Understanding Your Adrenal Disorder Medications: A Patient's Guide

Introduction

Adrenal disorders require careful medication management to maintain proper hormone levels and overall health.

Common Medications

Corticosteroids

• Hydrocortisone (Cortef)

  • Primary replacement therapy
  • Usually taken 2-3 times daily
  • Morning dose is typically highest

• Prednisone

  • Longer-acting alternative
  • Usually taken once daily
  • May require dose adjustments

Mineralocorticoids

• Fludrocortisone (Florinef)
  • Controls salt and water balance
  • Typically taken once daily

Important Guidelines

Stress Dosing

1. Double or triple dose during:
   • Fever over 101°F
   • Severe illness
   • Major injury
   • Surgery

Emergency Situations

• Carry emergency injection kit
• Wear medical alert jewelry
• Keep extra medication supply

Side Effects to Monitor

• Weight gain
• Mood changes
• Blood pressure changes
• Blood sugar fluctuations

Regular Monitoring

• Blood pressure checks
• Electrolyte levels
• Annual endocrinology visits
• Regular medication reviews

Special Considerations

• Never skip doses
• Don't stop medication suddenly
• Maintain consistent timing
• Keep medication log

When to Contact Your Doctor

• Severe nausea/vomiting
• Unable to take medications
• Signs of infection
• Unusual fatigue
• Dizziness upon standing