Doctor insights on:
Medicine For Fludrocortisone Acetate Allergy
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
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
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
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
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
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
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
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
Can I take Florinef (fludrocortisone) during a 24 hour urine sodium collection or do I need to stop it during that time?
I was diagnosed with pots I can't tolerate beta blockers or florinef (fludrocortisone) what are some other options and is orthostatic hypo normal with pots?
Lifestyle and meds: Pots can vary in severity from one patient to the other. Treatment at times require more than medication to control symptoms. Keeping well hydrated and applying pressure stockings along with avoiding triggers (hot weather, hot showers) are paramount. Please read the following article for more info good luck http://podcasts. Mayoclinic. Org/2008/04/23/postural-orthostatic-tachycardia-syndrome-pots. ...Read more
POTS syndrome affecting my life. Salt, fluids, florinef (fludrocortisone) didn't help. Now starting midodrine. Missed days of work. How to get work to understand?
The best way:
Is to have a frank discussion with your supervisor (s) about your medical condition. Days missed for medical care may be covered under FMLA rules (Family Medical Leave Act) If your employer has a human resources Dept or a EAP (Employee Assistance Program) all the better!
Hope this helps!
Dr Z ...Read more
On Florinef (fludrocortisone) 0.5 mg. Some days feel great, other days am so lightheaded I can't function because my bp is so low. Might Midodrine be better option?
Maybe: I use both medications to prevent low BP and lightheadedness, I find fludrocortisone usually works a little better. Rarely I use both, this would be in folks who pass out. Sometimes caffeine and / or theophylline (in tea) can serve as a substitute for midodrine. Good luck! Check out my website http://CardioGauge. Com for heart health education. ...Read more
Will 0.1mg florinef (fludrocortisone) deplete potassium. Will 99mg potassium 4 times a day be ok?
Florinef (fludrocortisone) potassium: Florinef (fludrocortisone) will lower potassium in most people, although much depends on why you are on the Florinef (fludrocortisone) in the first place. Whether or not it will lower it too much is very variable, and you need to see your doctor, who will want to check your potassium. You may or may not need potassium supplements. ...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
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
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
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?
POTS colo prep: My guess is this is going to be tricky and therefore I would discuss with your POTS Dr. Who knows you best. Tell them about past problems with prep. ...Read more
Why do you think my facial puffiness went DOWN when I started florinef (fludrocortisone) and salt to help retain sodium for POTS. I would have thought it would worsen?
Worsen: Do not be worried - be pleased that your facial puffiness went down. ...Read more