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Replacement therapy with corticosteroids will control the symptoms of this disease. However, these drugs must usually be continued for life. Usually a combination of glucocorticoids (cortisone or hydrocortisone) and mineralocorticoids (fludrocortisone) are given.
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Medication may need to be increased during times of stress, infection, or injury.
Adrenal crisis is an extreme manifestation of symptoms of adrenal insufficiency brought on by physical stress. Hydrocortisone must be injected immediately to sustain life. Supportive treatment for low blood pressure is usually necessary as well.
Some people with Addison's disease are taught to give themselves an emergency injection of hydrocortisone during stressful situations. It is important for the individual with Addison's disease to always carry a medical identification card that states the type of medication and the proper dose needed in case of an emergency.
Never skip doses of medication for this condition, as life-threatening reactions may occur. If unable to retain medication due to vomiting, notify your health care provider, go to the emergency room, or call the local emergency number (such as 911) immediately.
Also report sudden weight gain or fluid retention to the health care provider.
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