Doctor insights on:
Slender Cortisol Medication
Are there any medications to reverse skin atrophy from cortisone? Also can high cortisol levels in body cause skin thinning?
Maybe and Yes : Yes to the second questions. Localized skin atrophy can be a side effect of cortisone type medications when injected locally. Image guidance, choice of steroid formulation & technique can minimize the risk, but does not eliminate it. It may improve with time. In a few of my own patients, i've had excellent results with dermal fillers injected by plastic surgeon or dermatologist. ...Read more
Im craving for salt and my legs get hot at night, I have low cortisol level n have been on medication for nine months why?
Salt craving: Your salt craving is natural for cortisol deficiency. Cortisol replacement is essential and it must be adequate. The med used has to have salt retaining actions. Some require a second med, such as fludrocortisone. Rediscuss with your doc the adequacy of your med. Ask for blood testing to check sodium and potassium levels. Hot legs require doc evaluation too. Suggests nerve problem. ...Read moreSee 1 more doctor answer
If excess cortisol causes so many problems (e.G., anxiety disorders, bone-thinning, hippocampus damage), why isn't there a medication to reduce it?
Good question: The complexity of the pituitary-adrenal gland axis and its signaling has made simple management difficult. Cortisol is so important in homeostasis that complete blockage is not compatible with life. ...Read more
Im on medications like ginette 35, finasteride and aldactone (spironolactone).Will i be able to take a 24 hour free cortisol test?Will my medications affect the result
Test will work: Hi. Your BCP, finasteride, and spironolactone will not interfere with your 24-hour urinary cortisol test. PCOS is a "diagnosis of exclusion", meaning things like Cushing's may need to be excluded for PCOS to be a valid diagnosis. Your doctor has considered that Cushing's is possible, so has ordered the 24-hour UFC to screen for Cushing's. Good luck! ...Read more
I have a face rash and puffiness 6 days following lumbar epidural. What medications should I use to treat it? Cortisol cream didn't seem to help.
Epidural : Much will depend on why you had your epidural and what medications were used. The other possibility is that the condition is completely unrelated to the epidural but due to something else. Most epidural effects, whether local anesthetic's or opioids or steroids, are very self limited and should not cause longterm side effects. Typically time vs drugs would be the best option. ...Read moreSee 1 more doctor answer
Primary physician has ordered an AM Cortisol Blood Test. Could the medications Androgel or Guanfacine have any effect on the test results?
Not really: This is a screen. I'm glad your physician is beginning a well-informed workup. Adrenal disease gets overlooked too often. ...Read more
Im on medications like ginette 35, finasteride and aldactone (spironolactone).Im taking a 24 hour urine cortisol test now.Will my medications affect the result of test?
Probably not: As long as one of the newer assay methods (HPLC) is being used to measure cortisol, the medications you mentioned should not interfere. ...Read more
Have there been any studies on amphetamine drugs like Adderall (dextroamphetamine and racemic amphetamine) where they lowered testosterone through increased cortisol and lower appetitie?
No: No such interaction of any clinical significance occurs, Don't get your medical information from friends, tv or internet scams. ...Read more
Does hypopituitarism caused by an adenoma result in chronic hormone deficiency or is it more likely to be an episodic deficiency I have a macroadenoma causing hypopituitarism deficiency in, fsh/lh and acth and i' am currently taking medication for cortiso
Although : Although hypopituitarism is not episodic, you may indeed be hypothyroid. In the presence of a macroadenoma one cannot rely on the tsh. A low end of normal free thyroxine would, in my view, suggest that you are indeed hypothyroid especially if you have symptoms and have other hormonal deficiencies. I would tend to supplement you with thyroid hormone. You also may be growth hormone deficient. Growth hormone deficiency may cause fatigue. ...Read moreSee 1 more doctor answer
Depends on the time: would be helpful to know what the laboratories reference range is, as cortisol levels vary over the course of the day. When was the sample obtained? ...Read more
Complex: Hi. "Low cortisol" could be normal or sign of disease. I must assume your doctor checked cortisol because of some symptoms you've been having & maybe some findings on physical exam. Cortisol fluctuates throughout the day, so WHEN it's drawn does matter. Is your ACTH high? If your doc thinks you're underproducing cortisol, provocative testing may be needed if primary problem pituitary not adrenal ...Read more
Cortisol Levels: Cortisol is naturally regulated in the body by organs called adrenal glands. However, cortisol is released in response to stress, so one way to decrease cortisol levels is to remove stress from your life when possible. It sounds simple, but relaxing by doing yoga, meditating etc. Can be very helpful. Another way to keep cortisol levels down is avoiding caffeine and sugar, which both increase it. ...Read moreSee 1 more doctor answer
How high?: It depends on how high it is above normal? If mildly elevated and if you don't have symptoms of cushing's syndrome: fat at mid section, stretch marks in the abdomen, moon-face, buffalo humps...Then this might be just the way you are. If it's very high and you have symptoms of the above, see your doctor to make sure you don't have a pituitary or adrenal tumor overproducing cortisol. ...Read more
Adrenal/Pituitary: A cortisol swab test is used to determine cortisol levels in the saliva. This is to help identify if cortisol levels are being effected by diseases such as cushing's, addison's, or other pituitary or adrenal insufficiency. Multiple swabs are taken in order determine oscillating levels. If these are abnormal, a physician will do other tests to confirm the etiology of the cortisol level discrepancy. ...Read moreSee 1 more doctor answer
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