Leicestershire Health Community
Medicines Formulary
 
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6 Endocrine system
06-03-01 Replacement therapy

Fludrocortisone Acetate
Formulary
Mineralocorticoid for replacement therapy. Required in primary adrenal insufficiency

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Hydrocortisone
Formulary
Glucocorticoid for replacement therapy. Also has some mineralocorticoid activity
Usual replacement dose is 10mg in morning, 5mg at lunchtime and 5mg in evening. Further dose adjustments are usually based on response.

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Hydrocortisone Injection Emergency HC Injection Kit
Formulary
Kit for patients with Addison’s disease or high risk due to long term steroid use. Dose to be recommended by specialist, normally 50 or 100mg.

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