Joint Formulary & PAD

Hydrocortisone - Adrenal crisis Rescue Kits

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Status 1

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

Hydrocortisone sodium succinate by intramuscular injection. Comes in a powder that requires reconstitution.

Ensure that the patient receives the diluent required (2ml water for injection)

Documentation

Area Prescribing Committee - Governance

PAD Profile

ChemicalSubstance :
Hydrocortisone
Indication :
Adrenal crisis Rescue Kits
Group Name :
Keywords :
Severe shock, septic shock, Addison's disease, rescue kits, emergency hydrocortisone injections, Glucocorticoid replacement, hydrocortisone injections for self-administration
Brand Names Include :
Important Information :

Initial supply from the initiating Trust. Primary Care may prescribe replacement supplies for patients who have clear, written instructions and a management plan has been provided to the GP.

Latest Additions Date From :
Latest Additions Date To :
Guidelines :
Supporting Documents :
1

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 succinate is licensed for adrenal crisis but comes in a powder that does require reconstitution with a maximum of 2ml water for injection
- DO NOT USE hydrocortisone acetate injection to treat adrenal crisis

Other Drugs

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

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