Adrenal Medication Management Guide

Morning Medications (Upon Waking)

Primary Medications

• Hydrocortisone/Cortisone Acetate: ___ mg
  • Take immediately upon waking (5:00-8:00 AM)
  • Take before eating
  • Record time: _______

Additional Morning Medications

• Fludrocortisone (if prescribed): ___ mg
  • Take with first hydrocortisone dose
  • Record time: _______

Afternoon Dose

Stress Dose Guidelines

• Regular afternoon dose: ___ mg (12:00-2:00 PM)
• If experiencing stress/illness: Double usual dose
• Record time: _______

Evening Dose

Final Daily Dose

• Evening hydrocortisone: ___ mg (4:00-6:00 PM)
• Record time: _______

Important Notes

Emergency Situations

1. Triple your dose if:

   • Fever over 101°F (38.3°C)
   • Severe illness
   • Major injury

2. Seek immediate medical care if:

   • Unable to keep medications down
   • Experiencing severe weakness
   • Signs of adrenal crisis

Daily Monitoring

• Track all doses in medication log
• Monitor for signs of over/under replacement
• Keep emergency injection kit accessible

Monthly Supply Check

• Oral medications
• Injectable emergency medication
• Medical ID jewelry
• Emergency card

Please consult your endocrinologist before making any medication changes.