氢化可的松片推荐服用量多少？

(Alias: hydrocortisone) is mainly used for the replacement treatment of adrenal insufficiency and the treatment of congenital adrenal hyperplasia. It can also be used for rheumatoid arthritis, rheumatic fever, gout, bronchial asthma, allergic diseases, and can be used for severe infection and anti-shock treatment. What is the recommended dosage of hydrocortisone tablets?

Dosage of hydrocortisone tablets: To treat adrenocortical insufficiency in adults, the daily dose is 20 to 30 mg, take 2/3 in the morning and 1/3 after lunch. When there is stress, the dosage should be increased appropriately, up to 80mg per day, taken in divided doses. The therapeutic dose for children is 20 to 25/m2 per day based on body surface area, divided into 3 times and taken once every hour.

Hydrocortisone use in special populations:

1. Medication for pregnant and lactating women

(1) Medication during pregnancy: Hydrocortisone can pass through the placenta. Animal experimental studies have confirmed that administration during pregnancy can increase the incidence of embryonic cleft palate, placental insufficiency, spontaneous abortion and intrauterine growth retardation. The use of pharmacological doses of hydrocortisone in humans may increase the incidence of placental insufficiency, neonatal weight loss, or stillbirth.

(2) Medication during lactation: Since hydrocortisone can be excreted in breast milk, it can cause adverse effects on infants, such as growth inhibition, adrenal cortex function suppression, etc. Pregnant and lactating women should avoid using it as much as possible after weighing the pros and cons.

2. Medication for children

If children use adrenocortical hormones for a long time, they must be very cautious.

3. Medication for the elderly

Elderly patients are prone to high blood pressure and diabetes. The use of hydrocortisone in elderly patients, especially postmenopausal women, can easily aggravate osteoporosis.

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