I was on Medrol (4-6 mg daily) for four years, after being diagnosed with adrenal fatigue by a Hertoghe doctor in Belgium. I weaned off it more or less by mistake; one day, about two months ago, I was going to the lab, and was not supposed to take any meds before that, and then I just decided to wait and see how long I could last without it...until then, I started feeling worse within 24 hours off Medrol. Now, I felt ok, even after two days. Time went by, and now it's been more than two months off Medrol...and I guess I am doing ok.
Since going off Medrol, I have been reading a lot about adrenal fatigue. My hormone doctor says I will need to be on adrenal support (Medrol) for the rest of my life. However, most of the articles I have read about adrenal fatigue claim that is wrong, and that you should only be on adrenal support (be it hydrocortisone, prednisone, or methylprednisone) for a maximum of six weeks or six months (depending on source). Most if not all sources seem to agree that if you need to stay on adrenal support longer than that, you don't suffer from adrenal FATIGUE, but adrenal INSUFFICIENCY.
The reason the doctor put me on Medrol, rather on HC, in the first place, was because I tended to retain fluid (which, of course, could also be because I was hypothyroid as long as I remained on T4 meds only). Anyway, I think Medrol is very convenient, as it only has to be taken once daily, unlike HC which has to be multi dosed.
There are several things I have been wondering lately. First, given the long half-life of Medrol, should it be taken at bedtime rather than in the morning; I would imagine that, if you take it at bedtime, cortisol levels will peak in the morning? I never even thought about taking it at night but, on second thought, maybe I should have...as I understand Medrol is pretty slow-acting compared to HC.
Secondly, I'd be interested to know if anyone here has had to stay on adrenal support (for adrenal fatigue) longer than the recommended six weeks or six months (depending on source)? I guess what I mean is: is it possible to end up depending on adrenal support for the rest of your life, even if you don't suffer from adrenal insufficiency?