What causes low cholesterol level in blood? - Online Doctor Chats
I am Dr Vaishalee. Please proceed with your query.
we are taking Hisone 25 mg in a day. On Friday we took Decdan 2 ml but still it did not effect. Today since morning she is completely down not feeling well
yes low cortisol level
is there any thing that we can do now to get relief from pain
I need to know details of symptoms and reports
Also the reason of low cortisol
I have uploaded the last report for cortisol test.
Give me a moment to review
How did she develop low cortisol?
So she started Hisone
she took omnicortil tablet for about 2 month
yes she was taking 30 mg in the last week then it reduced to 25 mg this week
Now she developed pain?
yes today the pain is severe
Is she not taking hisone now?
Since morning we took 20 mg Hisone
morning 10 and evening 10
So she has adrenocortical insufficiency
That is why we should not take steroids for prolonged periods
If we take for more than 3 weeks, chances of adrenocortical insufficiency are hgh
iatrogenic means medicine induced
As per our last doctor visit they advised to take hisone for 2 months
This may cause the adrenal to hypofunction
My suggestion would be as follows
For now take pain killers for body
She can try combiflam
If it works then fine
Otherwise stronger pain killer like voveran will be needed
Alright I will try combiflam
We need to recheck cortisol levels in different lab
Prolonged steroid should definitely be avoided
we consulted endocrinologist and they suggested to continue with Hisone for 2 months
You tell them that you cannot continue it lifelong
I will recheck the cortisol level test tomorrow morning to follow as you advised to check the condition
we cannot make this a chronic condition
So the adrenal has to get back to normal
and body adapts quickly
Is there any other way to get back to normal. I mean other than taking medication like Hisone
Yes the hisone will need to be withdrawn gradually
There is no other effective method to replace hisone
Ok as we were taking like last week it was 30 mg this week it will be 25 and next will be 20 so on..
Withdrawl is best to happen under guidance of endocrinologist
Firstly we should know that hisone is taken 2-3 times a day and morning dose is higher
So evening dose can be reduced first
Yes sure, In the morning it is 10 afternoon 10 and at night 5 mg a gap to 6 hrs is followed currently
then morning can be reduced
You mean in the alternative week take morning 5 afternoon 10 and night 10?
and monitor for symptoms and cortisol levels simultaneously
Alright sure. Thank you so much for your kind and genuine advise. I will try to follow it up with endocrinologist as well.
and thanks for coming on chat
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