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

      Action required

      Keywords: Endocrine Disorders

      ©2020 Clinical Care Options, LLC. All Rights Reserved.

      The materials published via inPractice® reflect the views of the reviewers or authors of the material, not those of Clinical Care Options, LLC, the accredited provider, or the companies providing educational grants. The materials may discuss uses and dosages for therapeutic products that have not been approved by the United States Food and Drug Administration. A qualified healthcare professional should be consulted before using any therapeutic product discussed. Readers should verify all information and data before treating patients or using any therapies described in these materials.