Diagnosis and Therapy of Glucocorticoid-induced Adrenal Insufficiency

Publication Date: May 10, 2024
Last Updated: May 24, 2024

1.1 General Recommendations for Glucocorticoid Therapy of Non-Endocrine Conditions and Recommendations Regarding Patient Education

Recommendation 1.1

We recommend that, in general, patients on, or tapering off glucocorticoids for non-endocrine conditions do not need to be evaluated by an endocrinology specialist.

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1.2 Recommendations Regarding  Taper of Systemic Glucocorticoid Therapy for Non-Endocrine Conditions, Diagnosis and Approach to Glucocorticoid-Induced Adrenal Insufficiency, and Glucocorticoid Withdrawal Syndrome

Recommendation 2.1

We suggest not to taper glucocorticoids in patients on short-term glucocorticoid therapy of <3-4 weeks, irrespective of the dose. In these cases, glucocorticoids can be stopped without testing due to low concern for HPA axis suppression.

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Overview

Title

Diagnosis and Therapy of Glucocorticoid-induced Adrenal Insufficiency

Authoring Organizations

Endocrine Society

European Society of Endocrinology