Screening
There are no national screening guidelines for adrenal suppression. However, screening is recommended in all patients with symptoms consistent with adrenal suppression, and in those who have received systemic corticosteroids for >2 consecutive weeks or >3 cumulative weeks in the last 6 months, or in those who have been receiving high-dose inhaled corticosteroid therapy for 3 to 6 months.[7][53] A suggested screening approach is to measure early morning cortisol. If morning cortisol is normal, but the patient has symptoms of adrenal suppression, a low-dose adrenocorticotropic hormone stimulation test should be performed to confirm diagnosis.[7]
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