there seems to be an answer to my symptoms *thinking face* I had a gut feeling to call my pharmacy and ask what 0.625mg of decadron converts to in hydrocortisone.  He investigated it using their conversion chart and called me back. 0.625mg of decadron converts to precisely 16.67mg of hydrocortisone which is impossible to have so closest would be 20mg daily.  He agreed that 30mg is almost twice the dose i should be on if there is to be a 1 to 1 transfer from dex to hydro.

I then decided to call a 2nd completely different pharmacy and ask the head pharmacist there to do the same conversion.  Guess what he told me? 0.625mg dex = 16.67mg hydro when i told him my endo told me the conversion is 30mg he disagreed and said it’s almost double! So i’ve now got 2 licensed pharmacists saying i should be taking 20mg daily.  Should i just take matters into my own hands and drop right down to taking 10mg am - 5mg aft - 5mg pm? My endo doesn’t want to see me until next year, gave me 1 year’s worth of 20mg hydro tablets, and he argued with me when I commented that maybe 30mg might be too high. 

I used ot be on 0.75mg of dex and suffered from potassium loss, low DHEA-S, and heart palpitations because of it.  I was like that for close to 1 year until an endo found that those are symptoms of being over steroided. Now that i know how ill one can feel when over steroided, i don’t want it to happen again!

I called the CARES foundation and they told me that standard hydro doses for teenagers are 15-25mg max. So 30mg for an adult is suspiciously too high.

What do you gals think?

c