For patients with adrenal insufficiency who are on hydrocortisone replacement, would you recommend stress doses to cover for minor procedures such as dental work or thyroid fine-needle aspiration biopsies?

Answer from: at Academic Institution

It is reasonable to tell patients to double their usual replacement dose on the day of minor procedures such as those involving local anesthesia. Here is a recent review: Vaidya et al., PMID 40522647.

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For patients with adrenal insufficiency who are on hydrocortisone replacement, would you recommend stress doses to cover for minor procedures such as dental work or thyroid fine-needle aspiration biopsies?

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