Discussions that mention florinef

Thyroid Disorders board


My brother (24 years of age) has Addisons disease (diagnosed 17 years ago), is hypthyroid (diagnosed 2 years ago) and has polyglandular autoimmune syndrome. In the last month he has presented with psychosis and is admitted in a psychiatric facility.

My brother finally seen an endocrinologist this week. His thyroid tests were as follows:

TSH: 2.77
FT3: 4.5 (3.5 – 6.5)
FT4: 21 (11-23)

He was also found to be deficient in Calcium and Vitamin D.

They only tested his thyroid, and did no tests for his Addisons. When I asked the endocrinologist why his ACTH was not tested, he said that my brother did not present with any symptoms of Addisonian crisis (i.e. nausea, headaches, etc), so there was no need.

My brother is on the following medications:

Predisone (5mg)
Dexamethasone (0.25mg)
Florinef (0.1mg)
Synthroid (0.05mg)

But from January 2004 to May 2004 was taking his medications incorrectly – taking 0.50 dexamethasone, because the pharmacist did not cut his pills in half. In June he developed psychosis and has been hospitalized in a psychiatric ward since, where he is being administered anti-psychotics.

Are his thyroid tests in the normal range?
Is it common to have a lack of Vitamin D and Calcium for patients with endocinological problems? Is there a possibility that my brothers parathyroid gland is not functioning properly?
Can any of these conditions (addisons, thyroid, etc) lead to psychological problems? The doctors are telling us they are not the cause.

I don’t have a problem accepting that my brother may have a mental illness, but not before ruling out the impacts of the medications he was on. Any help/insight would be appreciated. Thank you!
Quote from achtung:
My brother (24 years of age) has Addisons disease (diagnosed 17 years ago), is hypthyroid (diagnosed 2 years ago) and has polyglandular autoimmune syndrome. In the last month he has presented with psychosis and is admitted in a psychiatric facility.

My brother finally seen an endocrinologist this week. His thyroid tests were as follows:

TSH: 2.77
FT3: 4.5 (3.5 – 6.5)
FT4: 21 (11-23)

He was also found to be deficient in Calcium and Vitamin D.

They only tested his thyroid, and did no tests for his Addisons. When I asked the endocrinologist why his ACTH was not tested, he said that my brother did not present with any symptoms of Addisonian crisis (i.e. nausea, headaches, etc), so there was no need.

My brother is on the following medications:

Predisone (5mg)
Dexamethasone (0.25mg)
Florinef (0.1mg)
Synthroid (0.05mg)

But from January 2004 to May 2004 was taking his medications incorrectly – taking 0.50 dexamethasone, because the pharmacist did not cut his pills in half. In June he developed psychosis and has been hospitalized in a psychiatric ward since, where he is being administered anti-psychotics.

Are his thyroid tests in the normal range?
Is it common to have a lack of Vitamin D and Calcium for patients with endocinological problems? Is there a possibility that my brothers parathyroid gland is not functioning properly?
Can any of these conditions (addisons, thyroid, etc) lead to psychological problems? The doctors are telling us they are not the cause.

I don’t have a problem accepting that my brother may have a mental illness, but not before ruling out the impacts of the medications he was on. Any help/insight would be appreciated. Thank you!


What side-effects has your brother experienced from taking prednisone? Does he take 5 mg. only once per day? My dr. prescribed prednisone for me to take 3 weeks and I'm scared to death of ALL the horror stories I have read about it.