I notice in the frequent Q & A that very few patients appear to be taking prednisone. While recognizing that treatment is very individual specific, is there a general preference at this time re: use of prednisone?
First of all it is good to hear that you are doing so well. When things are going well, it would be a bad idea to break up a winning team. If you have a good family doctor, who understands the situation, there is no reason why she/he cannot look after you. If you have a problem your family doctor is not comfortable in dealing with, you can be referred back to your endocrinologist. You should have an endocrinologist who knows you, so if a problem comes up, she/he will not have to start from scratch in sorting it out. There is no major problem in the use of prednisone for cortisol replacement. It is longer acting and some people like it for that reason. The reason that cortisol is preferred is that it is shorter acting and if taken two or preferably three times per day, it provides a better approximation of the normal cortisol production. Cortisol is normally secreted in bursts at intervals throughout the day and night. In the intervals between bursts, cortisol levels drop and it is felt
Related Questions
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