Treating Adrenal Insufficiency: Replacing What's Missing

Cortisol Replacement: The Main Treatment

The primary treatment for adrenal insufficiency is replacing cortisol with hydrocortisone pills. Most people take these 2-3 times a day to mimic the body's natural cortisol rhythm. Your doctor will work with you to find the lowest dose that relieves your symptoms. It's crucial to take these medications as prescribed and never skip doses.

Mineralocorticoid Replacement: For Some Patients

If you have primary adrenal insufficiency (Addison's disease), you'll also need to replace aldosterone. This is typically done with a medication called fludrocortisone, taken once daily. This helps regulate your body's salt and water balance. People with central adrenal insufficiency usually don't need this medication.

Adjusting Treatment During Stress

Your body normally produces extra cortisol during times of stress or illness. Since you can't do this naturally, you'll need to increase your medication. This might mean doubling or tripling your usual dose during minor illnesses or injuries. For major stresses like surgery, you may need IV steroids. Your doctor will provide specific instructions for these 'stress doses'.

Frequently Asked Questions

Key Takeaways

While managing adrenal insufficiency requires ongoing care, most people achieve excellent quality of life with proper treatment.

Related Articles

• What is Adrenal Insufficiency? The Lowdown on Low Cortisol
• Adrenal Crisis: When Low Cortisol Becomes an Emergency
• Living Well with Adrenal Insufficiency: Your Daily Management Guide
• Are You at Risk for Adrenal Insufficiency? Know the Factors

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