In secondary Addisons, do they replace the ACTH hormone as well as the cortisone therapy?
No, the effect of ACTH is to stimulate the adrenal to make cortisol. Since we are replacing the cortisol, there is theoretically no need for ACTH. To replace ACTH, we would have to inject it either many times per day or daily, depending on the preparation. The tablet approach is felt to be more convenient and more effective. I have secondary Addison’s and am wondering about the general protocol for having a colonoscopy prep and procedure? I have heard that people with Addison’s may have to spend the night prior to the procedure in the hospital? I also have a high steroid requirement and am on 43.75 – 50 mg. cortisone acetate split over three times per day and various other meds. I’ve never shown signs of Cushings on this dose other than bone loss but am also on Tegretol and low dose synthroid. I’m also managing a well controlled seizure disorder. I haven’t discussed this with my endocrinologist yet but will soon. Please give me your opinion on this procedure.
No, the effect of ACTH is to stimulate the adrenal to make cortisol. Since we are replacing the cortisol, there is theoretically no need for ACTH. To replace ACTH, we would have to inject it either many times per day or daily, depending on the preparation. The tablet approach is felt to be more convenient and more effective. I have secondary Addison’s and am wondering about the general protocol for having a colonoscopy prep and procedure? I have heard that people with Addison’s may have to spend the night prior to the procedure in the hospital? I also have a high steroid requirement and am on 43.75 – 50 mg. cortisone acetate split over three times per day and various other meds. I’ve never shown signs of Cushings on this dose other than bone loss but am also on Tegretol and low dose synthroid. I’m also managing a well controlled seizure disorder. I haven’t discussed this with my endocrinologist yet but will soon. Please give me your opinion on this procedure. Having a colonoscopy is ge
