Low Cortisol after being on prednisone
Hello all. I have been on Prednisone since last February, so almost a year. I started out on 20mgs and have since tapered having to re-up my dosage a few times for flareups. I was down to 1mg but got an email from my rheumy yesterday saying my cortisol level was low .and I had to resume taking 7.5mg that day and then after 2 weeks switch over to hydrocortisone to try and taper off of that. I read about adrenal insufficiency(addisons disease)and adrenal crisis, as well as, the in-betweens and how it can be autoimmune vs genetic vs due to medication usage. The medication seems to be the culprit at the moment. I'm just curious if anyone has had to do this too and what they do as far as the hydrocortisone(dosage, lenght of time, if it worked etc.?) and also, how can you tell the difference between medication induced adrenal insufficiency and autoimmune AD? Thanks and hope you all are well.
-LadyBug aka Brittanee
*LadyBug*- Epilepsy Dx: 2003 & UCTD w/SLE features Dx: 2009 SLE/Lupus Dx: May 12th 2011--Current Meds:
Methotrexate- 2.5mg 4 pills 1x/week
Folic Acid- 1mg 1x/day
Protonix 40mg 1x/day
Bentyl- 10mg 4x/day, Miralax- 17g 1x/day
Vit. D 800IU's 1x/day
Lyrica- 75mg 1x/day
Flonase 50mcg 2 sprays each 1x/day
Wanna know my story, just ask!