Sorry this is a bit long but if you are on steriods please read.
Did you know.... this alert came out in August 2020 and effects steriod users
More can be found out at this link
england.nhs.uk/publication/...
but this is an extract sent to me by my surgery ..."Recently published national guidance promotes the issuing of a new patient-held Steroid Emergency Card to help healthcare staff identify patients with adrenal insufficiency and provide information on emergency treatment if the patient is acutely ill, experiences trauma, surgery or other major stressors.
All patients with primary adrenal insufficiency are steroid dependent. In addition, some patients who take oral, inhaled or topical steroids for other medical conditions may develop secondary adrenal insufficiency and become steroid dependent. The latter includes:
Patients taking oral prednisolone ≥5mg/day, or dexamethasone ≥ 0.5mg/day, or hydrocortisone ≥15mg/day for 4 weeks or longer
Patients taking inhaled beclometasone >1000mcg/day or fluticasone >500mcg/day (or equivalent)
Patients taking nasal steroids >1000mcg/day
Patients taking oral prednisolone >40mg (or equivalent) for longer than 1 week or those who have repeated short courses of oral steroids
Patients taking a course of oral glucocorticoid within 1 year of stopping long-term therapy
You have received this notification as you fit within the above criteria and should retain a copy of the new NHS Steroid Emergency Card. You can view and download an electronic version PDF of the new card on the Society for Endocrinology website."
.. "In an emergency, patients identified as "steroid-dependent" may experience symptoms of extreme weakness, a significant drop in blood pressure, drowsiness or mental confusion. This is known as an "adrenal crisis" and means they need extra steroid medication immediately, in the form of an emergency injection of intra-muscular hydrocortisone. You can learn more about adrenal crisis here: addisonsdisease.org.uk/emer.......
The practise pharmacist went as far as to suggest you should call an ambuance to get this jab.
