergic reactions and potentially even death. Plus, I don't know anyone who wants to donate their adrenals. Don't get your medical information from friends, tv or internet scams. ...Read more
Where to find about drugs that should not be given to patients suffering from adrenal insufficiency?
I know that adrenal fatigue is not a recognized diagnosis in science based medicine. Are there any other venues that can help me?
Adrenal fatigue: "adrenal fatigue" is often "diagnosed" in people who are not feeling well. To say it is not adrenal fatigue is not to deny your symptoms of lethargy. You feel bad, and want to feel better. Perhaps start with a primary care provider who will work with you. A good pcp will help you figure out what's wrong, and try to prevent you from harmful or expensive nostrums that will do no good. ...Read more
What tests should one ask for adrenal insuf diagnosis (iatrogenic induced)? Medicines, exercises, food, natural remedies to help? N Texas specialists?
Adrenals can be: Tested in the conventional way starting w/family doc. He/she may refer you to an endocrinologist. A more alternative approach is to get an Adrenal Stress Index test from Diganostechs lab in WA state. It uses saliva as the sample and most conventional docs won't be trained in this. Then supplements can be used based on test results through a nutritionally oriented physician. Peace & health. ...Read more
Congenital adrenal hyperplasia -non classical kind, what are some remedies to help with side effects of disease and medicine like steroids?
Adrenal hyperplasia: The commonest type of congenital adrenal hyperplasia is caused by deficiency of 21 hydroxylase, classical type presents at birth, but non classical may present later in early childhood or during puberty.It is difficult to answer all about it, but some salt depleted patients need to be on steroids and the patints need to be monotored for other defects, it should be trated by a pediatric endocrinologist. ...Read more
I have issues with adrenal, pituaitary thyroid etc. But I learn that conventional, medicine does not recognize adrenal disfunction. It is or it is working - does not matter how poorly or it is not, like addison's and you dead. I also understand that
Adrenal dysfunction comes in many forms, and it is a very real problem for many people. It is often connected to problems such as thyroid function, fatigue, and abnormal metabolism. The good news is that there are in fact several diagnosis codes for adrenal problems and can be used for medical billing purposes.
The bad news is that most doctors are not trained to identify and treat adrenal dysfunction. You mention addison's disease, which along with cushing's syndrome are diagnoses of the extremes of deficient and excess adrenal hormone production, and are found in only a small percentage of patients. Most patients with adrenal problems are in the middle, where the diagnostic tests symptoms and results are less dramatic, and need to be interpreted properly as an adrenal issue. Also, because traditional medicine focuses on diagnosing and treating only extreme illnesses/conditions, doctors are not taught to use adrenal support supplements and hormone therapy to help adrenal function.
You'll need to research a doctor in your area with either the knowledge, or the willingness to learn, about adrenal dysfunction, and how to diagnose and treat it. See www. Holtorfmed. Com for more information - enter "adrenal" in the site search bar for lots of links. ...Read more
Can afinitor (everolimus) helps to prevent the spread of adrenal gland cancer? How it works? Any clinical trial on this drug against adrenal gland cancer in USA?
Not confirmed: That data on this drug for adrenal cancer is very limited. Efficacy has not been confirmed yet. It is not approved in the United States for this indication. I am not aware of clinical trial on this disease but you may want to contact major centers or check clinicaltrials. Gov ...Read more
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
My mom has adrenal gland cancer and a brain tumor and is taking the drug mitotane. What does this drug do?
Slows the adrenal: Mitotane slows down the production steroid chemicals, which is the function of the adrenal gland. That's why it is used to treat patients with adrenal cancer. ...Read more
What do you suggest if my mom has adrenal gland cancer and a brain tumor and is taking the drug mitotane what is it?
In context of cryofibrinogenemia, lupus-type ctd and adrenal insufficiency, what could cause increase in GI symptoms, nausea, and vomiting with adrenal crisis, when estrogen/progestin drugs are taken?
Cortisol deficiency: With true adrenal insufficiency diagnosed by an endocrinologist, one would need to be taking cortisol replacement therapy. Nausea, abdominal pain, vomiting and weight loss are classic symptoms of adrenal insufficiency which estrogen and Progesterone replacement don't address. Many with primary adrenal insufficiency also look like they have a deep tan. ...Read more
43 yo f, afternoon cortisol high, cortisol suppression test high, CT of adrenal glands normal. Other causes of elevated cortisol?
Pituitary: Cortisol is under control of the pituitary. You need to know if the source is coming from the pituitary. We call this Cushing disease. See a specialist to work this up. Cushing's is one of the most difficult diagnosis to make, even for a specialist. ...Read more
43 yro f tested high for cortisol in afternoon 28 ug/dl After suppression test am cortisol 3.7 and ACTH 2.0 CT showed adrenals normal. Ideas?
Cushing's diagnosis: Presumably you have symptoms (weight gain, skin changes, diabetes, etc). Sounds like you had screening tests (? overnight dex) but these tests do not establish the diagnosis. False positives occur with depression, obesity, alcohol consumption. You really need to see an Endocrinologist to get this worked up. If it is Cushing's, 70% is in the pituitary, not the adrenal. ...Read more
Probably not adrenal: The adrenal makes cortisol and adrenaline, both are stress hormones. People who are stressed out and having trouble coping are sometimes persuaded that it’s the adrenal’s fault. Although you may be feeling the effects of chronic stress, it is seldom due to adrenal problems. Poor adrenal function is determined by an acth (cotrosyn) stim test. See an endocrinologist if you have concerns. ...Read more
BIG question!: Too much cortisol or too much aldosterone, too little aldosterone and/or cortisol, too much catecholamine, androgens, and/or cancers. Holy cow! Big question! Cushing's, primary hyperaldosteronism, secondary hyperaldosteronism, Addison's, secondary adrenal insufficiency, congenital adrenal hyperplasia (classical & non-classical), pheochromocytoma, various malignancies, hemorrhage/infarct. Big topic ...Read more
Low cortisol state: Acute adrenal crisis is defined by the sudden drop in Hydrocortisone (or its equivalent) in the body, prompting acute physiological changes such as low blood sugar, lethargy, nausea, low blood pressure and sometimes even coma and death. Immediate steroid replacement is needed to reverse the above either via mouth (if the individual is stable and able to swallow) or via intra muscular/intravenous. ...Read more
Life threatening: Your adrenal glands make hormones which help to maintain normal salt and sugar levels in your blood as well as normal blood pressure. An adrenal crisis is a severe presentation of adrenal insufficiency which is life threatening due to potential problems with severely low blood pressure, in addition to very abnormal salt and sugar levels. ...Read more