Thanks for the info. This confuses me so much. It's for my sister and I
don't know what to tell her to do. I thought maybe if she goes to slow
she'll have some real problems. Her ACTH is only 22 and if she lowers that
with taking some HC yet doesn't take enough there could be problems.

I know the worry with taking to much to soon is a thryoid dump. I don't
know.

On Fri, Nov 14, 2008 at 7:22 PM, Chris <csharpham@...> wrote:

> I personally have only been diagnosed a couple months ago with
> secondary shown via an insulin tolerance test. I got a severely blunted
> cortisol response.
>
> They told me to go straight onto 20mg, but being cautious and drug
> sensitive, I decided to try starting VERY low, like 5mg a day. I paid
> for it, as within about 4 days, my own production must have stopped,
> because I ended up with a crash and in ER one morning. I knew that
> morning i didnt have enough cortisol in me, and took another 10mg
> straight away. I was taken to ER, but i gradually got better as i was
> there from the increase in HC. I took another 2.5 every few hours too,
> and by the time i went home i was alot better. From then on i started
> 20mg a day.
>
> I would suggest starting at at least 10mg, even 15mg. either of those
> are very low, and depending on the severity of your secondary, may not
> be enough. Im now on 35-40mg as it seems to be the only dose that works
> for me so far. Hoping to be able to lower it or change to a longer
> acting steroid in the near future.
>
> Good luck with finding your dose!
>
> --- In
Hypopituitary_Support@yahoogroups.com<Hypopituitary_Support%40yahoogroups.com>,
> "birrdyy" <birrdyy@...>
> wrote:
> >
> > Does a secondary need to worry about ramping up on HC or can they go
> > straight to 20?
> >
> > Thanks.
> >
>
>
>


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