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Adrenal insufficiency: identification and management

  • NICE guideline
  • Reference number: NG243
  • Published:  28 August 2024
  • Guidance
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  • Evidence
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Evidence reviews - August 2024

The following documents contain the evidence that was used to develop the 2024 recommendations:

  • Information, support and decision making
  • When to suspect adrenal insufficiency
  • When to refer for specialist investigation when withdrawing corticosteroids
  • Diagnostic tests and diagnostic thresholds for referral
  • Methods for corticosteroid withdrawal
  • Routine pharmacological management of primary adrenal insufficiency
  • Routine pharmacological management of secondary and tertiary adrenal insufficiency
  • When to suspect adrenal crisis
  • Emergency management of an adrenal crisis
  • Pharmacological management of physiological stress
  • Pharmacological management during psychological stress
  • Non-pharmacological strategies to prevent adrenal crisis during periods of intercurrent illness and periods of physiological stress
  • Non-pharmacological strategies to prevent adrenal crisis during periods of psychological stress
  • Ongoing care and monitoring of people with adrenal insufficiency

Other supporting evidence

  • Methods

This page was last updated: 28 August 2024

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