In patients with secondary adrenal insufficiency, when would you consider adding fludrocortisone to their steroid regimen?
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Would you consider adding fludrocortisone to the steroid regimen in patients with secondary adrenal insufficiency?
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1 Answer
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Endocrinology · Johns Hopkins Department Of Endocrinology Diabetes And Metabolism
Answered on
Since the pituitary gland plays a small role in regulating aldosterone secretion, patients with secondary adrenal insufficiency should not need fludrocortisone therapy. In patients with adequate glucocorticoid replacement, other causes of low BP or elevated K should be searched for.
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