Primary adrenal insufficiency

Patients with primary adrenal insufficiency are encouraged to carry a medical alert (bracelet or card) warning about their condition and what should be done in case there is loss of consciousness or major trauma, stress, or infection. Patients should be empowered by careful education, so that they know when to increase replacement doses appropriately (e.g., when febrile, or vomiting, or in preparation for elective surgical procedures).

Patients should have syringes with hydrocortisone (100 mg). These should be administered in an emergency, and by family members in case of unconsciousness or major trauma. If available, prefilled syringes should be provided. Family members may need to receive training concerning how to administer treatment safely. Online resources may be helpful. Addison's Disease Self Help Group (UK) Opens in new window