During winter I do not like to take florinef even though I have adrenal insufficiency and low normal aldosterone levels. It seems I can keep myself balanced with diet alone and the salt-wasting is not too bad. However in the summer, I have to take florinef or my BP will go too low. This is where my adrenal insuffiency and POTS seem to mix a lot. The line between them is very vague here because lots of POTsies take florinef with great success. I wish I could say it's amazing me for, but it is not. Many people with Addison's or Adrenal insufficiency have great success with florinef too. I really do not see the huge improvements most seem to have with it. I wish!
I can already tell since the weather is starting to warm up (with exception of today where we are expecting 8 inches of snow haha), that it is time to start on the florinef. For me I like to start at a very low dose and work my way up. However I have to be careful because my potassium levels can go below range and that's not good either. Typically I have to take both Florinef and Rx slow release potassium tabs to keep my sodium and potassium levels in range. When I was taking 2 tabs of florinef (0.2mg) I needed 6--20mEQ's of Potassium a day to keep my potassium levels stable. I refuse to go on that much florinef now due to the potassium issues. I really do not feel it is healthy to take that much potassium in a tablet form. Your kidneys have to sort through all of that and over the years my serum creatinine has started to creep up. Last time I had my CMP checked it was at the very top of the range!
I will start off with a low dose, probably 1/4 tab (0.025mg) and then work my way up. I never know what I am supposed to feel from florinef. Most of the time it feels like I'm taking a sugar pill...
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