Joint Formulary & PAD

Hydrocortisone - Adrenal crisis

I agree that in using this database I understand that this platform only provides guidance on local prescribing policy and that all prescribing decisions are ultimately the responsibility of the clinician.

Status 1

Green
Formulations :
  • Intramuscular injection (IM)
Associated Icons :
Restrictions / Comments :
Important

Hydrocortisone sodium phosphate by intramuscular injection

 

Status 2

Green
Formulations :
  • Intramuscular injection (IM)
Associated Icons :
Restrictions / Comments :
Important

Hydrocortisone sodium succinate by intramuscular injection.

 

Status 3

Red
Formulations :
  • Intravenous injection (IV)
Associated Icons :
Restrictions / Comments :
Important

Hydrocortisone sodium phosphate by intravenous injection

 

Status 4

Red
Formulations :
  • Intravenous injection (IV)
Associated Icons :
Restrictions / Comments :
Important

Hydrocortisone sodium succinate by intravenous injection.

PAD Profile

ChemicalSubstance :
Hydrocortisone
Indication :
Adrenal crisis
Group Name :
Keywords :
Severe shock, septic shock, Addison's disease
Brand Names Include :
Solu-Cortef
Important Information :
Latest Additions Date From :
Latest Additions Date To :
Guidelines :
Supporting Documents :
1
Traffic Light Entries :
4

Other Indications

Below are listed other indications that Hydrocortisone is used to treat.

Other Drugs

Below are listed other drugs that are used to treat Adrenal crisis.

  • No records returned.

Committee Recommendations (1)

The Surrey Heartlands Area Prescribing Committee have agreed that primary care prescribers may prescribe replacement hydrocortisone injection for the hydrocortisone rescue kits for patients at risk of adrenal crisis when:

- the patient has been provided with clear instructions
- a management plan has been provided to the GP and the patient
- the previous supply of hydrocortisone injection has been used or has expired

Advice on the safe use of adrenal crisis emergency kits can be found at the link below.
Secondary care will prescribe the initial supply of the appropriate formulation of hydrocortisone 

NOTES for prescribing:
- hydrocortisone sodium phosphate is licensed for adrenal crisis and comes as a solution which does not require reconstitution.
- hydrocortisone sodium succinate is licensed for adrenal crisis but comes in a powder that does require reconstitution (may be less suitable for rescue kits)
- DO NOT USE hydrocortisone acetate injection to treat adrenal crisis