Isocort to HC

May 30, 2006

I meant to throw this question in with my other dozen posts but I

forgot. Can't imagine why? Forgive me because I know and Val

have both answered this question a million times but here it is again.

Switching from Isocort to HC? I have been taking 8 Isocort a day and I

believe I am still very hypo so I probably don't have much excess

floating around in my blood. How much HC should I take, when and how

fast to raise the dose.

Thanks for your time,

a

May 30, 2006

>>Undoubtedly for the physician, the replacement of choice

is

hydrocortisone, since this though synthetically produced, is identical

to naturally produced cortisone. But, the initial approach has to be

restrained and cautious, and the lowest possible dose given at the

start. I find that 1/4 of a 10 mg. hydrocortisone (that is 2.5 mg) is

an excellent starting point. The reason hat it is so low to start with

is that patients ill for some time, and perhaps receiving synthetic

thyroxine, may have substantially high levels of T4 and T3 which the

system cannot use. The adrenal support may kick in quite

quickly, causing the T4 -> T3 conversion and receptor uptake to

start working quite abruptly. This may cause a sudden overdose

situation to occur. The patient may find the pulse rapidly accelerates

to give palpitations in the chest or even promote irregularity of the

heartbeat. They may feel ill, may collapse, they may have tremors in

the limbs as if they were thyrotoxic. With small starter doses

of adrenal support the risk of this is avoided. The first two or three

days of 2.5 mg. of hydrocortisone given in the morning soon after

waking, will be monitored by the patient for any adverse symptoms,

checking pulse two or three times a day, and of the course morning

basal temperature.<<

Even after being on Isocort or even LOW dose HC you can have a thyroid

build up, so start slow as per Dr Peatfield.

-- Artistic Grooming * Hurricane, WV

Recommended Posts