There have been a few updates to the sick day rules for those with adrenal insufficiency recently. We have been getting a few questions and want to clear things up.
The Society for Endocrinology have recently changed their guidance. The guidance suggests that as soon as you start to feel unwell, you should take 20mgs of hydrocortisone, and then 10mgs every 6 hours. For prednisolone, this is 10 mgs at the onset, and then 10mgs each day for the next 2 or 3 days, or until you feel better. If you take plenadren, then you should follow the same rules as for hydrocortisone.
We will be updating our sick day rules on the website and within our adrenal insufficiency booklet in accordance with the new guidelines as soon as possible.
It will cause no harm to follow either our existing sick day rules, or the rules your clinic has provided, or the new SfE rules for now.
We will be continuing our advocacy work with the SfE and other support organisations to ensure that the guidelines are consistent and clear.