Hydrokortison

[Mod]

Vell - har vært der igjen.. legen fortsatte i det samme sporet
En av tingene hun "opplyste" meg om da jeg sa at jeg tok hydrokortison og at det vel er fire ganger svakere enn steroidet prednisolon:
"Hva tror du hydrokortison er da?"
(underforstått: hydrokortison er et steroid - iht til henne; tilsvarende farlig som prednison).
Legen må ha ment at HC og prednisolon er like sterke -
for hvorfor ellers skulle jeg få "vite" at jeg med slik langvarig bruk risikerte å pådra meg Cushings..

Jeg skulle gjerne hatt en utskrift fra et medisinskfaglig nettsted - og gitt utskrift,
men denne legen kan jeg iallefall ikke fortsette å gå til..

"Question: What are the differences between hydrocortisone, cortisone acetate, prednisone, and dexamethasone? Are there any guidelines as to when one is used versus another?

Answer: These compounds are all adrenal steroid analogs; specifically, they are called glucocorticoids. Glucocorticoids affect carbohydrate, protein, and fat metabolism, bone metabolism, and immune and inflammatory functions. In contrast, the mineralocorticoid aldosterone, also secreted by the adrenal, regulates sodium and potassium metabolism and fluid balance. The glucocorticoid that is produced by the body is cortisol, also known as hydrocortisone. Cortisone acetate is the glucocorticoid cortisone with an ester group attached that makes it soluble in water. Cortisone is biologically inactive and is rapidly converted to cortisol by the liver so that it can exert its effects. Hydrocortisone and cortisone acetate are both short-acting glucocorticoids."

Les mer her: The Cushing's Support and Research Foundation

Relatert: Grunner til ikke å bruke Prednisolon?