Endocrine Disorders: Evaluation and Management

  • Author: Todd T. Brown, MD (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 11/14/16 (What's New)

Summary

    Treatment of Primary and Secondary Adrenal Insufficiency
    • In primary adrenal insufficiency, hydrocortisone (20-30 mg/day in 2 divided doses), prednisone (5 mg/day), or dexamethasone (0.5-0.75 mg/day) are given as glucocorticoid replacement, although lower doses have been advocated[Quinkler 2012]
    • Fludrocortisone (0.1-0.2 mg/day) is also given as mineralocorticoid replacement
    • [drug: Dehydroepiandrosterone] can also be considered, especially in women
    Special Case: Glucocorticoid-Induced Adrenal Suppression
      Summary of Adrenal Insufficiency

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